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Australian & New Zealand Journal of Obstetrics & Gynaecology

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https://www.readbyqxmd.com/read/30014485/the-burden-of-adverse-obstetric-and-perinatal-outcomes-from-maternal-smoking-in-an-australian-cohort
#1
Raymond Li, Jade Lodge, Christopher Flatley, Sailesh Kumar
BACKGROUND: Maternal smoking is associated with a number of adverse outcomes with a dose-dependent increase in risk. The aim of this study was to evaluate the obstetric and perinatal outcomes in women who smoked during pregnancy. METHODS: This was a retrospective cohort study of women who smoked during pregnancy and birthed at a major perinatal centre in Australia between January 2000 and April 2017. The study cohort was compared to a cohort of women who did not smoke in pregnancy...
July 17, 2018: Australian & New Zealand Journal of Obstetrics & Gynaecology
https://www.readbyqxmd.com/read/29984840/laparoscopic-transabdominal-cerclage-in-pregnancy-a-single-centre-experience
#2
Alex Ades, Mehrnoosh Aref-Adib, Sneha Parghi, Phoebe Hong
BACKGROUND: Transabdominal cerclage can reduce the risk of preterm birth in women with cervical insufficiency. AIMS: This study evaluated outcomes following insertion of a laparoscopic transabdominal cerclage in pregnant women. MATERIALS AND METHODS: A retrospective observational study. PATIENTS: pregnant women who underwent laparoscopic transabdominal cerclage from 2011 to 2017. Eligible women had cervical insufficiency and were not suitable for a transvaginal cerclage...
July 9, 2018: Australian & New Zealand Journal of Obstetrics & Gynaecology
https://www.readbyqxmd.com/read/29984834/a-clinical-audit-of-combined-first-trimester-screening-and-non-invasive-prenatal-testing-offered-to-pregnant-women-in-a-regional-australian-hospital
#3
Orit Abdalla, Cindy Woods, Caroline de Costa
The records of women attending a large Australian regional hospital for antenatal care were retrospectively analysed to determine what proportion had undergone or been offered first trimester screening for fetal abnormalities; only 609 (54%) of 1114 women had undergone or been offered screening. Younger women, multiparous women and women living in rural Australia were less likely to be offered screening. Barriers to screening and solutions for overcoming these need to be identified to improve access and equality in antenatal screening for all women...
July 9, 2018: Australian & New Zealand Journal of Obstetrics & Gynaecology
https://www.readbyqxmd.com/read/29968287/right-of-reply-to-the-surgical-robot-in-gynaecology-it-isn-t-a-robot-at-all-and-it-doesn-t-make-anything-better
#4
Felix Chan
No abstract text is available yet for this article.
July 2, 2018: Australian & New Zealand Journal of Obstetrics & Gynaecology
https://www.readbyqxmd.com/read/29962108/author-s-right-of-reply-to-robotic-assisted-surgical-procedures-are-the-future-of-gynaecology-in-australasia
#5
Malcolm G Munro
No abstract text is available yet for this article.
July 2, 2018: Australian & New Zealand Journal of Obstetrics & Gynaecology
https://www.readbyqxmd.com/read/29947120/-eminence-based-medicine-and-the-goldilocks-principle-authors-reply-to-working-hours-of-obstetrics-and-gynaecology-trainees-in-australia-and-new-zealand
#6
LETTER
Jade N Acton, Paige E Tucker, Max K Bulsara, Paul A Cohen
No abstract text is available yet for this article.
June 27, 2018: Australian & New Zealand Journal of Obstetrics & Gynaecology
https://www.readbyqxmd.com/read/29943805/perineal-trauma-with-vaginal-birth-after-a-previous-caesarean-section-a-retrospective-cohort-study
#7
Jonathan A S Nettle, Helen C Mcnamara, Jacobus M Du Plessis
BACKGROUND: There is a paucity of information regarding perineal injuries in women who achieve vaginal birth after caesarean section (VBAC). AIMS: To ascertain the rate of severe perineal injuries in women achieving VBAC at a major tertiary obstetric hospital, and to determine if vaginal birth is more likely to be associated with perineal injuries in women with one previous caesarean section compared with nulliparous women. MATERIALS AND METHODS: A retrospective cohort study was undertaken of women with singleton pregnancies at term who delivered vaginally between 2013 and 2016...
June 26, 2018: Australian & New Zealand Journal of Obstetrics & Gynaecology
https://www.readbyqxmd.com/read/29943804/foley-catheter-silicone-versus-latex-for-term-outpatient-induction-of-labour-a-randomised-trial
#8
Therese M McGee, Beata Gidaszewski, Marjan Khajehei, Toni Tse, Emma Gibbs
BACKGROUND: Both silicone and latex single-balloon Foley catheters are available for cervical ripening but no literature exists to compare them. Local experience suggested more frequent insertion-related accidental rupture of the membranes (acROM) with silicone. AIMS: To compare the performance of silicone versus latex catheters with respect to acROM and other outcomes. MATERIALS AND METHODS: Women undergoing outpatient Foley catheter cervical ripening were randomised to a silicone or latex catheter...
