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Acta Obstetricia et Gynecologica Scandinavica

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https://www.readbyqxmd.com/read/27925166/new-guidelines-for-screening-diagnosing-and-treating-gestational-diabetes-evaluation-of-maternal-and-neonatal-outcomes-in-finland-from-2006-to-2012
#1
Anni Ellenberg, Nanna Sarvilinna, Mika Gissler, Veli-Matti Ulander
INTRODUCTION: In this study, we have assessed the changes in pregnancy outcomes following the implementation of national guidelines for gestational diabetes mellitus (GDM). These national guidelines changed the screening policy from risk-based to comprehensive screening. MATERIAL AND METHODS: We designed a retrospective register-based cohort study based on the data from the Finnish Medical Birth Register and Hospital Discharge Register including 34 794 singleton births in 2006-2008 and 36 488 in 2010-2012...
December 7, 2016: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/27925163/reply-on-anxiety-and-quality-of-life-after-first-trimester-termination-of-pregnancy-a-prospective-study
#2
Oskari Heikinheimo, Elina Pohjoranta, Elena Toffol, Satu Suhonen, Timo Partonen
Induced abortion is associated with an overall increased risk of psychiatric morbidity, a low socioeconomic status, and other adverse conditions affecting well-being and quality of life. However, as stated by the American Psychological Association, induced abortion itself cannot be seen as a cause of mental health problems (3). The increased risk of psychiatric morbidity in women undergoing induced abortion can be noticed already before the abortion, as seen in a large registry based study in Denmark (4) as well as in our recent study concerning teenagers undergoing an induced abortion in Finland (5)...
December 7, 2016: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/27925160/uterine-artery-doppler-measurements-during-first-and-second-trimester-of-normal-pregnancy
#3
Solhild Stridsklev, Øyvind Salvesen, Kjell Åsmund Salvesen, Sven M Carlsen, May Anita Husøy, Eszter Vanky
INTRODUCTION: The aim of this study was to construct a reference curve based on longitudinal Doppler blood flow measurements of the uterine artery during the first and second trimester of normal pregnancy. MATERIAL AND METHODS: Healthy pregnant women (N=124) between 18-38 years were included. The uterine artery pulsatility index (UtAPI) was measured with transvaginal ultrasound in the first trimester (gestational weeks 8-10 and 11-13) and with transabdominal ultrasound in the second trimester (gestational weeks 18 and 24)...
December 7, 2016: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/27925148/a-comparison-of-vaginal-ultrasound-and-digital-examination-in-predicting-preterm-delivery-in-women-with-threatened-preterm-labour-a-cohort-study
#4
Anne Pinton, François Severac, Nicolas Meyer, Cherif Youssef Akladios, Adrien Gaudineau, Romain Favre, Bruno Langer, Nicolas Sananes
INTRODUCTION: The aim of this study is to evaluate the utility of digital examination in addition to ultrasonic measurement of cervical length for predicting spontaneous preterm delivery in women with threatened preterm labor. MATERIAL AND METHODS: This was a prospective cohort study in Strasbourg University Hospital, France, between January 2013 and January 2015 All the women with a singleton pregnancy hospitalized with threatened preterm labor between 23 to 34 weeks of gestation were included...
December 7, 2016: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/27891577/statin-use-and-risk-of-endometrial-cancer-a-nationwide-registry-based-case-control-study
#5
Cecilie Dyg Sperling, Freija Verdoodt, Søren Friis, Christian Dehlendorff, Susanne K Kjaer
INTRODUCTION: Laboratory and epidemiological evidence have suggested that statin use may protect against the development of certain cancers, including endometrial cancer. In a nationwide registry-based case-control study, we examined the association between statin use and risk of endometrial cancer. MATERIAL AND METHODS: Cases were female residents of Denmark with a primary diagnosis of endometrial cancer during 2000-2009. For each case, we selected 15 female population controls matched on date of birth (± 1 month) using risk-set sampling...
November 27, 2016: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/27886376/-the-burden-of-pregnancy-heavier-for-the-heaviest-the-changes-in-health-related-quality-of-life-hrqol-assessed-by-the-15d-instrument-during-pregnancy-and-postpartum-in-different-body-mass-index-groups-a-longitudinal-survey
#6
Niina Sahrakorpi, Saila B Koivusalo, Beata Stach-Lempinen, Johan Gunnar Eriksson, Hannu Kautiainen, Risto Roine
INTRODUCTION: Only little information is available on health-related quality of life (HRQoL) and its changes during the course of a normal pregnancy. We studied changes in HRQoL in a pregnant population during pregnancy and until one year postpartum in different body mass index (BMI) groups. MATERIAL AND METHODS: 750 pregnant women attending the first ultrasound examination before gestational week 14 were invited to participate in a longitudinal, communal-based survey...
