MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'BMC Pregnancy and Childbirth - Latest articles' source. Mon, 15 Mar 2010 15:07:56 +0100 http://www.medworm.com/index.php?rid=3356587&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F10%2F12 Conclusion: Nearly every one in four mothers with pre-eclampsia/eclampsia are at risk of persistent hypertension after the puerperium. Serum creatinine, serum uric acid and participants' age were the only factors independently associated with persistence of hypertension after the puerperium. (Source: BMC Pregnancy and Childbirth - Latest articles) BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=3356587 Fri, 12 Mar 2010 00:00:00 +0100 3356587 http://www.medworm.com/index.php?rid=3348654&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F10%2F11 Conclusions: Known mutations and novel SNPs in the factor V gene were identified in the study cohort determined to have APCR in pregnancy. Further studies are required to investigate the contribution of these novel SNPs to the APCR phenotype. Adverse outcomes including early pregnancy loss (EPL), preeclampsia (PET) and intrauterine growth restriction (IGUR) were not significantly more frequent in subjects with APCR compared to normal pregnant women however Pregnancy induced hypertension (PIH) was found to be associated with FVL in our study group. (Source: BMC Pregnancy and Childbirth - Latest articles) BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=3348654 Wed, 10 Mar 2010 00:00:00 +0100 3348654 http://www.medworm.com/index.php?rid=3309263&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F10%2F10 DiscussionImplementation of evidence-based perineal assessment and management practices, could lead to significantly improved physical and psychological health outcomes for women in the UK and world-wide.Trial registrationPEARLS is registered with the Current Controlled Trials Registry (no: ISRCTN28960026). NIHR UKCRN portfolio no: 4785. (Source: BMC Pregnancy and Childbirth - Latest articles) BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=3309263 Thu, 25 Feb 2010 00:00:00 +0100 3309263 http://www.medworm.com/index.php?rid=3300265&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F10%2F9 Conclusion: Newborn care practices in this setting are low and do not differ much by socioeconomic group. Despite being established policy, most neonatal interventions are not reaching newborns, suggesting a policy-to-practice gap. To improve newborn survival, newborn care should be integrated into the current maternal and child interventions, and should be implemented at both community and health facility level as part of a universal coverage strategy. (Source: BMC Pregnancy and Childbirth - Latest articles) BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=3300265 Tue, 23 Feb 2010 00:00:00 +0100 3300265 http://www.medworm.com/index.php?rid=3285866&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F10%2F8 DiscussionIn this trial we aim to answer the question whether antenatal allopurinol administration reduces hypoxic-ischaemic encephalopathy in neonates exposed to foetal hypoxia.Trial registration numberClinical Trials, protocol registration system: NCT00189007 (Source: BMC Pregnancy and Childbirth - Latest articles) BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=3285866 Thu, 18 Feb 2010 00:00:00 +0100 3285866 http://www.medworm.com/index.php?rid=3229473&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F10%2F6 Conclusions: Clinical assessment and anthropometric indices in combination can define a reference standard with better performance compared to the same indices used in isolation. This approach offers an easy-to-use tool for bedside diagnosis of in utero growth restriction. (Source: BMC Pregnancy and Childbirth - Latest articles) BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=3229473 Mon, 01 Feb 2010 00:00:00 +0100 3229473 http://www.medworm.com/index.php?rid=3206749&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F10%2F5 This study will provide insight into current Dutch practice, in particular to what extent the PPH guidelines of the NVOG and the MOET-instructions have been implemented in the actual care, and into the barriers and facilitators regarding guideline adherence. The knowledge of the feasibility study regarding the effects and costs of the tailored strategy and the experiences of the users can be used in countries with a relatively high incidence of PPH.Trial Registration: ClinicTrials.gov NCT00928863 (Source: BMC Pregnancy and Childbirth - Latest articles) BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=3206749 Tue, 26 Jan 2010 00:00:00 +0100 3206749 http://www.medworm.com/index.php?rid=3187462&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F10%2F2 Conclusion: The apparently "free" maternity care at government hospitals involves substantial hidden and unpredicted costs. The anticipated fear of these unpredicted costs may be major factor for many poor households to seek cheaper alternate maternity healthcare. (Source: BMC Pregnancy and Childbirth - Latest articles) BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=3187462 Wed, 20 Jan 2010 00:00:00 +0100 3187462 http://www.medworm.com/index.php?rid=3151125&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F10%2F1 Conclusions: Vouchers plus HEFs, if carefully designed and implemented, have a strong potential for reducing financial barriers and hence improving access to skilled birth attendants for poor women. To achieve their full potential, vouchers and HEFs require other interventions to ensure the supply of sufficient quality maternity services and to address other non-financial barriers to demand. If these conditions are met, voucher and HEF schemes can be further scaled up under close monitoring and evaluation. (Source: BMC Pregnancy and Childbirth - Latest articles) BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=3151125 Thu, 07 Jan 2010 00:00:00 +0100 3151125 http://www.medworm.com/index.php?rid=3103385&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F9%2F59 Conclusions: The provision of inpatient tocolysis is influenced not only by clinical considerations but also by physician, institutional, and area factors unrelated to clinical need. Fertility declines in Taiwan may have led obstetricians/gynecologists to provide more tocolysis to make up for their lost income. If so, reimbursement policies may need to be reviewed to correct for overuse of inpatient tocolysis. This correlation could also be explained by the increasing use of artificial reproductive technologies and higher social value of newborns. In addition, the physician and institutional variations observed in the study indicate potential misuse of inpatient tocolysis that warrant further investigation. (Source: BMC Pregnancy and Childbirth - Latest articles) BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=3103385 Fri, 18 Dec 2009 00:00:00 +0100 3103385 http://www.medworm.com/index.php?rid=3081235&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F9%2F57 Background: The purpose of this article was to describe effective strategies for recruitment of Hispanic women into a prospective cohort study of modifiable risk factors for gestational diabetes mellitus (GDM). Although Hispanic women have two to four times the risk of developing GDM compared with non-Hispanic white women, few GDM prevention studies have included Hispanic women. Methods: The study was conducted in the ambulatory obstetrical practices of Baystate Medical Center located in a socioeconomically and ethnically diverse city in Massachusetts. The study employed a range of strategies to recruit Hispanic women based on a review of the literature as well as prior experience with the study population. Results: Over a period of 32 months, a total of 851 Hispanic prenatal care patients... BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=3081235 Fri, 11 Dec 2009 00:00:00 +0100 3081235 http://www.medworm.com/index.php?rid=2997858&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F9%2F54 Conclusions: These reported newborn care practices are similar to those in rural areas of Bangladesh and to urban and rural areas in the South Asia region. There are several program implications. Educational messages to promote providing newborn care immediately after birth, using sterile thread, delaying bathing, and ensuring dry cord care and exclusive breastfeeding are needed. Programs in urban slum areas should also consider interventions to improve social support for women, especially first time mothers. These interventions may improve newborn survival and help achieve MDG4. (Source: BMC Pregnancy and Childbirth - Latest