European journal of obstetrics, gynecology, and reproductive biology
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Eur. J. Obstet. Gynecol. Reprod. Biol. · Jun 2012
Pregnancy outcomes in women with severe needle phobia.
Needle phobia in pregnancy poses a problem as women may refuse medical care because of their fear. The present study investigates the impact of needle phobia on the antenatal and intrapartum care of needle phobic women and reports on the pregnancy and neonatal outcomes. ⋯ Despite the differences in choice of analgesia and acceptance of routine blood tests, pregnancy outcomes in women with severe needle phobia were good. The study highlighted the importance of adequate risk assessment of all women disclosing their needle phobic status, and of provision of high-standard multidisciplinary care involving primary and secondary healthcare professionals.
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Eur. J. Obstet. Gynecol. Reprod. Biol. · May 2012
Post-mortem examination after stillbirth: views of UK-based practitioners.
Worldwide, around four million stillbirths occur annually. The UK was recently ranked as 33rd out of 35 developed nations for stillbirth rates. The reasons for many stillbirths remain unexplained. Post-mortem examination (PME) can provide information for grieving families, and for future pregnancies. Rates of consent for PME are decreasing in the UK. The views of professionals may influence their approach to bereaved families, and, therefore, rates of consent. Arguably, obtaining qualitative insights into emotive areas such as PME from large numbers of practitioners is increasingly possible as electronic surveys become more sophisticated. Therefore we aimed to describe, using electronic media, the views of UK obstetricians, midwives and perinatal pathologists about PME for stillbirth. ⋯ Internet-based surveys can generate valuable qualitative data. Effective decision-making for post-mortem after stillbirth may be improved by the introduction of user-friendly information and consent procedures, and staff training that takes account of existing innovations, and of the emotions and prior experiences of both staff and parents.
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Eur. J. Obstet. Gynecol. Reprod. Biol. · May 2012
Effect of delayed umbilical cord clamping on blood gas analysis.
To ascertain if there are differences in umbilical cord blood gas analysis between immediate and delayed cord clamping. ⋯ Delayed cord clamping alters acid-base parameters and lactate values compared to immediate cord clamping. Those variations depend mainly on time, prior pH and lactate.
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Eur. J. Obstet. Gynecol. Reprod. Biol. · Feb 2012
First trimester ultrasound estimation of gestational age in pregnancies conceived after in vitro fertilization.
To evaluate BPD as an alternative to CRL for the estimation of gestation age in late first trimester pregnancies (between 9th and 13th gestational weeks), and to construct a first trimester reference chart of fetal BPD growth. ⋯ Biparietal diameter shares similar accuracy with crown rump length in late first trimester ultrasound estimation, with additional advantages of lower random measurement errors.