November 25, 2016: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/27886371/why-babies-die-in-unplanned-out-of-institution-births-an-enquiry-into-perinatal-deaths-in-norway-1999-2013
#7
Björn Gunnarsson, Sigurd Fasting, Eirik Skogvoll, Alexander Kr Smárason, Kjell Å Salvesen
INTRODUCTION: The aims were to describe causes of death associated with unplanned out-of-institution births, and to study if they could be prevented. MATERIAL AND METHODS: Retrospective population-based observational study based on data from the Medical Birth Registry of Norway and medical records. Between 1 January 1999 and 31 December 2013, 69 perinatal deaths among 6027 unplanned out-of-institution births, whether unplanned at home, during transportation, or unspecified, were selected for enquiry...
November 25, 2016: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/27874979/risk-factors-for-recurrence-of-hypertensive-disorders-of-pregnancy-a-population-based-cohort-study
#8
Cathrine Ebbing, Svein Rasmussen, Rolv Skjaerven, Lorentz M Irgens
INTRODUCTION: Hypertensive disorders of pregnancy (HDP) tend to recur from one pregnancy to the next. The aims of the study were to assess the recurrence risk according to type of HDP defined by gestational age at birth and to examine whether recurrence is associated with the following additional risk factors for HDP: maternal age, smoking, inter delivery interval, diabetes, body mass index, as well as fetal growth restriction, and to assess temporal trends in these associations. MATERIAL AND METHODS: All women with two singleton births in the Medical Birth Registry of Norway 1967-2012 (n= 742 980) were included in this population based cohort study...
November 22, 2016: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/27874978/the-treatment-of-bacterial-vaginosis-in-pregnancy-with-clindamycin-to-reduce-the-risk-of-infection-related-preterm-birth-a-response-to-the-danish-society-of-obstetrics-and-gynaecology-guideline-group-s-clinical-recommendations
#9
Ronald F Lamont, Jeffrey A Keelan, Per Goran Larsson, Jan Stener Jørgensen
Preterm birth is the major cause of perinatal mortality and morbidity worldwide. Infection/inflammation is responsible for a significant percentage of preterm birth, particularly at early gestations. A recent clinical recommendation by a guidelines group of the Danish Society of Obstetrics and Gynaecology (DSOG) advised against the use of clindamycin for the treatment of bacterial vaginosis in pregnancy to reduce the risk of spontaneous preterm birth based on lack of evidence of efficacy. We believe that the evidence for the use of clindamycin for this indication is robust and that this recommendation was reached erroneously on the basis of flawed inclusion criteria: the inclusion of an unpublished study with poorly diagnosed bacterial vaginosis and the exclusion of an important pivotal study on the use of clindamycin in early pregnancy for the prevention of preterm birth...
November 22, 2016: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/27869985/agreement-and-accuracy-using-the-figo-acog-and-nice-cardiotocography-interpretation-guidelines
#10
Susana Santo, Diogo Ayres-De-Campos, Cristina Costa-Santos, William Schnettler, Austin Ugwumadu, Luís Mendes Da Graça
INTRODUCTION: One of the limitations reported with cardiotocography (CTG) is the modest interobserver agreement observed in tracing interpretation. This study compared agreement, reliability and accuracy of CTG interpretation using the FIGO, ACOG and NICE guidelines. MATERIAL AND METHODS: A total of 151 tracings was evaluated by 27 clinicians from three centers where FIGO, ACOG and NICE guidelines were routinely used. Interobserver agreement was evaluated using the proportions of agreement (PA) and reliability with the kappa (k) statistic...
November 21, 2016: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/27869984/cesarean-delivery-rates-and-obstetric-culture-an-italian-register-based-study
#11
Cristina Plevani, Maddalena Incerti, Davide Del Sorbo, Armando Pintucci, Patrizia Vergani, Luca Merlino, Anna Locatelli
INTRODUCTION: Cesarean delivery (CD) rates are rising due to multiple factors, including less use of operative vaginal delivery (OVD) and vaginal birth after cesarean delivery (VBAC), which often reflect local obstetric practices. Objectives of the study were to analyze the relations between CD, these practices and perinatal outcomes. MATERIAL AND METHODS: We included all deliveries in the 72 hospitals of Lombardia, a Region in Northern Italy, during the year 2013...