articles) BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=2997858 Tue, 17 Nov 2009 00:00:00 +0100 2997858 http://www.medworm.com/index.php?rid=3021118&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2Fbmcpregnancychildbirth%2F Conclusion: Surprisingly low compliance with the local clinical guidelines for screening for GDM during pregnancy was found. Furthermore, the prevalence of the risk factors of GDM in our study was almost doubled compared to previous Swedish studies. Pregnant women developing risk factors of GDM during pregnancy were found to be at substantially increased risk of giving birth to an infant with macrosomia. There is a need of actions improving compliance to the local guidelines. (Source: BMC Pregnancy and Childbirth - Latest articles) BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=3021118 Mon, 16 Nov 2009 00:00:00 +0100 3021118 http://www.medworm.com/index.php?rid=2994617&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F9%2F53 Conclusion: Surprisingly low compliance with the local clinical guidelines for screening for GDM during pregnancy was found. Furthermore, the prevalence of the risk factors of GDM in our study was almost doubled compared to previous Swedish studies. Pregnant women developing risk factors of GDM during pregnancy were found to be at substantially increased risk of giving birth to an infant with macrosomia. There is a need of actions improving compliance to the local guidelines. (Source: BMC Pregnancy and Childbirth - Latest articles) BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=2994617 Mon, 16 Nov 2009 00:00:00 +0100 2994617 http://www.medworm.com/index.php?rid=2965488&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F9%2F51 Background: In sub-Saharan Africa, few services specifically address the needs of women in the first year after childbirth. By assessing the health status of women in this period, key interventions to improve maternal health could be identified. There is an underutilised opportunity to include these interventions within the package of services provided for woman-child pairs attending child-health clinics. Methods: This needs assessment entailed a cross-sectional survey with 500 women attending a child-health clinic at the provincial hospital in Mombasa, Kenya. A structured questionnaire, clinical examination, and collection of blood, urine, cervical swabs and Pap smear were done. Women's health care needs were compared between the early (four weeks to two months after childbirth), middle (... BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=2965488 Thu, 05 Nov 2009 00:00:00 +0100 2965488 http://www.medworm.com/index.php?rid=2941547&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F9%2F50 The objective of our study was to design and pre-test a decision board to guide clinical discussions and enhance informed decision-making related to delivery approach (CS or VD) in uncomplicated pregnancy. Methods: Development of the decision board involved two preliminary studies to determine women's preferred mode of risk presentation and a systematic literature review for the most comprehensive presentation of medical risks at the time (VD and CS). Forty women were recruited to pre-test the tool. Eligible subjects were of childbearing age (18-40 years) but were not pregnant in order to avoid raising the expectation among pregnant women that CS was a universally available birth option. Women selected their preferred delivery approach and completed the Decisional Conflict Scale to measure... BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=2941547 Fri, 30 Oct 2009 00:00:00 +0100 2941547 http://www.medworm.com/index.php?rid=2936846&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F9%2F49 DiscussionThe project will collate, synthesise and evaluate the available evidence concerning the value of tests of neonatal wellbeing to predict long term outcomes. The systematic reviews will assess the quality of available evidence and identify tests with the strongest association with outcomes, and assess their economic value. The output of this project will help formulate practice recommendations. (Source: BMC Pregnancy and Childbirth - Latest articles) BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=2936846 Thu, 29 Oct 2009 00:00:00 +0100 2936846 http://www.medworm.com/index.php?rid=2922086&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F9%2F48 DiscussionThis is a protocol for a randomized trial in a low resource setting to assess if medical treatment of women with retained placenta with misoprostol reduces the incidence of manual removal of the placenta.Clinical Trial Registration: Current Controlled Trials ISRCTN16104753 (Source: BMC Pregnancy and Childbirth - Latest articles) BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=2922086 Thu, 22 Oct 2009 23:00:00 +0100 2922086 http://www.medworm.com/index.php?rid=2860580&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F9%2F47 Conclusion: Care pathways are complex interventions which generate a number of consequences for practice. Those considering introduction of pathways need to ensure all relevant stakeholders are engaged with this and develop robust evaluation strategies to accompany implementation. (Source: BMC Pregnancy and Childbirth - Latest articles) BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=2860580 Sun, 04 Oct 2009 23:00:00 +0100 2860580 http://www.medworm.com/index.php?rid=2794967&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F9%2F43 Conclusions: Factors influencing maternal health services utilization operate at various levels - individual, household, community and state. Depending on the indicator of maternal health services, the relevant determinants vary. Effective interventions to promote maternal health service utilization should target the underlying individual, household, community and policy-level factors. The interventions should reflect the relative roles of the various underlying factors. (Source: BMC Pregnancy and Childbirth - Latest articles) BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=2794967 Mon, 14 Sep 2009 23:00:00 +0100 2794967 http://www.medworm.com/index.php?rid=2776669&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F9%2F42 DiscussionThis trial will provide evidence as to whether maintenance tocolysis reduces severe perinatal morbidity and mortality in women with threatened preterm labour before 32 weeks.Clinical trial registration: www.trialregister.nl, NTR 1336, date of registration: June 3rd 2008. (Source: BMC Pregnancy and Childbirth - Latest articles) BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=2776669 Tue, 08 Sep 2009 23:00:00 +0100 2776669 http://www.medworm.com/index.php?rid=2755231&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F9%2F40 Conclusion: Cervical resistivity appears predictive of labour duration and delivery mode following induced labour. However the low predictive values obtained suggest that its current design proffers no immediate clinical utility. (Source: BMC Pregnancy and Childbirth - Latest articles) BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=2755231 Tue, 01 Sep 2009 23:00:00 +0100 2755231 http://www.medworm.com/index.php?rid=2755233&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F9%2F38 This study will provide evidence for the use of fibronectin testing as safe and cost-effective method in a triage for threatened preterm labor.Trial registration: Nederlands Trial Register (NTR) number 1857, www.trialregister.nl. (Source: BMC Pregnancy and Childbirth - Latest articles) BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=2755233 Mon, 31 Aug 2009 23:00:00 +0100 2755233 http://www.medworm.com/index.php?rid=2755232&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F9%2F39 Background: Little is known about how optimism / pessimism and health-related quality of life during pregnancy compare across cultures. Methods: Three cohorts of pregnant women in their final trimester were recruited from China, Ghana, and the United States. Participants completed a survey that included the Life Orientation Test - Revised (LOT-R, an optimism / pessimism measure), the Short Form 12 (SF-12, a quality of life measure), and questions addressing health and demographic factors. A three-country set was created for analysis by matching women on age, gestational age at enrollment, and number of previous pregnancies. Anovas with post-hoc pairwise comparisons were used to compare results across the cohorts. Multivariate regression analysis was used to create a model to identify those... BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=2755232 Mon, 31 Aug 2009 23:00:00 +0100 2755232 http://www.medworm.com/index.php?rid=2690173&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F9%2F34 