June 26, 2018: Australian & New Zealand Journal of Obstetrics & Gynaecology
https://www.readbyqxmd.com/read/29926916/the-provision-of-alcohol-and-breastfeeding-information-by-maternal-health-practitioners-in-the-australian-setting
#9
Roslyn Carmel Giglia, Martyn Symons, Thérèse Shaw
BACKGROUND: In the 2009 National Health and Medical Research Council (NHMRC) Australian Guidelines to Reduce Health Risks from Drinking, a guideline specific to lactating women was included. For the first time the effect of alcohol at this important developmental stage was nationally and internationally acknowledged. AIMS: To determine the degree to which maternal health practitioners adopted an Australian national policy guideline (Guideline 4B) on alcohol and breastfeeding into their everyday health practice and the factors associated with adoption...
June 21, 2018: Australian & New Zealand Journal of Obstetrics & Gynaecology
https://www.readbyqxmd.com/read/29926915/the-characteristics-of-women-recommended-a-laparoscopy-for-chronic-pelvic-pain-at-a-tertiary-institution
#10
Kelly L Mirowska-Allen, Megan Sewell, Samantha Mooney, Peter Maher, Damian J Ianno, Sonia R Grover
BACKGROUND: Clinician and patient factors impact on the management of chronic pelvic pain (CPP) with medical, surgical or combined approaches possible, although none have proven superior. AIMS: To understand the characteristics of women offered laparoscopic pelvic surgery for CPP. MATERIALS AND METHODS: We performed an observational study of women referred with CPP. They were asked to complete a study questionnaire regarding their symptoms, medical history, quality of life and pain catastrophisation...
June 21, 2018: Australian & New Zealand Journal of Obstetrics & Gynaecology
https://www.readbyqxmd.com/read/29926904/mesh-use-in-urogynaecological-procedures-between-2005-and-2016-an-australian-cohort-study
#11
Marianne H Gillam, Mhairi Kerr, Nicole L Pratt, Renly Lim, Elizabeth E Roughead
BACKGROUND: Pelvic organ prolapse (POP) and stress urinary incontinence (SUI) are common conditions. The use of mesh in the surgical treatment of these conditions in Australia is unclear. AIM: To examine the use of mesh in POP and SUI procedures in an Australian national cohort of older women. METHODS: We conducted a population-based cohort study using data from the Australian Government Department of Veterans' Affairs (DVA) database. The cohort consisted of older women who had POP and SUI procedures between 1 July, 2005 and 31 December, 2016...
June 21, 2018: Australian & New Zealand Journal of Obstetrics & Gynaecology
https://www.readbyqxmd.com/read/29920645/recent-trends-in-the-management-of-pelvic-organ-prolapse-in-australia-and-new-zealand
#12
Brendan J Miller, Elvis I Seman, Robert T O'Shea, Paul H Hakendorf, Tran T T Nguyen
OBJECTIVE: To compare current practice in the management of female pelvic organ prolapse in Australia and New Zealand with that in 2007, and assess the impact on practice of the withdrawal of Prolift® and Prosima® mesh kits in 2015. MATERIALS AND METHODS: In early 2015, two invitations to participate in a survey, including a link to Surveymonkey, were emailed to 2506 Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG) trainees and fellows...
June 19, 2018: Australian & New Zealand Journal of Obstetrics & Gynaecology
https://www.readbyqxmd.com/read/29920642/lichen-sclerosus-in-pregnancy-a-review-of-33-cases
#13
Yvonne Nguyen, Jennifer Bradford, Gayle Fischer
Vulval lichen sclerosus (VLS) is a chronic inflammatory skin condition affecting the anogenital area in women. Serious long-term consequences of VLS include the risk of developing squamous cell carcinoma of the vulva as well as of scarring and alteration of vulval architecture. The treatment of choice for genital lichen sclerosus in females is potent to very potent topical corticosteroids. There are few published data on the course of VLS in pregnancy. We present our experience of managing 33 pregnancies in 29 women with VLS...
June 19, 2018: Australian & New Zealand Journal of Obstetrics & Gynaecology
https://www.readbyqxmd.com/read/29900538/role-of-serum-biomarkers-to-optimise-a-validated-clinical-risk-prediction-tool-for-gestational-diabetes
#14
Sally K Abell, Soulmaz Shorakae, Jacqueline A Boyle, Barbora De Courten, Nigel K Stepto, Helena J Teede, Cheryce L Harrison
BACKGROUND: Clinical risk prediction tools for gestational diabetes (GDM) may be enhanced by measuring biomarkers in early pregnancy. AIM: To evaluate a two-step GDM risk prediction tool incorporating fasting glucose (FG) and serum biomarkers in early pregnancy. MATERIALS AND METHODS: High molecular weight (HMW) adiponectin, omentin-1 and interleukin-6 (IL-6) were measured at 12-15 weeks gestation in women with high risk of GDM from a randomised trial using a clinical risk prediction tool...