November 21, 2016: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/27861703/short-and-long-term-perinatal-outcome-in-twin-pregnancies-affected-by-weight-discordance
#12
Cathrine Vedel, Anna Oldenburg, Katharina Worda, Helle Larsen, Anni Holmskov, Kirsten Riis Andreasen, Niels Uldbjerg, Jan Ramb, Birgit Bødker, Lillian Skibsted, Lene Sperling, Stefan Hinterberger, Lone Krebs, Helle Zingenberg, Eva-Christine Weiss, Isolde Strobl, Lone Laursen, Jeanette Tranberg Christensen, Vibeke Ersbak, Inger Stornes, Elisabeth Krampl-Bettelheim, Ann Tabor, Line Rode
OBJECTIVE: To investigate the association between chorionicity-specific intertwin birthweight (BW) discordance and adverse outcomes including long-term follow-up at 6, 18, and 48-60 months after term via Ages and Stages Questionnaire (ASQ). MATERIAL AND METHODS: In this secondary analysis of a cohort study (Oldenburg et al,n=1688) and a randomized controlled trial (PREDICT study,n=1045) twin pairs were divided into three groups according to chorionicity-specific BW discordance; <75(th) -percentile, 75(th) -90(th) -percentile and >90(th) -percentile...
November 18, 2016: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/27858967/placental-pulsatility-index-a-new-more-sensitive-parameter-for-predicting-adverse-outcome-in-pregnancies-suspected-of-fetal-growth-restriction
#13
Saemundur Gudmundsson, Kari Flo, Gisela Ghosh, Tom Wilsgaard, Ganesh Acharya
INTRODUCTION: The pulsatility indices (PI) of the umbilical (UA) and uterine (UtA) arteries are used as the surrogate measures of utero-placental perfusion. Combining the two might simplify the evaluation of total placental vascular impedance, possibly improve prediction of adverse outcomes and help to identify pregnancies with suspected fetal growth restriction that need more intense surveillance. MATERIAL AND METHODS: UA and UtA blood flow velocities were recorded using pulsed-wave Doppler in a longitudinal study of 53 low-risk pregnancies (248 observations) during 20-40 weeks of gestation...
November 17, 2016: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/27858960/lower-accuracy-in-prediction-of-delivery-date-in-stockholm-county-following-introduction-of-new-guidelines
#14
Hans Wessel, Tommy Nyberg
INTRODUCTION: In the Stockholm County new guidelines for predicting the day of delivery was introduced in 2010. Recent clinical use has indicated that the predictive quality might be suboptimal. This study compares the accuracy of three equations applied during the first (crown-rump length (CRL) or bi-parietal diameter (BPD)) and second trimesters (BPD or BPD combined with femur length (FL)). MATERIAL AND METHODS: In 14,239 ultrasound exams the accuracy of estimated delivery date was compared using median deviations from actual birth date, proportion of postterms, births within +/- 7 days of estimated delivery date, accuracy variations depending on fetal size, alternative fetal measurements obtained at the same occasion, and menstrual age...
November 17, 2016: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/27861697/practice-variation-of-vaginal-birth-after-cesarean-and-the-influence-of-risk-factors-at-patient-level-a-retrospective-cohort-study
#15
Emy Vankan, Ellen N Schoorel, Sander M van Kuijk, Ben-Willem J Mol, Jan G Nijhuis, Robert Aardenburg, Marleen Alink, Karin de Boer, Friso M C Delemarre, Carmen D Dirksen, Ivo M van Dooren, Maureen T M Franssen, Mesrure Kaplan, Gunilla Kleiverda, Simone M I Kuppens, Anneke Kwee, Josje Langenveld, Frans T Lim, Sonja Melman, J M Sikkema, Luc J Smits, Harry Visser, Mallory Woiski, Hubertina C Scheepers, Rosella P Hermens
INTRODUCTION: Large practice variation exists in mode of delivery after cesarean section (CS), suggesting variation in implementation of contemporary guidelines. We aim to evaluate this practice variation and to what extent this can be explained by risk factors at patient level. MATERIAL AND METHODS: This retrospective cohort study was performed amongst 17 Dutch hospitals in 2010. Women with one prior CS without a contraindication for an trial of labor (TOL) were included...