Conclusions: Studies of the determinants of skilled attendance concentrate on sociocultural and economic accessibility variables and neglect variables of perceived benefit/need and physical accessibility. To draw valid conclusions, it is important to consider as many influential factors as possible in any analysis of delivery service use. The increasing availability of georeferenced data provides the opportunity to link health facility data with large-scale household data, enabling researchers to explore the influences of distance and service quality. (Source: BMC Pregnancy and Childbirth - Latest articles) BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=2690173 Mon, 10 Aug 2009 23:00:00 +0100 2690173 http://www.medworm.com/index.php?rid=2643340&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F9%2F33 Conclusion: The unexpected lower bioavailability of iron from the powdered supplement is contrary to previously published reports. However, since pills and capsules are known to be poorly accepted by some women during pregnancy, it is reasonable to continue to explore alternative micronutrient delivery systems and forms of iron for this purpose. (Source: BMC Pregnancy and Childbirth - Latest articles) BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=2643340 Sun, 26 Jul 2009 23:00:00 +0100 2643340 http://www.medworm.com/index.php?rid=2628506&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F9%2F32 Conclusions: Improved management of DFM and uniform information to women is associated with fewer stillbirths. (Source: BMC Pregnancy and Childbirth - Latest articles) BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=2628506 Tue, 21 Jul 2009 23:00:00 +0100 2628506 http://www.medworm.com/index.php?rid=2623899&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F9%2F31 Conclusions: Prenatal care coverage was high. However, a significant number of women still had inadequate prenatal care use. Socioeconomic inequalities, demographic factors and behavioural risk factors are still important factors associated with inadequate prenatal care use. (Source: BMC Pregnancy and Childbirth - Latest articles) BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=2623899 Tue, 21 Jul 2009 23:00:00 +0100 2623899 http://www.medworm.com/index.php?rid=2618438&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F9%2F30 Conclusions: The population of mothers giving birth at MNH is progressively becoming older with substantial impact on the incidence of CS and LBWT. Further research is needed to estimate the health cost implications of this change. (Source: BMC Pregnancy and Childbirth - Latest articles) BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=2618438 Mon, 20 Jul 2009 23:00:00 +0100 2618438 http://www.medworm.com/index.php?rid=2586469&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F9%2F28 Conclusion: In this study, IPTp use among pregnant women was very low and there was poor adherence to the Directly Observed Therapy (DOT) scheme. Concerted effort should be made to increase awareness of IPTp among the public especially women of child bearing age. Health workers should also be trained and monitored to ensure adherence. (Source: BMC Pregnancy and Childbirth - Latest articles) BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=2586469 Wed, 08 Jul 2009 23:00:00 +0100 2586469 http://www.medworm.com/index.php?rid=2565949&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F9%2F27 Conclusions: Clarity in terms of defining responsibilities is necessary during pregnancy and childbirth, both among care providers and between the woman and the care provider. Furthermore, a decision must be made concerning how to delegate, transfer or share diabetes responsibility during labour between the care providers and the parents-to-be. (Source: BMC Pregnancy and Childbirth - Latest articles) BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=2565949 Thu, 02 Jul 2009 23:00:00 +0100 2565949 http://www.medworm.com/index.php?rid=2565950&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F9%2F26 Conclusions: Our study showed that race/ethnicity was associated with the reporting of nausea and vomiting of pregnancy in the 1st trimester of pregnancy. (Source: BMC Pregnancy and Childbirth - Latest articles) BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=2565950 Wed, 01 Jul 2009 23:00:00 +0100 2565950 http://www.medworm.com/index.php?rid=2493142&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F9%2F25 Conclusion: We did not find evidence that starting delivery in the midwife-led setting offers the advantage of lower operative delivery rates. However, epidural analgesia, pudental nerve block and episiotomies were less often while non-pharmacological pain relief was often used in the midwife-led ward. (Source: BMC Pregnancy and Childbirth - Latest articles) BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=2493142 Sun, 21 Jun 2009 23:00:00 +0100 2493142 http://www.medworm.com/index.php?rid=2493144&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F9%2F23 Conclusions: In a German setting, atosiban is cost saving versus betamimetics in the treatment of preterm labour from the payer, hospital and combined perspectives. Cost savings stem from the superior safety profile of atosiban. (Source: BMC Pregnancy and Childbirth - Latest articles) BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=2493144 Thu, 18 Jun 2009 23:00:00 +0100 2493144 http://www.medworm.com/index.php?rid=2493143&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F9%2F24 Background: Audit and classification of stillbirths is an essential part of clinical practice and a crucial step towards stillbirth prevention. Due to the limitations of the ICD system and lack of an international approach to an acceptable solution, numerous disparate classification systems have emerged. We assessed the performance of six contemporary systems to inform the development of an internationally accepted approach. Methods: We evaluated the following systems: Amended Aberdeen, Extended Wigglesworth; PSANZ-PDC, ReCoDe, Tulip and CODAC. Nine teams from 7 countries applied the classification systems to cohorts of stillbirths from their regions using 857 stillbirth cases. The main outcome measures were: the ability to retain the important information about the death using the InfoKee... BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=2493143 Thu, 18 Jun 2009 23:00:00 +0100 2493143 http://www.medworm.com/index.php?rid=2470989&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F9%2F22 A carefully classified dataset of perinatal mortality will retain the most significant information on the causes of death. Such information is in demand for health care policy development, surveillance and international comparisons, clinical services and research. For comparability purposes, a classification system should serve in information management for all these needs, and be applicable in both developing and developed countries. It should adhere to basic concepts of underlying cause in the International Classification of Diseases (ICD), although gaps in ICD 10 prevent classification of perinatal deaths solely on existing ICD codes.We tested the Causes of Death and Associated Conditions (CODAC) classification for perinatal deaths in seven populations, including two developing country ... BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=2470989 Wed, 10 Jun 2009 04:00:00 +0100 2470989 http://www.medworm.com/index.php?rid=2582532&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F9%2F22 A carefully classified dataset of perinatal mortality will retain the most significant information on the causes of death. Such information is needed for health care policy development, surveillance and international comparisons, clinical services and research. For comparability purposes, we propose a classification system that could serve all these needs, and be applicable in both developing and developed countries. It is developed to adhere to basic concepts of underlying cause in the International Classification of Diseases (ICD), although gaps in ICD prevent classification of perinatal deaths solely on existing ICD codes.We tested the Causes of Death and Associated Conditions (Codac) classification for perinatal deaths in seven populations, including two developing country settings. We... BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=2582532 Tue, 09 Jun 2009 23:00:00 +0100 2582532 http://www.medworm.com/index.php?rid=2466217&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F9%2F21 Conclusions: Postpartum women who experience natural disaster severely are at increased risk for mental health problems, but