The Australian & New Zealand journal of obstetrics & gynaecology
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Aust N Z J Obstet Gynaecol · Feb 2013
A prospective longitudinal study on rotation thromboelastometry in women with uncomplicated pregnancies and postpartum.
Rotation thromboelastometry (ROTEM) is an easy, fast and complete method of measuring coagulation. ⋯ This study provides a better knowledge about physiological changes in ROTEM measurements during pregnancy. These normative data may serve as assistance for future studies and interventions.
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Aust N Z J Obstet Gynaecol · Feb 2013
Comparative StudyLong-term treatment outcomes of transvaginal mesh surgery versus anterior-posterior colporrhaphy for pelvic organ prolapse.
In spite of rapid growth in the use of vaginally placed mesh in pelvic reconstructive surgery, there are few reports on the long-term efficacy and safety of mesh-augmented repairs. ⋯ Modified pelvic floor reconstructive surgery with mesh had better anatomical and functional outcomes than APC at 4-5 years postoperation, as an alternative, cheap and effective treatment option to mesh kits for the management of POP.
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Aust N Z J Obstet Gynaecol · Feb 2013
GP obstetricians' views of the model of maternity care in New Zealand.
The Lead Maternity Carer (LMC) model of maternity care, and independent midwifery practice, was introduced to New Zealand in the 1990s. The LMC midwife or general practitioner obstetrician (GPO) has clinical and budgetary responsibility for women's primary maternity care. ⋯ Participants thought the LMC model isolates maternity practitioners, is incompatible with general practice and causes loss of continuity of general practice care. They support provision of maternity care in general practice; however, for more GPs to become involved, the LMC model needs review.
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Aust N Z J Obstet Gynaecol · Feb 2013
Letter Clinical TrialSafety surveillance of influenza vaccine in pregnant women.
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Persistent pelvic pain is a common condition, with up to 20% of those affected reporting severe pain. Once end organ disease has been assessed, further investigations should be minimised. Persistent pelvic pain as a hyperalgesic neuropathic pain condition must be considered in the differential diagnosis. A multidisciplinary assessment and management plan, prepared by the co-ordinating gynaecologist in consultation with the general practitioner, physiotherapist and psychologist (with gastroenterological, urological and pain medicine specialist input as deemed appropriate), is strongly recommended.