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.
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Aust N Z J Obstet Gynaecol · Feb 2014
Looking for the second patient: current practice and opinion on pre-operative pregnancy testing in Western Australia.
To determine current hospital practices and the opinions of senior health professionals working in Western Australian (WA) hospitals performing gynaecological procedures regarding pre-operative pregnancy testing. ⋯ There are inconsistent processes of pre-operative assessment of pregnancy status in WA hospitals performing gynaecological surgery potentially resulting in adverse incidents. The majority of senior clinical staff surveyed supported routine pre-operative testing and the need for national or statewide guidelines.
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Aust N Z J Obstet Gynaecol · Feb 2014
Can the use of quality assurance tools reduce the impact of surgical complications on the well-being of obstetricians and gynaecologists in Australia and New Zealand?
While adverse events primarily affect the patient, surgeons involved can also experience considerable distress. ⋯ Surgical complications have a significant impact on the well-being of Australian and New Zealand obstetricians and gynaecologists. Existing support comes from colleagues and family, but structured, unbiased support for surgeons from a professional source is urgently warranted.