The Australian & New Zealand journal of obstetrics & gynaecology
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Aust N Z J Obstet Gynaecol · Dec 2009
Maternal and neonatal outcomes of pregnancies complicated by asthma in an Australian population.
To determine if there are sex differences in risk and incidence of stillbirth, preterm delivery and small-for-gestational age (SGA) in pregnancies complicated by maternal asthma relative to a non-asthmatic population. ⋯ The presence of maternal asthma during pregnancy increases the risk of stillbirth for the male fetus and is associated with changes in fetal growth, but does not increase the incidence of a preterm delivery.
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Aust N Z J Obstet Gynaecol · Dec 2009
Blood transfusion for caesarean delivery complicated by placenta praevia.
This study was undertaken to determine if the need for red cell blood transfusion in placenta praevia could be predicted. ⋯ Gestational age at delivery and type of surgery required are predictors of transfusion during caesarean for placenta praevia. Arterial balloon occlusion does not appear to increase transfusion risk and may be considered as one of the techniques in management.
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Aust N Z J Obstet Gynaecol · Dec 2009
Case ReportsConservative management of clinically diagnosed placenta accreta following vaginal delivery.
Placenta accreta can result in substantial maternal morbidity and mortality. Conservative management of placenta accreta following vaginal delivery is discussed in this case series. These cases demonstrate serial ultrasonographic resorption of placenta accreta left in situ following vaginal delivery with minimal blood product requirements and preservation of fertility.
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Aust N Z J Obstet Gynaecol · Oct 2009
Postnatal testing for diabetes in Australian women following gestational diabetes mellitus.
Postnatal blood glucose testing is recommended for reclassification of glucose tolerance following a pregnancy affected by gestational diabetes mellitus (GDM); however, there are limited data on the postnatal follow-up sought by Australian women. ⋯ Specialist diabetes care in non-tertiary educated women, or a team approach to management with diabetes education and obstetric care may act to reinforce the need for postnatal diabetes testing in accordance with the ADIPS guidelines. Individualised follow up from a health professional and provision of written information following a GDM pregnancy may also encourage return for postnatal testing in this high-risk group.