Acta obstetricia et gynecologica Scandinavica
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To identify risk factors implicated in the development of periventricular leukomalacia (PVL) and to evaluate the possible association between PVL with neonatal morbidity. ⋯ This study revealed that preterm neonates born to mothers with PPROM or preeclampsia, as well as neonates who presented with hypocarbia or suffered from IVH, appeared to be at high risk for the development of PVL.
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Acta Obstet Gynecol Scand · Jan 2009
Prognostic markers for coexistent carcinoma in high-risk endometrial hyperplasia with negative D-score: significance of morphometry, hormone receptors and apoptosis for outcome prediction.
Hysterectomy represents the current routine therapy for high-risk endometrial precancers. More sophisticated methods are needed for treatment decision among women who want to preserve fertility and seriously ill patients. Among women diagnosed with high-risk hyperplasia, approximately 40% show signs of endometrial cancer in the hysterectomy specimen. Thus, more sophisticated methods are needed to select the women at risk. ⋯ Histomorphometry seems superior in predicting coexistent carcinoma in high-risk endometrial hyperplasia and should be considered for clinical use.
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Acta Obstet Gynecol Scand · Jan 2009
Maternal mortality and severe morbidity from sepsis in the Netherlands.
To assess incidence and risk factors of maternal mortality and severe morbidity from sepsis in the Netherlands. ⋯ With a case fatality rate of 7.7%, sepsis is a life threatening condition for women during pregnancy, childbirth, and puerperium.
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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
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.