overall rates of depression and PTSD do not seem to be higher than in studies of the general population. (Source: BMC Pregnancy and Childbirth - Latest articles) BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=2466217 Mon, 08 Jun 2009 04:00:00 +0100 2466217 http://www.medworm.com/index.php?rid=2420012&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F9%2F19 DISCUSSION The ultimate aim of the main trial is to enable clinicians to manage this condition more effectively. If it transpires that ursodeoxycholic acid and early delivery are both safe and effective then steps will be taken to ensure that all women with OC who could benefit from them receives this treatment. Conversely, if one or both the treatments turn out to be ineffective or even harmful, they will be stopped and researchers will work at developing other modes of treatment. Trial registration number ISRCTN37730443 (Source: BMC Pregnancy and Childbirth - Latest articles) BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=2420012 Sat, 16 May 2009 04:00:00 +0100 2420012 http://www.medworm.com/index.php?rid=2335599&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F9%2F15 Conclusions: Data presented here provide further reassurance about the longer term safety of magnesium sulphate when used for women with pre-eclampsia. Postal questionnaires in the UK to assess the longer term health and wellbeing of women and children recruited to trials are feasible, and can achieve a high response rate. Responses from families and general practitioners were comparable Trial registration number of the Magpie Trial [ISRCTN86938761] (Source: BMC Pregnancy and Childbirth - Latest articles) BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=2335599 Tue, 14 Apr 2009 04:00:00 +0100 2335599 http://www.medworm.com/index.php?rid=2313010&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F9%2F14 We examined prevalence of neurologic disability and cognitive function according to five-minute Apgar score. Results: Less than 1% (136/19,559) of the conscripts had 5-minute Apgar scores (Source: BMC Pregnancy and Childbirth - Latest articles) BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=2313010 Thu, 02 Apr 2009 04:00:00 +0100 2313010 http://www.medworm.com/index.php?rid=2313012&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F9%2F13 Conclusion: Potential areas for further improvement in quality of emergency care for eclampsia relate to standardizing management guidelines, greater involvement of specialists in the management of eclampsia and continued medical education on current management of eclampsia for junior staff. (Source: BMC Pregnancy and Childbirth - Latest articles) BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=2313012 Fri, 27 Mar 2009 04:00:00 +0100 2313012 http://www.medworm.com/index.php?rid=2313014&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F9%2F12 Conclusion: Women had low awareness of danger signs of obstetric complications. We recommend the following in order to increase awareness of danger signs of obstetrical complications: to improve quality of counseling and involving other family members in antenatal and postnatal care, to use radio messages and educational sessions targeting the whole community and to intensify provision of formal education as emphasized in the second millennium development goal. (Source: BMC Pregnancy and Childbirth - Latest articles) BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=2313014 Thu, 26 Mar 2009 04:00:00 +0100 2313014 http://www.medworm.com/index.php?rid=2270693&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F9%2F11 Background: The primary objective of this study was to determine if elevated antiphospholipid antibody titers were correlated with the presence of preeclampsia/eclampsia, systemic lupus erythematosus (SLE), placental insufficiency, and a prolonged length of stay (PLOS), in women who delivered throughout Florida, USA. Methods: Cross-sectional analyses were conducted using a statewide hospital database. Prevalence odds ratios (OR) were calculated to quantify the association between elevated antiphospholipid antibody titers and four outcomes in 141,286 women who delivered in Florida in 2001. The possibility that the relationship between elevated antiphospholipid antibody titers and the outcomes of preeclampsia/eclampsia, placental insufficiency, and PLOS, may have been modified by the presen... BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=2270693 Mon, 16 Mar 2009 04:00:00 +0100 2270693 http://www.medworm.com/index.php?rid=2215967&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F9%2F7 Conclusions: Severe adverse maternal outcomes associated with childbirth have increased in Australia and the increase was entirely among women who experienced a PPH. Reducing or stabilising PPH rates would halt the increase in adverse maternal outcomes. (Source: BMC Pregnancy and Childbirth - Latest articles) BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=2215967 Wed, 25 Feb 2009 05:00:00 +0100 2215967 http://www.medworm.com/index.php?rid=2215968&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F9%2F6 DiscussionThis is a protocol for a randomised trial. Clinical Trial Registration: Current Controlled Trials ISRCTN20269066 (Source: BMC Pregnancy and Childbirth - Latest articles) BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=2215968 Tue, 24 Feb 2009 05:00:00 +0100 2215968 http://www.medworm.com/index.php?rid=2172363&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F9%2F5 Conclusions: High rates of fetal growth restriction and relatively high rates of preterm birth are responsible for the high rates of low birth weight in South Asia. Increased emphasis is required on health services that address the morbidity and mortality in all birth weight categories. (Source: BMC Pregnancy and Childbirth - Latest articles) BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=2172363 Mon, 09 Feb 2009 05:00:00 +0100 2172363 http://www.medworm.com/index.php?rid=2172364&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F9%2F3 Conclusion: Initiation of a language-specific newborn feeding telephone hotline reached a previously underserved population and may have contributed to improved rates of exclusive breastfeeding. (Source: BMC Pregnancy and Childbirth - Latest articles) BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=2172364 Thu, 29 Jan 2009 05:00:00 +0100 2172364 http://www.medworm.com/index.php?rid=2120901&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F9%2F2 Conclusion: Community-level interventions of improved perinatal care practices can bring about a reduction in maternal mortality. This challenges the view that investment in such interventions is not worthwhile. Programmes to improve maternal mortality should be evaluated using randomised controlled techniques to generate further evidence. (Source: BMC Pregnancy and Childbirth - Latest articles) BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=2120901 Tue, 20 Jan 2009 05:00:00 +0100 2120901 http://www.medworm.com/index.php?rid=2059865&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F8%2F54 Conclusions: Misperceived pre-pregnancy body weight status was associated with excessive gestational weight gain among both normal weight and overweight/obese women, with the greatest likelihood of excessive gain among overweight/obese underassessors. Future interventions should test the potential benefits of correcting misperception to reduce the likelihood of excessive gestational weight gain. (Source: BMC Pregnancy and Childbirth - Latest articles) BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=2059865 Mon, 22 Dec 2008 05:00:00 +0100 2059865 http://www.medworm.com/index.php?rid=2039363&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F8%2F53 Conclusions: The number of studies is small, with major heterogeneity in research design and findings. Taken together, current data do not support an association between cigarette smoking during pregnancy and the risk of gestational diabetes. (Source: BMC Pregnancy and Childbirth - Latest articles) BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=2039363 Tue, 16 Dec 2008 05:00:00 +0100 2039363 http://www.medworm.com/index.php?rid=1974525&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F8%2F51 We report the design of a prospective cohort study of unselected primiparous women recruited at the time of their first ultrasound scan. Participation involves serial phlebotomy and obstetric ultrasound at the dating ultrasound scan (typically 10-14 weeks), 20 weeks, 28 weeks and 36 weeks gestation. In addition, maternal demographic details are obtained; maternal and paternal height are measured and maternal