The Australian & New Zealand journal of obstetrics & gynaecology
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Aust N Z J Obstet Gynaecol · Oct 2011
Developing an assessment tool for maternal morbidity 'near-miss'- a prospective study in a large Australian regional hospital.
Maternal mortality is now a rare event in the developed world and its measurement is no longer a useful way of assessing obstetric care. Examination of cases of women who nearly died but survived a severe complication of pregnancy or childbirth - maternal 'near-misses' - is increasingly being recognised as potentially more useful, although severe maternal morbidity is much less easy to define and quantify than maternal death. ⋯ Collection of near-miss data has the potential to become a useful tool for the assessment of obstetric care in both in CBH and in other Australian hospitals but is time-consuming and requires continuous surveillance by medical staff if cases are not to be overlooked.
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Aust N Z J Obstet Gynaecol · Oct 2011
Urodynamic diagnoses and quality of life in women presenting for evaluation of urinary incontinence.
Several population-based and clinical studies report that stress incontinence has less impact on quality of life (QoL) than urge incontinence and overactive bladder. ⋯ Mixed incontinence had the greatest adverse effect on QoL; however, any abnormal urodynamic diagnosis was associated with a significantly adverse effect. Although a normal urodynamic result was associated with less impact on QoL than an abnormal result, there was still an effect present. The optimal management (eg conservative vs surgical management) of women with a normal urodynamic result is yet to be established.
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Aust N Z J Obstet Gynaecol · Aug 2011
Lived experience of gestational diabetes mellitus among immigrant South Asian women in Australia.
Women from South Asia have a high incidence of gestational diabetes mellitus (GDM) placing them at risk of adverse pregnancy outcomes. Despite the higher rates of GDM in this group, there are no studies of their experiences of living with GDM in Australia or elsewhere. ⋯ South Asian women require culturally appropriate advice regarding strategies to reduce their risk of GDM as early as possible in pregnancy, ideally at the time pregnancy is confirmed.
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Aust N Z J Obstet Gynaecol · Jun 2011
Meta AnalysisEarly adverse perinatal complications in preterm growth-restricted fetuses.
Growth-restricted fetuses are at increased risk of adverse perinatal outcome when compared to their normally grown counterparts. The additional risks associated with growth restriction in preterm fetuses are not well quantified, and this meta-analysis serves to address this uncertainty. ⋯ This large meta-analysis for the first time quantifies the additional perinatal risks associated with preterm fetal growth restriction and may help counsel parents about the complications these fetuses face following birth.