November 16, 2016: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/27861720/pre-pregnancy-body-mass-index-influences-lipid-oxidation-rate-during-pregnancy
#16
Fernando Bugatto, Rocío Quintero-Prado, José M Vilar-Sánchez, Germán Perdomo, Rafael Torrejón, José L Bartha
INTRODUCTION: The influence of maternal body mass index (BMI) on respiratory quotient during pregnancy is not clear. We aim to evaluate longitudinal changes in energy expenditure, respiratory quotient and substrate oxidation rates in normal and overweight women with uncomplicated pregnancies. We hypothesized that the threshold period in switching from a predominantly carbohydrate to a predominantly lipid metabolism may be different in normal and overweight women. MATERIAL AND METHODS: Forty healthy pregnant women were recruited for a prospective cohort study...
November 15, 2016: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/27861705/the-temporal-and-age-dependent-patterns-of-hysterectomy-corrected-cervical-cancer-incidence-rates-in-denmark-a-population-based-cohort-study
#17
Anne Hammer, Johnny Kahlert, Anne Rositch, Lars Pedersen, Patti Gravitt, Jan Blaakaer, Mette Soegaard
INTRODUCTION: Hysterectomy is a common gynecological procedure, however, the incidence of total and subtotal hysterectomy varies across countries, by age, and over time. Since only women with an intact cervix are at risk of cervical cancer, failing to remove hysterectomized women from the denominator may underestimate the cervical cancer incidence. We aimed to describe the temporal and age-dependent patterns of cervical cancer incidence in Denmark before and after correction for hysterectomy...
November 14, 2016: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/27861716/high-androgen-levels-protect-against-hypothyroidism
#18
Johanna Schmidt, Eva Dahlgren, Inger Bryman, Kerstin Berntorp, Penelope Trimpou, Lars Wilhelmsen, Kerstin Landin-Wilhelmsen
INTRODUCTION: Hypothyroidism is a common disorder, appearing mainly in women although less frequently found in women with polycystic ovary syndrome (PCOS). The objective was to test the hypothesis that hyperandrogenism might protect against hypothyroidism. MATERIAL AND METHODS: The data from three prospective follow-up studies (up to 21 years) and one register study were compared: women with PCOS (Rotterdam criteria), n = 25, women with Turner syndrome, n = 217, a random population sample of women, n = 315, and men, n = 95 (the WHO MONICA study)...
November 12, 2016: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/27861713/sleep-quality-during-pregnancy-associations-with-depressive-and-anxiety-symptoms
#19
Päivi Polo-Kantola, Linda Aukia, Hasse Karlsson, Linnea Karlsson, E Juulia Paavonen
Sleep disturbances are common during pregnancy, yet underdiagnosed and under-investigated. We evaluated sleep quality during pregnancy and assessed associated factors, especially depressive and anxiety symptoms MATERIALS AND METHODS: A total of 78 healthy pregnant women from the FinnBrain Birth Cohort Study were studied twice prospectively during pregnancy (in mid-pregnancy and late pregnancy). Sleep quality was evaluated by the Basic Nordic Sleep Questionnaire, depressive symptoms by the Edinburgh Postnatal Depression Scale, and anxiety symptoms by the State-Trait Anxiety Inventory RESULTS: Poor general sleep quality, difficulty falling asleep, the number of nocturnal awakenings per night, and too early morning awakenings increased in late pregnancy compared to mid-pregnancy (all p-values < 0...
November 12, 2016: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/27861709/contraceptive-use-in-the-nordic-countries
#20
Ingela Lindh, Finn Egil Skjeldestad, Kristina Gemzell-Danielsson, Oskari Heikinheimo, Helena Hognert, Ian Milsom, Øjvind Lidegaard
The aim was to compare contraceptive use in the Nordic countries and to assess compliance with recommendations from the European Medicines Agency regarding the use of combined oral contraceptives (COC) containing low dose estrogen and levonorgestrel, norethisterone or norgestimate MATERIAL AND METHODS: Data on hormonal contraceptive prescriptions and sales figures for copper intrauterine devices (Cu-IUD) were obtained from national databases and manufacturers in Denmark, Finland, Iceland, Norway and Sweden 2010-2013 RESULTS: Contraceptive use was highest in Denmark (42%) and Sweden (41%), followed by Finland (40%)...
November 12, 2016: Acta Obstetricia et Gynecologica Scandinavica
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