weight is serially measured during the pregnancy; maternal, paternal and offspring DNA are collected; and, samples of placenta and membranes are collected at birth. Data will be analysed as a prospective cohort study, a case-cohort study, and a nested case-control study.DiscussionThe study is expected to provide a resource for the identification of novel biomarkers for adverse pregnanc... BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=1974525 Wed, 19 Nov 2008 05:00:00 +0100 1974525 http://www.medworm.com/index.php?rid=1951342&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F8%2F49 Conclusions: Women highly accept the non-RhD antibody screening program. However, satisfaction about provided information is moderate. Oral and written information should be provided by obstetric care workers themselves, especially to screen-positive women. (Source: BMC Pregnancy and Childbirth - Latest articles) BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=1951342 Tue, 11 Nov 2008 05:00:00 +0100 1951342 http://www.medworm.com/index.php?rid=1885926&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F8%2F45 Conclusion: Vaginal examinations at admission provide useful information on risk indicators for dystocia. The strongest risk indicator was use of epidural analgesia and if part of that is causal, it is of concern. (Source: BMC Pregnancy and Childbirth - Latest articles) BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=1885926 Mon, 06 Oct 2008 04:00:00 +0100 1885926 http://www.medworm.com/index.php?rid=1853521&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F8%2F45 Conclusions: Vaginal examinations at admission provide useful information on risk indicators for dystocia. The strongest risk indicator was use of epidural analgesia and if part of that is causal, it is of concern. (Source: BMC Pregnancy and Childbirth - Latest articles) BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=1853521 Mon, 06 Oct 2008 04:00:00 +0100 1853521 http://www.medworm.com/index.php?rid=1824364&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F8%2F44 Conclusions: Maternal risk factors are either associated with placental growth restriction or placental hypertrophy not both. Our findings suggest that the placenta may have compensatory responses to certain maternal risk factors suggesting different underlying biological mechanisms. (Source: BMC Pregnancy and Childbirth - Latest articles) BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=1824364 Tue, 23 Sep 2008 04:00:00 +0100 1824364 http://www.medworm.com/index.php?rid=1685922&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F8%2F36 Conclusions: Although factors reported by both participants and clinicians which influence recruitment were quite consistent across the included studies, studies comparing different recruitment strategies were largely missing. Trials of different recruitment strategies could be embedded in large multicentre RCTs, with strategies tailored to the factors specific to the trial and institution. (Source: BMC Pregnancy and Childbirth - Latest articles) BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=1685922 Thu, 07 Aug 2008 04:00:00 +0100 1685922 http://www.medworm.com/index.php?rid=1679190&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F8%2F33 Background: Reliable antenatal identification of pre-eclampsia and small for gestational age is crucial to judicious allocation of monitoring resources and use of preventative treatment with the prospect of improving maternal/perinatal outcome. The purpose of this systematic review was to determine the accuracy of five serum analytes used in Down's serum screening for prediction of pre-eclampsia and/or small for gestational age. Methods: The data sources included Medline, Embase, Cochrane library, Medion (inception to February 2007), hand searching of relevant journals, reference list checking of included articles, contact with experts. Two reviewers independently selected the articles in which the accuracy of an analyte used in Downs's serum screening before the 25th gestational week was ... BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=1679190 Mon, 04 Aug 2008 04:00:00 +0100 1679190 http://www.medworm.com/index.php?rid=1663658&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F8%2F30 Conclusions: Many studies and policy documents have highlighted the paucity of parents' preparation for parenthood. This study has indicated the need for an improvement in parents' preparation for parenthood, the importance of including fathers in antenatal education and that inadequate preparation remains a concern to both women and their partners. This paper identifies several avenues for action and further research to improve both new parents' experience of antenatal education and their preparation for parenthood. (Source: BMC Pregnancy and Childbirth - Latest articles) BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=1663658 Tue, 29 Jul 2008 04:00:00 +0100 1663658 http://www.medworm.com/index.php?rid=1642244&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F8%2F27 Conclusions: Women have anxieties and fears around early parenting and their changing role, and may consider that the physical availability of professional care providers will help during this time. Care providers should be cognisant of these potential issues. It is crucial that women's concerns and needs be considered when service delivery changes are planned. If anxiety around new parenting is a predominant view then care providers need to recognise this and ensure care is individualised to address each woman's/families particular concerns. (Source: BMC Pregnancy and Childbirth - Latest articles) BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=1642244 Tue, 22 Jul 2008 04:00:00 +0100 1642244 http://www.medworm.com/index.php?rid=1593399&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F8%2F20 Conclusion: The introduction of a quality improvement care model improved compliance with evidence-based guidelines and was associated with an improvement in women's satisfaction levels and a reduction in rates of caesarean birth. (Source: BMC Pregnancy and Childbirth - Latest articles) BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=1593399 Fri, 13 Jun 2008 04:00:00 +0100 1593399 http://www.medworm.com/index.php?rid=1474739&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F8%2F18 DiscussionThe study results are expected to help decide whether MLPA can replace traditional karyotyping for 'low-risk' pregnancies in terms of diagnostic accuracy, quality of life and women's preferences. This will be the first clinical study to report on all relevant aspects of the potential replacement.Trial RegistrationThe protocol is registered in the clinical trial register number ISRCTN47252164 (Source: BMC Pregnancy and Childbirth - Latest articles) BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=1474739 Tue, 20 May 2008 04:00:00 +0100 1474739 http://www.medworm.com/index.php?rid=1445639&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F8%2F17 Conclusion: The present results suggest that iron content is not a major determinant of adherence to prenatal multivitamins. Combined with our previous study, tablet size may be the more definitive factor affecting adherence. (Source: BMC Pregnancy and Childbirth - Latest articles) BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=1445639 Thu, 15 May 2008 04:00:00 +0100 1445639 http://www.medworm.com/index.php?rid=1425971&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F8%2F16 Conclusions: Over 10% of children were identified as high risk for developmental problems by the screening, and more than half of those had not received a specialist referral. Risk factors for problems included prenatal and perinatal maternal and child factors. Assessment of maternal health and effective screening of child development may increase detection of children at high risk who would benefit from early intervention. Trial registration: Current Controlled Trials ISRCTN64070727 (Source: BMC Pregnancy and Childbirth - Latest articles) BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=1425971 Tue, 06 May 2008 04:00:00 +0100 1425971 http://www.medworm.com/index.php?rid=1414806&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F8%2F15 Conclusions: Selection of a prenatal care utilization index requires careful consideration of its methodological underpinnings and limitations. The two indices compared in this study revealed different patterns of utilization of prenatal care, and should not be used interchangeably. Use of these indices to study the association between utilization of prenatal care and pregnancy outcomes affected by the duration of pregnancy