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 'The Australian and New Zealand Journal of Obstetrics and Gynaecology' source. Wed, 08 Feb 2012 23:01:08 +0100 http://www.medworm.com/index.php?rid=5669029&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01407.x (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=5669029 Wed, 01 Feb 2012 05:00:00 +0100 5669029 http://www.medworm.com/index.php?rid=5669028&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01379.x (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=5669028 Wed, 01 Feb 2012 05:00:00 +0100 5669028 http://www.medworm.com/index.php?rid=5669027&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01392.x Two cases of women who developed internal jugular vein (IJV) thrombosis associated with ovarian hyperstimulation syndrome (OHSS) are reported in this article. There are 27 cases of IJV thrombosis associated with in vitro fertilisation (IVF) reported in the literature, and in 78% of cases, this outcome was following OHSS. The hypercoagulable state of OHSS increases the risk of venous thromboembolism, and the IJV appears to have a preponderance in uncommon‐site thrombosis. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=5669027 Wed, 01 Feb 2012 05:00:00 +0100 5669027 http://www.medworm.com/index.php?rid=5669026&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01408.x ConclusionsSerial plotting of the FH on customised charts supported by a clinical practice guideline resulted in a doubling of the antenatal detection of SGA in nulliparous pregnant women at low risk for SGA. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=5669026 Wed, 01 Feb 2012 05:00:00 +0100 5669026 http://www.medworm.com/index.php?rid=5669025&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2012.01417.x (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=5669025 Wed, 01 Feb 2012 05:00:00 +0100 5669025 http://www.medworm.com/index.php?rid=5630831&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01402.x ConclusionsSequential testing combination of VIA and HPV, followed by colposcopy and directed biopsy for diagnosis, combines economic viability with high scientific fidelity. The high specificity and negative predictive value reduce referral and treatment rates, as well as number of visits required for diagnosis. HPV (P) followed by reflex Pap is a suitable option for high resource situations with access to liquid‐based cytology. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=5630831 Wed, 25 Jan 2012 05:00:00 +0100 5630831 http://www.medworm.com/index.php?rid=5630830&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01405.x ConclusionscDNA‐RDA can be used to effectively identify the endometriosis‐related genes, which can provide novel experimental data and further understand the pathogenesis of endometriosis. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=5630830 Wed, 25 Jan 2012 05:00:00 +0100 5630830 http://www.medworm.com/index.php?rid=5562462&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01396.x ConclusionPrimigravidae in late pregnancy and maternity staff do not have a realistic expectation of a labour and birth that is free from medical intervention. This may impact on choices women make about care in pregnancy and labour. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=5562462 Thu, 05 Jan 2012 05:00:00 +0100 5562462 http://www.medworm.com/index.php?rid=5527386&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01389.x Conclusions:  Malignant mixed műllerian tumour is characterised by a high incidence of lymph node metastases and advanced stage at diagnosis, leading to poorer overall survival than other subtypes of endometrial carcinoma. Clinical trials for MMMT are critical for improving treatment strategies. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=5527386 Tue, 20 Dec 2011 05:00:00 +0100 5527386 http://www.medworm.com/index.php?rid=5527385&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01387.x Conclusion:  This study confirms the increased risk of continued smoking in pregnancy. Women who quit prior to or during early pregnancy appear to have similar risk to that of non‐smokers. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=5527385 Tue, 20 Dec 2011 05:00:00 +0100 5527385 http://www.medworm.com/index.php?rid=5527384&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01388.x We describe a woman with possible recurrent pregnancy‐induced CS complicating five pregnancies over a 7‐year period. We discuss the changes in the hypothalamic–pituitary–adrenal axis during normal pregnancy together with the diagnosis, aetiology and management of CS in pregnancy. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=5527384 Tue, 20 Dec 2011 05:00:00 +0100 5527384 http://www.medworm.com/index.php?rid=5527383&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01390.x Conclusion:  The AMOSS research system provides an important resource to enhance knowledge of conditions that cause rare and serious maternal morbidity. Yet the highly variable ethical approval processes required to implement this study have been excessively repetitive and burdensome. This process jeopardises timely, efficient research project implementation, without corresponding benefits to research participants. The resource burden to establish research governance for AMOSS confirms the urgent need for the Harmonisation of Multi‐centre Ethical Review (HoMER) to further streamline ethics/governance review processes for multi‐centre research. