BJOG : an international journal of obstetrics and gynaecology
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Although histories of abuse are associated with psychiatric illness in women, health professionals rarely enquire directly about such experiences. This study examined the association between physical and sexual violence and lifetime trauma and depressive and posttraumatic stress symptoms in women receiving maternity care. ⋯ Traumatic events are under-recognised risk factors in the development of depressive and posttraumatic stress symptoms in childbearing women. Childhood abuse creates a vulnerability to re-traumatisation in adulthood. Awareness of the impact of trauma and abuse on psychological health may enable more appropriate targeting of clinical services and support for women receiving maternity care.
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Randomized Controlled Trial Multicenter Study Clinical Trial
Fetal heart rate patterns and ECG ST segment changes preceding metabolic acidaemia at birth.
To compare the rates of abnormal ST segment patterns of the ECG and cardiotocographic (CTG) abnormalities in fetuses with metabolic acidaemia at birth and controls. To evaluate the inter-observer agreement in interpretation of ST analysis and CTG. ⋯ The inter-observer agreement rate was higher for a decision to intervene based on CTG + ST than on CTG alone.
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Multicenter Study
Physical symptoms after childbirth: prevalence and associations with self-rated health.
The aims of the present study were to describe the prevalence of a number of physical symptoms, as described by women themselves, two months and one year after childbirth in a national Swedish sample and to investigate the association between specific symptoms and women's self-rated health. ⋯ Despite the fact that physical symptoms were common two months and one year after the birth, the vast majority of women rated their health as 'very good' or 'good'.
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To review the short and long term outcomes among singleton infants with breech presentation at term delivered in a geographically defined population over a 10-year period. ⋯ Vaginal breech delivery or caesarean section in labour was associated with a small but unequivocal increase in the short term mortality and morbidity. However, the long term outcome was not influenced by the mode of delivery.