should be approached cautiously. (Source: BMC Pregnancy and Childbirth - Latest articles) BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=1414806 Thu, 01 May 2008 04:00:00 +0100 1414806 http://www.medworm.com/index.php?rid=1394871&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F8%2F14 This study is designed to investigate whether or not peripartum antibiotics improve health and disability for children at 7 years of age. (Source: BMC Pregnancy and Childbirth - Latest articles) BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=1394871 Thu, 24 Apr 2008 04:00:00 +0100 1394871 http://www.medworm.com/index.php?rid=1388612&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F8%2F13 Conclusions: Most women were knowledgeable about oral and dental health. Lack of knowledge about oral and dental health was strongly linked to women with lower education achievements and lower socioeconomic backgrounds. Whether more intensive dental health education in pregnancy can lead to improved oral health and ultimately improved pregnancy outcomes requires further study. (Source: BMC Pregnancy and Childbirth - Latest articles) BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=1388612 Mon, 21 Apr 2008 04:00:00 +0100 1388612 http://www.medworm.com/index.php?rid=1328792&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F8%2F11 Conclusions: A careful examination of terms and concepts helps situate the traditional perinatal and the fetuses-at-risk approaches within the broader context of non-causal and causal models within general epidemiology. (Source: BMC Pregnancy and Childbirth - Latest articles) BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=1328792 Wed, 26 Mar 2008 04:00:00 +0100 1328792 http://www.medworm.com/index.php?rid=1264977&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F8%2F6 Conclusions: This low cost key informant surveillance system produced high, but plausible birth and death rates in this remote population in India. This method could be used to monitor trends in maternal mortality and to test the impact of interventions in large populations with poor vital registration and thus assist policy makers in making evidence-based decisions. (Source: BMC Pregnancy and Childbirth - Latest articles) BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=1264977 Thu, 28 Feb 2008 05:00:00 +0100 1264977 http://www.medworm.com/index.php?rid=1264976&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F8%2F7 Background: Interpregnancy interval (IPI), marital status, and neighborhood are independently associated with birth outcomes. The joint contribution of these exposures has not been evaluated. We tested for effect modification between IPI and marriage, controlling for neighborhood. Methods: We analyzed a cohort of 98,330 live births in Montreal, Canada from 1997-2001 to assess IPI and marital status in relation to small for gestational age (SGA) birth. Births were categorized as subsequent-born with short ( (Source: BMC Pregnancy and Childbirth - Latest articles) BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=1264976 Thu, 28 Feb 2008 05:00:00 +0100 1264976 http://www.medworm.com/index.php?rid=1264975&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F8%2F8 Conclusions: The findings suggest that the international norms for haematological indices in pregnancy are applicable across populations and to the pregnant Jamaican primigravid woman. This finding may be reassuring to others with a similar population and stage of development as Jamaica. (Source: BMC Pregnancy and Childbirth - Latest articles) BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=1264975 Thu, 28 Feb 2008 05:00:00 +0100 1264975 http://www.medworm.com/index.php?rid=1254940&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F8%2F5 Conclusions: Mean birthweight has been shown to have increased over recent decades. The differences shown between the new and currently used centiles confirm the need for more up-to-date centiles for birthweight for gestational age. (Source: BMC Pregnancy and Childbirth - Latest articles) BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=1254940 Mon, 25 Feb 2008 05:00:00 +0100 1254940 http://www.medworm.com/index.php?rid=1191170&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F8%2F4 Background: Recently, attention has been focused on subsequent pregnancies among teenage mothers. Previous studies that compared the reproductive outcomes of teenage nulliparae and multiparae often did not consider the adolescents'reproductive histories. Thus, the authors compared the risks for adverse reproductive outcomes of adolescent nulliparae to teenagers who either have had an induced abortion or a previous birth. Methods: In this retrospective cohort study we used perinatal data prospectively collected by obstetricians and midwives from 1990-1999 (participation rate 87-98% of all hospitals) in Lower Saxony, Germany. From the 9742 eligible births among adolescents, women with multiple births, >1 previous pregnancies, or a previous spontaneous miscarriage were deleted and 8857 women... BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=1191170 Thu, 31 Jan 2008 05:00:00 +0100 1191170 http://www.medworm.com/index.php?rid=1162807&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F8%2F3 Conclusion: Early finding of ascitis by ultrasound and persistent large ovarian mass during pregnancy may be related to malignancy and advanced stage. Pregnant women in advanced stage of ovarian cancer seem to have poor prognosis. Chemotherapy is not contraindicated during the second or third trimester, but the choice of couple must be considered. (Source: BMC Pregnancy and Childbirth - Latest articles) BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=1162807 Sun, 20 Jan 2008 05:00:00 +0100 1162807 http://www.medworm.com/index.php?rid=1142213&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F8%2F2 Conclusions The low attendance for ANC, combined with a positive relationship between attendance and perinatal outcomes for the women in the Kwale region highlight the need for further research to understand reasons for attendance and non-attendance and also for strategies to be put in place to improve attendance for ANC. (Source: BMC Pregnancy and Childbirth - Latest articles) BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=1142213 Thu, 10 Jan 2008 05:00:00 +0100 1142213 http://www.medworm.com/index.php?rid=1055574&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F7%2F28 Conclusions: While a low achieved birth weight was a stronger predictor of mortality, a failure to achieve the predicted birth weight was associated with increased mortality at virtually all birth weights. Use of family data may allow identification of children at risk of adverse health outcomes, especially among babies with apparently "normal" growth. (Source: BMC Pregnancy and Childbirth - Latest articles) BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=1055574 Wed, 28 Nov 2007 05:00:00 +0100 1055574 http://www.medworm.com/index.php?rid=985795&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F7%2F27 Conclusions: It is likely that the general public in high-income countries such as Australia would find reductions in perinatal mortality and in serious perinatal complications sufficient to justify additional health service and personal monetary charges. Over the whole lifespan, the incremental cost per extra life-year gained is highly favourable. Trial Registration: Australian Clinical Trials Registry ACTRN12606000294550 (Source: BMC Pregnancy and Childbirth - Latest articles) BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=985795 Sun, 28 Oct 2007 04:00:00 +0100 985795 http://www.medworm.com/index.php?rid=982062&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F7%2F26 Conclusions: Our findings focus the attention toward personal control, self-efficacy and expectations about childbirth. This study confirms the multidimensionality of childbirth satisfaction and demonstrates that different factors predict the various dimensions of satisfaction. The model applies to both Belgian and Dutch women. Cross-national comparative research should further assess the dependence of the determinants of childbirth satisfaction on the organisation of maternity care. (Source: BMC Pregnancy and Childbirth - Latest articles) BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=982062 Fri, 26 Oct 2007 04:00:00 +0100 982062 http://www.medworm.com/index.php?rid=978891&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F7%2F25 The objective of this study was to determine how predictive blood folate concentrations and folate intakes are of each other in a sample of well-educated lactating Canadian women