BJOG : an international journal of obstetrics and gynaecology
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To investigate persistent faecal incontinence (FI) 12 years after birth and association with delivery mode history and quality of life. ⋯ This longitudinal study has demonstrated persistence of FI many years after birth and shown that one forceps birth increased the likelihood, whereas exclusive caesarean birth showed no association. Obesity, which increased symptom likelihood, is a modifiable risk factor.
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Comparative Study
Deterioration in biomechanical properties of the vagina following implantation of a high-stiffness prolapse mesh.
To define the impact of prolapse mesh on the biomechanical properties of the vagina by comparing the prototype Gynemesh PS (Ethicon) to two new-generation lower stiffness meshes, SmartMesh (Coloplast) and UltraPro (Ethicon). ⋯ Deterioration of the mechanical properties of the vagina was highest following implantation with the stiffest mesh, Gynemesh PS. Such a decrease associated with implantation of a device of increased stiffness is consistent with findings from other systems employing prostheses for support.
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Comparative Study
International comparisons of preterm birth: higher rates of late preterm birth are associated with lower rates of stillbirth and neonatal death.
To examine international rates of preterm birth and potential associations with stillbirths and neonatal deaths at late preterm and term gestation. ⋯ Countries with high rates of preterm birth at 32-36 weeks of gestation have lower stillbirth and neonatal death rates at and beyond 32 weeks of gestation. Contemporary rates of preterm birth are indicators of both perinatal health and obstetric care services.
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To describe a large study on pregnancy outcome after vaccination against H1N1 during the 2009/10 pandemic. ⋯ Vaccination during pregnancy with Pandemrix(®) appeared to have no ill effects on the pregnancy. On the contrary, the rate of preterm birth and low birthweight was lower than expected, which agrees with some previous results.
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Randomized Controlled Trial Comparative Study
Effects of continuity of care by a primary midwife (caseload midwifery) on caesarean section rates in women of low obstetric risk: the COSMOS randomised controlled trial.
To determine whether primary midwife care (caseload midwifery) decreases the caesarean section rate compared with standard maternity care. ⋯ In settings with a relatively high baseline caesarean section rate, caseload midwifery for women at low obstetric risk in early pregnancy shows promise for reducing caesarean births.