Acta obstetricia et gynecologica Scandinavica
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Acta Obstet Gynecol Scand · Jan 2009
Women's fear of childbirth and preference for cesarean section--a cross-sectional study at various stages of pregnancy in Sweden.
To investigate Swedish women's level of antenatal fear of childbirth at various gestational ages, and factors associated with intense fear and with preference for cesarean section. ⋯ When a woman requests a cesarean section, both primary fear of birth and traumatic childbirth experiences need to be considered and dealt with. The W-DEQ can be used at any time during pregnancy in order to identify pregnant women who suffer from intense fear of childbirth.
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Acta Obstet Gynecol Scand · Jan 2009
Lateral episiotomy protects primiparous but not multiparous women from obstetric anal sphincter rupture.
To identify the risk factors for obstetric anal sphincter rupture (OASR). ⋯ The results support the restrictive use of episiotomy, since 909 episiotomies appear to be needed to prevent one OASR among primiparous women. Equivalent estimate in vacuum assisted deliveries among primiparous women was 66, favoring routine use of episiotomy in such cases.
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Acta Obstet Gynecol Scand · Jan 2009
Does underutilization of prenatal care explain the excess risk for stillbirth among women with migration background in Germany?
To explore the role of utilization of prenatal care on the risk for stillbirth among women with migration background in Germany by comparing stillbirth rates of women from different origins characterized by adequate and inadequate utilization of prenatal care to German women with adequate utilization of care. ⋯ There are inconsistent relation patterns between stillbirth, area of origin and utilization of prenatal care. Among women from the Mediterranean, increasing utilization of prenatal care may result in lower stillbirth rates.
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Acta Obstet Gynecol Scand · Jan 2009
Cost-effectiveness of human papilloma virus vaccination in Iceland.
To evaluate the likely cost-effectiveness of introducing routine HPV vaccination in Iceland. ⋯ HPV vaccination seems to be cost-effective in Iceland, but this was sensitive to various parameters in the model, mainly the discount rate, the price of the vaccines and the need for a booster dose.
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Acta Obstet Gynecol Scand · Jan 2009
Lumbopelvic pain associated with catastrophizing and fear-avoidance beliefs in early pregnancy.
To examine and compare levels of catastrophizing, fear-avoidance beliefs, physical ability, and health-related quality of life in women with and without lumbopelvic pain (LP and NLP) in early pregnancy. ⋯ It is important to consider exaggerated negative thoughts about pain experiences and fear-avoidance beliefs when treating women with LP during pregnancy and to be aware of the great impact lumbopelvic pain has on women's lives during early pregnancy.