exposed to high levels of synthetic folate. Methods: The relationship between blood folate concentrations and dietary folate intakes, determined by weighed food records, were assessed in a sample of predominantly university-educated lactating women (32 +/- 4 yr) at 4- (n=53) and 16-wk postpartum (n=55). Results: Median blood folate concentrations of all participants were well above plasma and RBC folate cut-off levels indicative of deficiency (6.7 and 317 nmol/L, respectively), and except for 2, subjects were above the cut-off for NTD-risk reduction (>906 nmol/L). Only modest associations existed between total ... BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=978891 Thu, 25 Oct 2007 04:00:00 +0100 978891 http://www.medworm.com/index.php?rid=969854&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F7%2F24 Background Caesarean section is one of the most commonly performed operations on women throughout the world. Rates have increased in recent years - about 20-25% in many developed countries. Rates in other parts of the world vary widely. A variety of surgical techniques for all elements of the caesarean section operation are in use. Many have not yet been rigorously evaluated in randomised controlled trials, and it is not known whether any are associated with better outcomes for women and babies. Because huge numbers of women undergo caesarean section, even small differences in post-operative morbidity rates between techniques could translate into improved health for substantial numbers of women, and significant cost savings. Study desig... BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=969854 Mon, 22 Oct 2007 04:00:00 +0100 969854 http://www.medworm.com/index.php?rid=944290&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F7%2F23 This study was conducted to facilitate our understanding of the changing use of maternity care services in a semi-urban community in Entebbe Uganda and to examine the range of antenatal and delivery services received in health care facilities and at home. Methods: We conducted a retrospective community survey among women using structured questionnaires to describe the use of antenatal services and delivery care. Results: In total 413 women reported on their most recent pregnancy. Antenatal care attendance was high with 96% attending once, and 69% the recommended four times. Blood pressure monitoring (95%) and tetanus vaccination (91%) were the services most frequently reported and HIV testing (47%), haematinics (58%) and presumptive treatment for malaria (66%) least frequently. Hospital cl... BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=944290 Thu, 11 Oct 2007 04:00:00 +0100 944290 http://www.medworm.com/index.php?rid=908224&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F7%2F22 Conclusions: Women with a large plasma/whole blood Pb ratio may be at higher risk of miscarriage, which could be due to a greater availability of placental barrier-crossing Pb. (Source: BMC Pregnancy and Childbirth - Latest articles) BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=908224 Thu, 27 Sep 2007 04:00:00 +0100 908224 http://www.medworm.com/index.php?rid=885145&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F7%2F21 Conclusions: We found about 2-fold and 6-fold higher risk for NTD in the presence 1, and 2 or more features, of the metabolic syndrome, respectively. It is not clear whether this risk is altered by the presence of a high serum hsCRP concentration. (Source: BMC Pregnancy and Childbirth - Latest articles) BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=885145 Wed, 19 Sep 2007 04:00:00 +0100 885145 http://www.medworm.com/index.php?rid=832390&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F7%2F18 Conclusions: One issue that can clearly affect absolute rates and trends is how groups of women are categorized by their gestational age. Since most perinatal outcomes can only occur in women and neonates who have delivered, using the number of pregnancies delivered (PD) as the denominator of outcomes is appropriate. However, for an outcome such as antepartum stillbirth, all women who are pregnant at a particular gestational age are at risk. Thus, the denominator should include all ongoing pregnancies (OP). When gestational age is used by week this means using both deliveries during a particular week plus those women who deliver beyond the particular week of gestation in the denominator. Researchers should be careful to make sure they are utilizing the appropriate measure of perinatal comp... BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=832390 Thu, 30 Aug 2007 04:00:00 +0100 832390 http://www.medworm.com/index.php?rid=798857&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F7%2F17 Background: For women who have a caesarean section in their preceding pregnancy, two care policies for birth are considered standard: planned vaginal birth and planned elective repeat caesarean. Currently available information about the benefits and harms of both forms of care are derived from retrospective and prospective cohort studies. There have been no randomised trials, and recognising the deficiencies in the literature, there have been calls for methodologically rigorous studies to assess maternal and infant health outcomes associated with both care policies. The aims of our study are to assess in women with a previous caesarean birth, who are eligible in the subsequent pregnancy for a vaginal birth, whether a policy of planned vaginal birth after caesarean compared with a policy of... BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=798857 Tue, 14 Aug 2007 04:00:00 +0100 798857 http://www.medworm.com/index.php?rid=764104&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F7%2F15 Conclusions: A dialectical process was identified in these women's experiences of non-progressive labour. The process is susceptible to interaction with the midwife; especially her support to the woman's feeling of being in control. Midwives should secure that the woman's recognition of the fact that the labour is non-progressive and augmentation is required is handled with respect for the dialectical process. Augmentation of labour should be managed as close to the course of natural labour and delivery as possible. (Source: BMC Pregnancy and Childbirth - Latest articles) BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=764104 Sat, 28 Jul 2007 04:00:00 +0100 764104 http://www.medworm.com/index.php?rid=761375&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F7%2F14 DiscussionThis trial will provide evidence as to whether or not induction of labour in women with pregnancy induced hypertension or mild preeclampsia (nearly) at term is an effective treatment to prevent severe maternal complications. Trial Registration The protocol is registered in the clinical trial register number ISRCTN08132825. (Source: BMC Pregnancy and Childbirth - Latest articles) BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=761375 Fri, 27 Jul 2007 04:00:00 +0100 761375 http://www.medworm.com/index.php?rid=759969&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F7%2F13 This study will provide data about the use of intrapartum ST-analysis with a strict protocol for performance of FBS to limit its incidence. We aim to clarify to what extent intrapartum ST-analysis can be used without the performance of FBS and in which cases FBS is still needed. Trial Registration Number: ISRCTN95732366 (Source: BMC Pregnancy and Childbirth - Latest articles) BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=759969 Thu, 26 Jul 2007 04:00:00 +0100 759969 http://www.medworm.com/index.php?rid=717868&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F7%2F11 DiscussionThis trial will provide evidence as to whether induction of labour after preterm prelabour rupture of membranes is an effective and cost-effective strategy to reduce the risk of neonatal sepsis. Controlled clinical trial register ISRCTN29313500 (Source: BMC Pregnancy and Childbirth - Latest articles) BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=717868 Fri, 06 Jul 2007 04:00:00 +0100 717868 http://www.medworm.com/index.php?rid=713806&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F7%2F10 Background: When the primary and secondary outcomes of clinical studies yield ambiguous or conflicting recommendations, preference or valuation studies may help to overcome the decision problem. The present preference study is attached to two clinical studies (DIGTAT, ISRCT10363217; HYPITAT, ISRCT08132825) that evaluate induction of labour versus expectant management in term pregnancies with a mild risk profile. The purpose of the present study is to compare four methods of valuation/preference