Showing papers in "British Journal of Obstetrics and Gynaecology in 2009"

TL;DR: To determine which interventions for managing placenta accreta were associated with reduced maternal morbidity, a large number of patients were randomly assigned to receive either a vaginal or laparoscopic Caesarean section.

TL;DR: Abnormal vaginal flora before 14 gestational weeks is a risk factor for preterm birth and the presence of aerobic microorganisms and an inflammatory response in the vagina may also be important risk factors.

TL;DR: Perinatal mortality and severe perinatal morbidity between planned home and planned hospital births, among low‐risk women who started their labour in primary care, are compared.

TL;DR: This study found risk factors in pregnancy for post‐traumatic stress and depression 1 month after childbirth and the relation between post-traumatic Stress Disorder and depression was explored.

TL;DR: Examination of fear of childbirth according to parity, gestational age, and obstetric history finds that women who fear childbirth are more likely to have an abortion than those who do not.

TL;DR: This paper reviews these uterine tamponade technologies in the management of PPH and recommends various balloons available including the Bakri, Foley, Sengstaken–Blakemore, Rusch and condom catheter.

TL;DR: Assessment of incidence of uterine rupture in scarred and unscarred uteri and its maternal and fetal complications in a nationwide design finds no significant difference in women with or without scarred uterus.

TL;DR: Investigation of factors associated with the development of neonatal abstinence syndrome and the implications for healthcare resources of infants born to drug‐misusing women were assessed.

TL;DR: Evaluated the complication rate after laparoscopic total and subtotal hysterectomy in case of benign disease and its impact on survival and quality of life of patients with benign disease.

TL;DR: Current progress for newborn health globally is reviewed, with a focus on the countries where most deaths occur, and the highest impact interventions to address these causes of neonatal death are summarised.

TL;DR: Vaginal mesh kits are being used to surgically treat apical vaginal prolapse and their safety and efficacy are currently unknown.

TL;DR: Two promising approaches are maternal and perinatal death reviews and criterion‐based audit, which have a crucial role to play in the implementation of effective maternal and newborn care.

TL;DR: To establish whether reagent‐supported thrombelastometry with the rotation thromBelastometry system (ROTEM®) point‐of‐care device correlated with fibrinogen level in postpartum haemorrhages.

TL;DR: Whether the introduction of multi‐professional simulation training was associated with improvements in the management of cord prolapse, in particular, the diagnosis–delivery interval (DDI) is investigated.

TL;DR: This data indicates that in high‐resource settings around 20% of maternal deaths are attributed to women who fail to receive adequate antenatal care, and epidemiological evidence suggests many of these women belong to marginalised groups often living in areas of relative deprivation.

TL;DR: A narrative review of the literature on the skilled birth attendance strategy identifying key challenges and lessons learnt is provided and achieving this target is challenging but possible.

TL;DR: To investigate the relationship between prenatal alcohol exposure and fetal growth and preterm birth and to estimate the effect of dose and timing of alcohol exposure in pregnancy.

TL;DR: To determine if vitamin C and E supplementation in high‐risk pregnant women with low nutritional status reduces pre‐eclampsia, a large number of studies have found that it reduces the risk of pregnancy-related adverse events.

TL;DR: Three methods of labour induction in term nulliparous women with unfavourable cervices are compared to compare the efficacy and patient satisfaction of these methods.

TL;DR: Reviewing obstetric emergency training programmes from hospitals that have demonstrated improved outcomes to determine the active components of effective training found common features that appeared to facilitate self‐directed infrastructural change.

TL;DR: The role of supracervical hysterectomy in benign disease of the uterus and its role in surgical complications and clinical outcomes is investigated.

TL;DR: This data indicates that vaginal repair augmented by mesh with traditional colporrhaphy for the treatment of pelvic organ prolapse is more beneficial than either of the other approaches.

TL;DR: Compared customised and population standards for defining smallness for gestational age (SGA) in the assessment of perinatal mortality risk associated with parity and maternal size are compared.

TL;DR: The objective is to determine maternal and fetal outcomes in women with mechanical heart valves managed with therapeutic dose enoxaparin during pregnancy.

TL;DR: The objective of this study was to establish a baseline situation and show whether or not the practice of induction is effective in relation to labour induction-related deaths in women aged between 25 and 44.

TL;DR: The objective of this study was to study how continence status during pregnancy and mode of delivery influence urinary incontinence at 6 months postpartum in primiparous women.

TL;DR: The feasibility and accuracy of long‐term transabdominal fetal electrocardiogram (fECG) recordings throughout pregnancy were studied using a portable fECG monitor and correlated well with scalp electrode recordings.

TL;DR: This study aims to examine the associations between fear of childbirth and emergency caesarean section and between fearof childbirth and dystocia or protracted labour and fetal distress.

TL;DR: Evaluating the proportion of pregnant women agreeing to cytomegalovirus serologic screening for CMV infection during pregnancy and collecting data on CMV infections during pregnancy is evaluated.

TL;DR: Background History of induced termination of pregnancy (I‐TOP) is suggested as a precursor for infant being born low birthweight, preterm or small for gestational age (SGA).