The Australian & New Zealand journal of obstetrics & gynaecology
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Aust N Z J Obstet Gynaecol · Apr 2014
Early detection of severe maternal morbidity: a retrospective assessment of the role of an Early Warning Score System.
The Early Warning Scoring (EWS) surveillance system is used to identify deteriorating patients and enable appropriate staff to be called promptly. However, there is a lack of evidence that EWS surveillance systems lead to a reduction in severe morbidity. ⋯ These findings have been used to support introduction of an EWS to the maternity unit at ACH.
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Aust N Z J Obstet Gynaecol · Apr 2014
Comparative StudyThe accuracy of ultrasound-estimated fetal weight in extremely preterm infants: a comparison of small for gestational age and appropriate for gestational age.
To compare the accuracy of estimated fetal weight (EFW) in extremely preterm small for gestational age (SGA) and appropriate for gestational age (AGA) infants and report other significant factors influencing the accuracy of EFW. ⋯ Ultrasonographic EFW for extreme preterm SGA fetuses is less accurate than AGA fetuses and is more likely to overestimate EFW. This should be considered when counselling women with growth restricted fetuses at the limits of viability.
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Aust N Z J Obstet Gynaecol · Apr 2014
Surgical anatomy in obstetrics and gynaecology: the trainees' perspective.
The aim of the Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG) Integrated and Elective Training Program is to ensure trainees have both clinical and surgical competence. The capacity to recognise important anatomical structures underpins this aim; however, quantification of RANZCOG trainees' anatomical knowledge and their training and assessment is not available. ⋯ Trainees perceive limitations in their anatomical knowledge. A formalised RANZCOG anatomy course would be of value in providing structured education and assessment of trainees' knowledge and establishing whether there are improvements in surgical competencies.