measurement. Methods: Multidimensional health state descriptions ('vignettes') defined by attributes and levels are presented to different response groups: laypersons, (ex-) patients, and medical experts. Valuations/preferences are measured with the Visual Analogue Scale (VAS), Time Trade-Off (TTO),... BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=713806 Wed, 04 Jul 2007 04:00:00 +0100 713806 http://www.medworm.com/index.php?rid=681777&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F7%2F7 DiscussionThis trial will provide evidence as to whether or not 17OHPC-treatment is an effective means of preventing bad neonatal outcome due to preterm birth in multiple pregnancies. Trial registration: Current Controlled Trials ISRCTN40512715 (Source: BMC Pregnancy and Childbirth - Latest articles) BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=681777 Tue, 19 Jun 2007 04:00:00 +0100 681777 http://www.medworm.com/index.php?rid=631218&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F7%2F6 Background: Reducing maternal mortality is a key goal of international development. Our objective was to determine the potential impact on maternal mortality across sub-Saharan Africa of a combination of dietary supplementation and presumptive treatment of infection during pregnancy. Our aim was to demonstrate the importance of antenatal interventions in the fight against maternal mortality, and to stimulate debate about the design of an effective antenatal care package which could be delivered at the lowest level of the antenatal health system or at community level. Methods: We collated evidence for the effectiveness of antenatal interventions from systematic reviews and controlled trials, and we selected interventions which have demonstrated potential to prevent maternal deaths. We used ... BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=631218 Wed, 23 May 2007 04:00:00 +0100 631218 http://www.medworm.com/index.php?rid=573239&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F7%2F5 Conclusions: Poor knowledge of safe motherhood issues among school pupils in rural Tanzania is related to lack of effective and coordinated interventions to address reproductive health and motherhood. For long-term and sustained impact, school children must be provided with appropriate safe motherhood information as early as possible through innovative school-based interventions. (Source: BMC Pregnancy and Childbirth - Latest articles) BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=573239 Tue, 24 Apr 2007 04:00:00 +0100 573239 http://www.medworm.com/index.php?rid=515416&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F7%2F4 DiscussionThe fetuses at risk approach is a causal model that brings coherence to the various perinatal phenomena. Under this formulation, pregnancy complications (such as preeclampsia), labour induction/cesarean delivery, birth, revealed small-for-gestational age and death show coherent patterns of incidence. The fetuses at risk formulation also provides a theoretical justification for medically indicated early delivery, the cornerstone of modern obstetrics. It permits a conceptualization of the number needed to treat (e.g., as low as 2 for emergency cesarean delivery in preventing perinatal death given placental abruption and fetal bradycardia) and a calculation of the marginal number needed to treat (i.e., the number of additional medically indicated labour inductions/cesarean deliverie... BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=515416 Wed, 28 Mar 2007 04:00:00 +0100 515416 http://www.medworm.com/index.php?rid=415179&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F7%2F1 Background: Adequate vitamin D concentrations during pregnancy are necessary to neonatal calcium homeostasis, bone maturation and mineralization. The aim of study is to evaluate serum vitamin D concentrations in mothers and their newborns and effect of vitamin D deficiency on pregnancy outcomes. Methods: 552 pregnant women were recruited from Tehran University educating hospitals in the winter of 2002. Maternal and cord blood samples were taken at delivery. The serum was assayed for 25-hydroxyvitamin D3, calcium, phosphorus and parathyroid hormone. Results: The prevalence of vitamin D deficiency in maternal and cord blood samples were 66.8% and 93.3%, respectively ( (Source: BMC Pregnancy and Childbirth - Latest articles) BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=415179 Mon, 12 Feb 2007 07:00:00 +0100 415179 http://www.medworm.com/index.php?rid=347956&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F6%2F31 DiscussionKnowledge of the extent of harmful health events occurring to asylum-seeking, refugee, immigrant, and Canadian-born women, and the response of the health care system to those events and group differences, if they exist, will inform immigration and health policy makers as well as providers of services. (Source: BMC Pregnancy and Childbirth - Latest articles) BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=347956 Tue, 26 Dec 2006 07:00:00 +0100 347956 http://www.medworm.com/index.php?rid=347957&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F6%2F29 DiscussionThe results of the test accuracy reviews will be integrated with results of effectiveness reviews of preventive interventions to assess the impact of test-intervention combinations for prevention of pre-eclampsia. (Source: BMC Pregnancy and Childbirth - Latest articles) BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=347957 Thu, 19 Oct 2006 06:00:00 +0100 347957 http://www.medworm.com/index.php?rid=347958&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F6%2F27 Conclusion: High-risk home delivery and newborn care practices are common in urban population also. In-depth qualitative studies are needed to explore the reasons for delivering at home. Community-based interventions are required to improve the number of families engaging a skilled attendant and hygiene during delivery. The high-risk traditional newborn care practices like delayed wrapping, bathing, mustard oil massage, prelacteal feeding and discarding colostrum need to be addressed by culturally acceptable community-based health education programmes. (Source: BMC Pregnancy and Childbirth - Latest articles) BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=347958 Wed, 23 Aug 2006 06:00:00 +0100 347958 http://www.medworm.com/index.php?rid=347959&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F6%2F25 DiscussionThis trial will provide evidence on the efficacy of outpatient IMN for pre-induction cervical ripening at term. We will study a formulation of IMN which is cheap and widely available. If the treatment is effective, acceptable to women, and cost effective, it could be implemented into obstetric practice worldwide.Trial registrationThe trial has been registered on the International Standard Randomised Controlled Trial Number Register (ISRCTN) and given the registration number ISRTN39772441. (Source: BMC Pregnancy and Childbirth - Latest articles) BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=347959 Tue, 25 Jul 2006 06:00:00 +0100 347959 http://www.medworm.com/index.php?rid=347960&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F6%2F24 Background: Several studies have suggested an association between periodontal disease and prematurity but this finding has not been consistently observed. Methods: Case control study. Cases (n = 50) were women who had delivered after spontaneous preterm labor at (Source: BMC Pregnancy and Childbirth - Latest articles) BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=347960 Wed, 19 Jul 2006 06:00:00 +0100 347960 http://www.medworm.com/index.php?rid=347961&cid=s_34046_29_f&fid=34046&url=http%3A%2F%2Fwww.biomedcentral.com%2F1471-2393%2F6%2F22 Conclusion: While the introduction of focused ANC has the potential to improve the health of pregnant women and to raise the number of births attended by skilled staff in Tanzania, it may need additional investment in human resources. The generally anticipated saving effect of the new model through the reduction of routine consultations may not materialise because the number of consultations is already low in Tanzania with a median of only 4 visits per pregnancy. Special attention needs to be given to counselling attitudes and skills during the training for Focused ANC as this component is identified as the major difference between old practise and the new model. Our estimated requirement of 46 minutes per first visit consultation matches well with the WHO estimate of 40 minutes. (Source: ... BMC Pregnancy and Childbirth - Latest articles journals http://www.medworm.com/rss/comments.php?id=347961 Fri, 23 Jun 2006 06:00:00 +0100 347961