June 14, 2018: Australian & New Zealand Journal of Obstetrics & Gynaecology
https://www.readbyqxmd.com/read/29900540/contemporary-prenatal-aneuploidy-screening-practice-in-australia-frequently-asked-questions-in-the-cell-free-dna-era
#15
REVIEW
Wawrzyniec Rieder, Scott White, George McGillivray, Lisa Hui
Cell-free DNA screening has quickly become established in Australia as an accurate - albeit costly - prenatal screening test for trisomy 21, 18 and 13. It is also commonly used for the detection of sex chromosome abnormalities. The increasing number of prenatal screening pathways available to women has increased the complexity of pretest counselling. Concurrent advances in diagnostic testing with the widespread use of chromosomal microarrays create further challenges for the continuing education of clinicians and health consumers...
June 13, 2018: Australian & New Zealand Journal of Obstetrics & Gynaecology
https://www.readbyqxmd.com/read/29851066/current-status-of-ovarian-cancer-surgical-management-argument-for-centralisation-of-care-in-australia
#16
Jonathan Carter, Selvan Pather, Marcelo Nascimento
In Australia, ovarian cancer remains the most common cause of death among all the gynaecological malignancies, largely due to the fact that patients present at an advanced stage. Cytoreductive surgery has for a number of decades been the cornerstone of initial treatment for patients with advanced disease, where a smaller volume of residual disease (optimal cytoreduction) results in an improved outcome. Evidence indicates that optimal cytoreduction is best achieved by a certified gynaecological oncologist, and that subsequent management by a dedicated multidisciplinary team (MDT) results in patients more likely to receive 'evidenced based guideline care' and be offered participation in clinical trials...
May 31, 2018: Australian & New Zealand Journal of Obstetrics & Gynaecology
https://www.readbyqxmd.com/read/29851029/placental-growth-factor-as-an-indicator-of-fetal-growth-restriction-in-late-onset-small-for-gestational-age-pregnancies
#17
Ngaire Anderson, Monique De Laat, Samantha Benton, Peter von Dadelszen, Lesley McCowan
BACKGROUND: At-risk small-for-gestational age (SGA) pregnancies in New Zealand are identified using Doppler ultrasound; fetuses with Doppler abnormalities are considered growth restricted (FGR). Low maternal placental growth factor (PlGF) has also been associated with late-onset FGR. AIMS: To investigate whether low PlGF at diagnosis of late-onset SGA identifies the same fetuses classified FGR by detailed Doppler studies, and the association between low PlGF and adverse pregnancy outcomes...
May 31, 2018: Australian & New Zealand Journal of Obstetrics & Gynaecology
https://www.readbyqxmd.com/read/29797415/influence-of-maternal-obesity-on-bishop-score-and-failed-induction-of-labour-a-retrospective-cohort-study-in-a-regional-tertiary-centre
#18
Jessica Little, Rachael Nugent, Venkat Vangaveti
BACKGROUND: Maternal obesity is a growing health concern that has previously been associated with increased need for induction of labour (IOL) and caesarean section (CS) rates. Currently, limited evidence explores the influence of maternal body mass index (BMI) on Bishop Score (BS) and outcome of IOL. This study hypothesises that maternal obesity will lead to a lower BS at presentation, higher rates of failed IOL, and increased CS rates. AIMS: To explore the influence of maternal obesity on BS and likelihood of failed IOL...
May 23, 2018: Australian & New Zealand Journal of Obstetrics & Gynaecology
https://www.readbyqxmd.com/read/29787638/incidence-trends-and-severity-of-primary-postpartum-haemorrhage-in-australia-a-population-based-study-using-victorian-perinatal-data-collection-data-for-764-244-births
#19
Margaret Flood, Susan J McDonald, Wendy Pollock, Fiona Cullinane, Mary-Ann Davey
BACKGROUND: Increasing incidence and severity of postpartum haemorrhage, together with postpartum haemorrhage-associated morbidities, have been reported in many high-resource countries. In-depth analysis of such factors in Victorian births since 2002 was lacking. AIMS: Our aim was to determine the incidence and trends for primary postpartum haemorrhage (World Health Organization and International Classification of Diseases 10th revision, Australian Modification definitions) for all confinements in Victoria, Australia, for the years 2003-2013 and the incidence and trends for severe postpartum haemorrhage (≥1500 mL) for 2009-2013...
May 22, 2018: Australian & New Zealand Journal of Obstetrics & Gynaecology
https://www.readbyqxmd.com/read/29787622/mother-to-child-transmission-of-hiv-in-australia-and-other-high-income-countries-trends-in-perinatal-exposure-demography-and-uptake-of-prevention-strategies
#20
REVIEW
Kelly O'Donovan, Theophilus I Emeto
Virtual elimination of mother-to-child transmission (MTCT) of human immunodeficiency virus (HIV) is a global target. A review of the literature was conducted using medical databases and health department websites to examine the current trends related to perinatal HIV exposure and MTCT in Australia in comparison with other high-income countries (HICs). The review discusses the uptake of prevention strategies and barriers that impede MTCT prevention. The literature suggests an increase in the numbers of HIV-exposed deliveries, but a marked decline in the rates of MTCT within HICs...
May 22, 2018: Australian & New Zealand Journal of Obstetrics & Gynaecology
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