The Australian & New Zealand journal of obstetrics & gynaecology
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Aust N Z J Obstet Gynaecol · Aug 2020
Severe acute maternal morbidity trends in Victoria, 2001-2017.
The incidence of severe acute maternal morbidity (SAMM) is one method of measuring the complexity of maternal health and monitoring maternal outcomes. Monitoring trends may provide a quantitative method for assessing health care at local, regional, or jurisdictional levels and identify issues for further investigation. ⋯ Over 17 years, there was a significant increase in birth rate and SAMM-related events in Victoria. Administrative data may provide a pragmatic approach for monitoring SAMM-related events in maternal health services.
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Aust N Z J Obstet Gynaecol · Apr 2020
Severe maternal morbidity due to obstetric haemorrhage: Potential preventability.
Haemorrhage in pregnancy may be life-threatening to woman and infant. The impact of severe obstetric haemorrhage can be reduced by detecting high-risk women, implementing guidelines and treatment plans, early detection of hypovolaemia and timely appropriate treatment. ⋯ Prompt recognition and treatment in accordance with evidence-based guidelines is imperative to decrease the burden of morbidity from obstetric haemorrhage. An emphasis on training clinicians to identify haemorrhage in a timely way may avoid unnecessary obstetric emergencies and can improve maternity and neonatal outcomes.
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Aust N Z J Obstet Gynaecol · Apr 2020
Views and practices of induced abortion among Australian fellows and trainees of The Royal Australian and New Zealand College of Obstetricians and Gynaecologists: A second study.
Knowledge of current practices of abortion is important for planning of health services in Australia and for future training. ⋯ Although the response rate was lower than for the 2010 survey participants expressed strong support for the provision of abortion services in the public sector in Australia, and for incorporation of information about abortion in the training curriculum for Fellowship of RANZCOG.
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Aust N Z J Obstet Gynaecol · Apr 2020
Resilience and workplace stress in Australian and New Zealand obstetrics and gynaecology trainees: A cross-sectional survey.
Obstetrics and gynaecology training is a demanding vocation; there is a paucity of data on trainee resilience and well-being in this field. ⋯ RANZCOG trainees exhibit moderate resilience levels, yet they report high levels of perceived stress, depression and burnout and low-level support from direct supervisors. This may highlight the need for enhanced support and working conditions to allow trainees to remain resilient and thrive in their careers.
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Aust N Z J Obstet Gynaecol · Apr 2020
Observational StudyUltrasound evaluation of pouch of Douglas obliteration and rectal deep endometriosis in women who have had previous combined colorectal and gynaecological laparoscopic surgery for rectal endometriosis: A pilot study.
Ultrasound has been demonstrated to accurately diagnose rectal deep endometriosis (DE) and pouch of Douglas (POD) obliteration. The role of ultrasound in the assessment of patients who have undergone surgery for rectal DE and POD obliteration has not been evaluated. ⋯ Despite surgery for rectal DE, many patients have a negative sliding sign on TVS, representing POD obliteration, and rectal DE. Our numbers are too small to correlate with the surgery type or their current symptoms.