Acta obstetricia et gynecologica Scandinavica
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Acta Obstet Gynecol Scand · Feb 2014
Observational StudyDelay in intervention increases neonatal morbidity in births monitored with cardiotocography and ST-waveform analysis.
To assess the effect of the time interval from indication of hypoxia to delivery on neonatal outcome in high-risk pregnancies monitored with cardiotocography (CTG) and ST-waveform analysis. ⋯ In deliveries monitored with CTG and ST-waveform analysis, the risk of an adverse neonatal outcome was dependent on the time between indication of hypoxia and delivery. Nonadherence to the specific clinical guidelines increased the risk of neonatal morbidity.
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Acta Obstet Gynecol Scand · Jan 2014
Heavy menstrual bleeding significantly affects quality of life.
To investigate the prevalence of women subjectively experiencing heavy menstrual bleeding in the general population and their health-related quality of life (HRQoL) compared with women experiencing normal menstrual blood loss. ⋯ Of women 40-45 years old, 32% experience heavy menstrual bleeding. These women have significantly worse HRQoL compared with women with normal menstruation patterns.
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Acta Obstet Gynecol Scand · Jan 2014
Fetal heart rate variability during pregnancy, obtained from non-invasive electrocardiogram recordings.
Non-invasive spectral analysis of fetal heart rate variability is a promising new field of fetal monitoring. To validate this method properly, we studied the relationship between gestational age and the influence of fetal rest-activity state on spectral estimates of fetal heart rate variability. ⋯ The observed increase in absolute spectral estimates in preterm fetuses was probably due to increased sympathetic and parasympathetic modulation and might be a sign of autonomic development. Further improvements in signal processing are needed before this new method of fetal monitoring can be introduced in clinical practice.
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Acta Obstet Gynecol Scand · Nov 2013
Comparative StudyNonremoval of an abnormally invasive placenta at cesarean section with postoperative uterine artery embolization.
To evaluate the outcome of three different modes of management of abnormally invasive placenta over a 6-year period. ⋯ Nonremoval of an abnormally invasive placenta at cesarean section and prophylactic postoperative uterine artery embolization are an alternative to elective cesarean hysterectomy.
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Acta Obstet Gynecol Scand · Nov 2013
The current state of active third stage management to prevent postpartum hemorrhage: a cross-sectional study.
To investigate the implementation of the International Confederation of Midwives/International Federation of Gynecology and Obstetrics (ICM/FIGO) guideline on active third stage management in vaginal deliveries in daily clinical practice. ⋯ Active third stage management according to the ICM/FIGO guideline is adequately performed in only 48% of all vaginal deliveries. Results of this study call for training programs to increase adherence to the ICM/FIGO guideline.