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=5527383 Tue, 20 Dec 2011 05:00:00 +0100 5527383 http://www.medworm.com/index.php?rid=5478401&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01383.x This case series describes eleven women with serious complications related to migration of tissue anchors after vaginal surgery for uterovaginal prolapse and/or urinary incontinence using the tissue fixation system. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=5478401 Tue, 06 Dec 2011 05:00:00 +0100 5478401 http://www.medworm.com/index.php?rid=5478400&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01384.x Conclusion:  In this five‐year experience, the Perigee™ system is deemed safe with an acceptable recurrence risk rate and complication rate. Further randomised controlled trials comparing Perigee™ system with traditional anterior colporrhaphy should be performed to evaluate mesh‐based surgery safety and efficacy for level one evidence. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=5478400 Tue, 06 Dec 2011 05:00:00 +0100 5478400 http://www.medworm.com/index.php?rid=5478399&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01385.x Conclusions:  Despite worsening of asthma symptoms, many pregnant women do not take regular preventive asthma medicines. Ongoing assessment of asthma control during pregnancy, medication review and adjustments in therapy by health professionals might facilitate asthma management. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=5478399 Tue, 06 Dec 2011 05:00:00 +0100 5478399 http://www.medworm.com/index.php?rid=5478398&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01386.x Conclusions:  A score composed of four easily measurable variables enabled us to predict the outcome of ECV at term. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=5478398 Tue, 06 Dec 2011 05:00:00 +0100 5478398 http://www.medworm.com/index.php?rid=5478397&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01381.x Conclusions:  Although the overall mortality rate for this condition remains high, fetuses with isolated CDH born at term have relatively high survival rates. This study provides data for counselling parents in tertiary centres with advanced neonatal care but where antenatal intervention for this condition has not been introduced. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=5478397 Tue, 06 Dec 2011 05:00:00 +0100 5478397 http://www.medworm.com/index.php?rid=5630829&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01406.x This study reinforces the importance of regular antenatal care attendance. Identification of SGA may be one way by which antenatal care reduces stillbirth. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=5630829 Thu, 01 Dec 2011 05:00:00 +0100 5630829 http://www.medworm.com/index.php?rid=5611539&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01401.x ConclusionsAPHUO prior to 34 weeks of gestation is associated with three to fivefold increased risk of preterm delivery. Identification of several risk factors could further help to predict early preterm delivery and appropriate triage management. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=5611539 Thu, 01 Dec 2011 05:00:00 +0100 5611539 http://www.medworm.com/index.php?rid=5599718&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01400.x Conclusions:  Assessment of the placental/myometrial involvement of morbidly adherent placenta is possible on antenatal ultrasound examination. Combinations of different criteria may be required in assessing the lateral extent and the depth of placental/myometrial involvement. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=5599718 Thu, 01 Dec 2011 05:00:00 +0100 5599718 http://www.medworm.com/index.php?rid=5585182&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01395.x ConclusionsMinor infection and wound healing complications seem to be common in healthy women undergoing abdominal hysterectomy in a fast‐track program. Obesity is an important risk factor also in fast‐track abdominal hysterectomy. A modest increase in postoperative relative weight gain during the first postoperative day seemed to increase the risk of postoperative complications. This factor merits further study. Randomised studies are necessary to determine the impact of fast‐track program and perioperative fluid regimens on postoperative complications. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=5585182 Thu, 01 Dec 2011 05:00:00 +0100 5585182 http://www.medworm.com/index.php?rid=5562461&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01399.x ConclusionsThis audit, based on local Australian experience, has confirmed that UAE is a safe and highly effective treatment for women with symptomatic fibroids and/or adenomyosis. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=5562461 Thu, 01 Dec 2011 05:00:00 +0100 5562461 http://www.medworm.com/index.php?rid=5553488&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01398.x ConclusionSmoking is not an independent risk factor for APHUO after adjustment for confounders, but other risk and protective factors have been identified. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=5553488 Thu, 01 Dec 2011 05:00:00 +0100 5553488 http://www.medworm.com/index.php?rid=5527382&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01391.x We present a case of parathyroid carcinoma in pregnancy presenting with pre‐eclampsia at 32 weeks’ gestation. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=5527382 Thu, 01 Dec 2011 05:00:00 +0100 5527382 http://www.medworm.com/index.php?rid=5478405&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01393.x (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=5478405 Thu, 01 Dec 2011 05:00:00 +0100 5478405 http://www.medworm.com/index.php?rid=5478404&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01368.x (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=5478404 Thu, 01 Dec 2011 05:00:00 +0100 5478404 http://www.medworm.com/index.php?rid=5478402&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01394.x (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=5478402 Thu, 01 Dec 2011 05:00:00 +0100 5478402 http://www.medworm.com/index.php?rid=5478396&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01382.x Conclusions:  Complete uterine evacuation after a missed miscarriage was effectively induced by both 600 and 800 μg of misoprostol. The overall success of medical treatment with intravaginal misoprostol demonstrates that the treatment is safe in an outpatient setting. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=5478396 Thu, 01 Dec 2011 05:00:00 +0100 5478396 http://www.medworm.com/index.php?rid=5338458&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01371.x Conclusions:  Contraceptive rates in this at risk group appear to be poor and require attention. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=5338458 Thu, 20 Oct 2011 04:00:00 +0100 5338458 http://www.medworm.com/index.php?rid=5306309&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01362.x Conclusion:  Patient perceptions of students’ involvement in their obstetrics and gynaecology care are mainly positive. Satisfaction levels differ with the gender of the student, the age of the patient, the location of care and for those for whom English is their first language. Attention must be paid to informing patients of the presence and possible level of interaction of students in their care. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=5306309 Mon, 10 Oct 2011 04:00:00 +0100 5306309 http://www.medworm.com/index.php?rid=5423990&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01380.x Conclusions:  The laparoscopic approach appears to offer a suitable alternative to laparotomy, which, in our setting, was associated with shorter operative times and hospital stays than laparotomy. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=5423990 Sat, 01 Oct 2011 04:00:00 +0100 5423990 http://www.medworm.com/index.php?rid=5366232&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01378.x This study investigated strategies for ascertaining pre‐eclampsia, pregnancy hypertension and gestational diabetes mellitus from birth records and/or hospital discharge data. The results showed that ascertaining these conditions from a data set that linked birth records to the corresponding maternal hospital record for birth was sufficient for health outcomes research. Antenatal hospital records provided few extra cases and may be necessary only for the ascertainment when a very accurate estimate of the prevalence is required. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=5366232 Sat, 01 Oct 2011 04:00:00 +0100 5366232 http://www.medworm.com/index.php?rid=5350082&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01375.x (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=5350082 Sat, 01 Oct 2011 04:00:00 +0100 5350082 http://www.medworm.com/index.php?rid=5338457&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01370.x The Australian Federal Productivity Commission is proposing two new schemes to better support those with major disability. The main National Disability Insurance Scheme (NDIS) will provide long‐term care and support for the disabled. A smaller scheme, the National Injury Insurance Scheme (NIIS), will provide ‘no‐fault ‘support for those following an accident or ‘medical injury’. It is proposed that cerebral palsy (CP) is part of the NIIS. While this brings quicker and more equitable benefits to CP families, the scheme labels CP as a ‘medical accident’ and infers preventability. Obstetricians will fund much of the system. Despite being labelled a ‘no‐fault’ system, maternity staff can still be litigated for extensive ‘head of damages’, eg loss of earning capacity. ... The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=5338457 Sat, 01 Oct 2011 04:00:00 +0100 5338457 http://www.medworm.com/index.php?rid=5306316&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01373.x (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=5306316 Sat, 01 Oct 2011 04:00:00 +0100 5306316 http://www.medworm.com/index.php?rid=5306315&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01376.x (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=5306315 Sat, 01 Oct 2011 04:00:00 +0100 5306315 http://www.medworm.com/index.php?rid=5306314&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01364.x (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=5306314 Sat, 01 Oct 2011 04:00:00 +0100 5306314 http://www.medworm.com/index.php?rid=5306313&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01367.x (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=5306313 Sat, 01 Oct 2011 04:00:00 +0100 5306313 http://www.medworm.com/index.php?rid=5306312&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01328.x We conducted a survey among a convenience sample of 149 women and their partners (n = 136) attending antenatal services in the Canberra Hospital in 2010. Over one‐third (39%) of women and 63.6% of their partners were overweight/obese, and 69.2% of women had not received advice from their caregiver on their weight. Pregnant women and their partners’ health behaviours including smoking, and fruit and vegetable intake were strongly correlated (P ≤ 0.01). Pregnant women require targeted advice on their weight, ideal weight gain and impact of these on pregnancy. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=5306312 Sat, 01 Oct 2011 04:00:00 +0100 5306312 http://www.medworm.com/index.php?rid=5306311&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01374.x Conclusions:  Anti‐Müllerian hormone is useful for identifying a good prognosis group in women of advanced reproductive age. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=5306311 Sat, 01 Oct 2011 04:00:00 +0100 5306311 http://www.medworm.com/index.php?rid=5306310&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01372.x (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=5306310 Sat, 01 Oct 2011 04:00:00 +0100 5306310 http://www.medworm.com/index.php?rid=5306308&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01366.x (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=5306308 Sat, 01 Oct 2011 04:00:00 +0100 5306308 http://www.medworm.com/index.php?rid=5252287&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01352.x Conclusions:  We recommend that hiatal dimensions be measured in rendered volumes whenever possible because this method seems more valid and at least as repeatable. This is probably due to the fact that the plane of minimal hiatal dimensions is non‐Euclidean, i.e., warped, which can be compensated for by measuring in a rendered volume of 1–2 cm thickness. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=5252287 Fri, 23 Sep 2011 04:00:00 +0100 5252287 http://www.medworm.com/index.php?rid=5252286&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01353.x Conclusions:  In‐hospital VTE risk is higher following gynaecological surgery for malignancy than for benign disease, despite the use of thromboprophylaxis. Given the higher non fatal PE rate after discharge and increasing trend towards shorter hospital LOS, extended prophylaxis in these patients should be considered. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=5252286 Fri, 23 Sep 2011 04:00:00 +0100 5252286 http://www.medworm.com/index.php?rid=5252285&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01354.x Conclusions:  The survey revealed that while there is some agreement with respect to methods used in the clinical assessment of fetal size and growth, there is interest in ANZ hospitals to pursue this area of research further. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=5252285 Fri, 23 Sep 2011 04:00:00 +0100 5252285 http://www.medworm.com/index.php?rid=5252284&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01356.x Conclusions:  Risk factors for GDM are easily identified at the first‐trimester midwifery hospital booking visit. A risk prediction tool, derived from risk factors in early pregnancy, identifies women at high risk of GDM. This represents a novel approach to facilitate targeted early intervention with the potential to prevent development of or ameliorate, GDM. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=5252284 Fri, 23 Sep 2011 04:00:00 +0100 5252284 http://www.medworm.com/index.php?rid=5228461&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01369.x Conclusion:  A TAP block in women undergoing TLH results in significantly shorter length of stay and lower opioid use. The retrospective nature of this trial and the absence of data on pain scores and nausea and vomiting are best addressed by a large prospective study. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=5228461 Fri, 16 Sep 2011 04:00:00 +0100 5228461 http://www.medworm.com/index.php?rid=5228460&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01363.x Conclusions:  Application of the PSANZ–CPG and stillbirth classification system is effective and feasible in a low‐income country facility setting and resulted in a reduction in the number of babies classified as unexplained stillbirth in Vietnam. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=5228460 Fri, 16 Sep 2011 04:00:00 +0100 5228460 http://www.medworm.com/index.php?rid=5228459&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01368.x (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=5228459 Fri, 16 Sep 2011 04:00:00 +0100 5228459 http://www.medworm.com/index.php?rid=5212195&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01358.x (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=5212195 Mon, 12 Sep 2011 04:00:00 +0100 5212195 http://www.medworm.com/index.php?rid=5212194&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01359.x Conclusions:  Contemporary Australian obstetricians, even though they may not be valproate prescribers, when managing pregnancies in women taking valproate, need to be alert to the possibility that it may not be being used optimally from the fetal point of view, especially when not prescribed by neurologists. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=5212194 Mon, 12 Sep 2011 04:00:00 +0100 5212194 http://www.medworm.com/index.php?rid=5148335&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01331.x This study utilised biochemical, clinical and dietary indices to assess iodine status of 170 women living throughout New Zealand. The median urinary iodine concentration (UIC) of the women was 38 μg/L, well below the 150 μg/L cut‐off value that indicates adequate iodine status; 7% of women had goitre. Not surprisingly, iodine intake was also low at 48 μg/day. The majority of women had TSH and FT4 concentrations within pregnant reference ranges, suggesting that despite the low UIC observed in these women, thyroid hormone production appeared unaffected. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=5148335 Sun, 21 Aug 2011 23:00:00 +0100 5148335 http://www.medworm.com/index.php?rid=5148334&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01345.x Conclusion:  Women with HDP are at increased risk of undiagnosed or undertreated hypertension. Attention needs to be given to appropriate follow‐up of women who have a pregnancy complicated by hypertensive disorders. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=5148334 Sun, 21 Aug 2011 23:00:00 +0100 5148334 http://www.medworm.com/index.php?rid=5148333&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01348.x Conclusion:  The carrier rate of CFTR mutations is elevated in patients presenting for infertility treatment, and preconception screening should be encouraged in all patients entering ART clinics. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=5148333 Sun, 21 Aug 2011 23:00:00 +0100 5148333 http://www.medworm.com/index.php?rid=5148332&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01349.x Conclusions:  Urinary placental growth factor is a simple non‐invasive test, which is discriminatory for pre‐eclampsia in the third trimester of pregnancy. Results from this study indicate that it may be discriminatory for hypertension related to placental dysfunction (pre‐eclampsia and gestational hypertension) when compared with hypertension unrelated to placental function. Further work is required to assess the ability to detect hypertensive diseases before they are clinically apparent. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=5148332 Sun, 21 Aug 2011 23:00:00 +0100 5148332 http://www.medworm.com/index.php?rid=5148331&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01350.x Conclusion:  The empiric treatment of antepartum pyelonephritis is generally appropriate; however, antibiotic changes for bacterial resistance are inadequate. Test of cure and monthly follow‐up urine cultures are infrequently performed despite their recommendation in published treatment guidelines. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=5148331 Sun, 21 Aug 2011 23:00:00 +0100 5148331 http://www.medworm.com/index.php?rid=5090157&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01337.x Conclusion:  Microscopic examination, although an integral part of pathological examination as some of these women may require subsequent treatment, reveals significant pathology in very few cases. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=5090157 Mon, 01 Aug 2011 23:00:00 +0100 5090157 http://www.medworm.com/index.php?rid=5090156&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01340.x Conclusion:  A TLH results in significantly shorter inpatient stay than FTOH and after an initial learning curve does not result in prolonged theatre or surgical times. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=5090156 Mon, 01 Aug 2011 23:00:00 +0100 5090156 http://www.medworm.com/index.php?rid=5090155&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01344.x Conclusions:  Mixed incontinence had the greatest adverse effect on QoL; however, any abnormal urodynamic diagnosis was associated with a significantly adverse effect. Although a normal urodynamic result was associated with less impact on QoL than an abnormal result, there was still an effect present. The optimal management (eg conservative vs surgical management) of women with a normal urodynamic result is yet to be established. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=5090155 Mon, 01 Aug 2011 23:00:00 +0100 5090155 http://www.medworm.com/index.php?rid=5287918&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01361.x Venous thromboembolism (VTE) in pregnancy and the postpartum is an important cause of maternal morbidity and mortality; yet, there are few robust data from clinical trials to inform an approach to diagnosis and management. Failure to investigate symptoms suggestive of pulmonary embolism (PE) is a consistent finding in maternal death enquiries, and clinical symptoms should not be relied on to exclude or diagnose VTE. In this consensus statement, we present our recommendations for the diagnosis and management of acute deep venous thrombosis (DVT) and PE. All women with suspected DVT in pregnancy should be investigated with whole leg compression ultrasonography. If the scan is negative and significant clinical suspicion remains, then further imaging for iliofemoral DVT maybe required. Imaging... The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=5287918 Mon, 01 Aug 2011 04:00:00 +0100 5287918 http://www.medworm.com/index.php?rid=5252283&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01357.x Pregnancy is a risk factor for venous thromboembolism (VTE), an important cause of maternal morbidity and mortality. Although there is a 4–5‐fold increased risk compared to that of nonpregnant women of the same age, the absolute risk is low at no more than two episodes of VTE per 1000 pregnancies. There is uncertainty about which women require thromboprophylaxis during pregnancy or postpartum because of a lack of data from appropriate clinical trials. For this reason, recommendations for prophylaxis should be made only after explaining the available evidence to the patient and taking into account her perception of the balance of risk and benefit in thromboprophylaxis. The aim of these recommendations is to provide clinicians with practical advice to assist in decisions regarding thromb... The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=5252283 Mon, 01 Aug 2011 04:00:00 +0100 5252283 http://www.medworm.com/index.php?rid=5240497&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01341.x Conclusions:  An under‐used but potentially useful strategy may be staged recruitment and consent. Despite the evidence supporting labour as a time requiring increased acuity for informed consent, there is little to suggest that this knowledge is being applied to current Australian HREC and RCT practices. We suggest that further practical guidelines be devised to aid researchers and human ethics committees. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=5240497 Mon, 01 Aug 2011 04:00:00 +0100 5240497 http://www.medworm.com/index.php?rid=5228458&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01365.x We present two cases of diffuse large B‐cell lymphoma of the cervix and uterus that were treated with R‐CHOP chemotherapy followed by pelvic radiotherapy. The women are disease free 20 and 19 months after the diagnosis respectively. Seventy‐two cases of primary uterine and cervical lymphoma reported in the English literature in the last 10 years from 2000 to 2010 are reviewed. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=5228458 Mon, 01 Aug 2011 04:00:00 +0100 5228458 http://www.medworm.com/index.php?rid=5212193&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01360.x Conclusions:  This study provides evidence that grand multiparity may confer a protective effect on the risk of death from cancers of the breast, endometrium and ovary. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=5212193 Mon, 01 Aug 2011 04:00:00 +0100 5212193 http://www.medworm.com/index.php?rid=5148330&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01351.x (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=5148330 Sun, 31 Jul 2011 23:00:00 +0100 5148330 http://www.medworm.com/index.php?rid=5133987&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01336.x (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=5133987 Sun, 31 Jul 2011 23:00:00 +0100 5133987 http://www.medworm.com/index.php?rid=5133986&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01335.x (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=5133986 Sun, 31 Jul 2011 23:00:00 +0100 5133986 http://www.medworm.com/index.php?rid=5133985&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01355.x (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=5133985 Sun, 31 Jul 2011 23:00:00 +0100 5133985 http://www.medworm.com/index.php?rid=5042633&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01338.x (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=5042633 Mon, 18 Jul 2011 23:00:00 +0100 5042633 http://www.medworm.com/index.php?rid=5042632&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01343.x Obesity worsens and modest weight loss improves female fertility. Overweight women were randomised to lifestyle or standard treatment pre‐in vitro fertilisation with treatment cessation at embryo transfer. There was a greater reduction in weight (P < 0.001) for lifestyle treatment (−3.8 ± 3.0 kg, P < 0.001) compared with no changes for standard treatment (−0.5 ± 1.2 kg, P = 0.092). Both the intervention (−5.3 ± 4.6 cm) and control (−3.5 ± 3.5 cm) group had reductions in waist circumference (P < 0.001) with no differences between the two groups (P = 0.215). The overall pregnancy rate was 53% (20/38) for the intervention and control group combined. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=5042632 Mon, 18 Jul 2011 23:00:00 +0100 5042632 http://www.medworm.com/index.php?rid=5042634&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01342.x Conclusions:  When combined with cigarette smoking, opiates had no observed independent effect on birth parameters. Unexpectedly, in the amphetamine group, the negative effects of smoking on growth were altered in late pregnancy. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=5042634 Sun, 17 Jul 2011 23:00:00 +0100 5042634 http://www.medworm.com/index.php?rid=5001709&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01339.x Conclusion:  NSW has high rates of both induction and caesarean section following induction. This study highlights the changes to clinical practice that may help reduce the rate of caesarean births in nullipara. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=5001709 Mon, 04 Jul 2011 23:00:00 +0100 5001709 http://www.medworm.com/index.php?rid=5001708&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01326.x Conclusions:  Aboriginal Midwifery Access Program provides high‐quality antenatal care in a trusted environment. The high rate of smoking in pregnancy needs to be addressed. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=5001708 Mon, 04 Jul 2011 23:00:00 +0100 5001708 http://www.medworm.com/index.php?rid=5001707&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01329.x Conclusion:  Women with GDM who require insulin therapy differ from those who can be managed on MNT alone. Being aware of factors that predict failure of MNT could help diabetes services develop a more efficient model of care in the management of women with GDM. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=5001707 Mon, 04 Jul 2011 23:00:00 +0100 5001707 http://www.medworm.com/index.php?rid=5001706&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01330.x Conclusions:  Collection of near‐miss data has the potential to become a useful tool for the assessment of obstetric care in both in CBH and in other Australian hospitals but is time‐consuming and requires continuous surveillance by medical staff if cases are not to be overlooked. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=5001706 Mon, 04 Jul 2011 23:00:00 +0100 5001706 http://www.medworm.com/index.php?rid=5001705&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01333.x Conclusion:  In the setting of minimally invasive myomectomy, the use of a multimodal analgesic protocol improved postoperative recovery, resulting in earlier hospital discharge. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=5001705 Mon, 04 Jul 2011 23:00:00 +0100 5001705 http://www.medworm.com/index.php?rid=4963349&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01306.x The incidence of endometrial cancer is increasing throughout the world, and an appropriate safe and cost‐effective surgical management is debated between traditional laparotomy and laparoscopy. Recently, three large prospective randomised controlled trials have been published comparing both modalities. The inclusion criteria for these studies are quite different, and whilst many of the outcomes reported are similar, some such as blood loss, complications, length of stay and quality of life (QoL) may have suffered as a result of selection bias. Some of these biases include differences in the stage of patients included, tumour grade, tumour histology, performance status, the requirement to undertake and complete surgical staging and the methodology of QoL assessment. An overall analysis of... The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=4963349 Wed, 22 Jun 2011 23:00:00 +0100 4963349 http://www.medworm.com/index.php?rid=4915840&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01317.x Conclusions:  In a cohort of women experiencing PPH, emotional and physical health outcomes were similar to those reported in general post‐natal populations, with the exception of post‐natal bleeding duration, uterine infection and hospital readmission. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=4915840 Wed, 08 Jun 2011 23:00:00 +0100 4915840 http://www.medworm.com/index.php?rid=4915839&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01318.x Conclusions:  Removal of cervical discharge prior to ET may have a significant effect on the rate of implantation, pregnancy and live birth. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=4915839 Wed, 08 Jun 2011 23:00:00 +0100 4915839 http://www.medworm.com/index.php?rid=4915838&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01321.x Conclusions:  Prolactin levels varied significantly throughout the menstrual cycle, and the utility and accuracy of prolactin testing may be improved by applying specific reference intervals for each phase of the menstrual cycle. Alternatively, a single reference interval could be used if prolactin is only measured in the follicular phase, well before midcycle. Prolactin levels in postmenopausal women and men were not significantly different, and a common prolactin reference interval may be appropriate. Further studies to confirm formal reference ranges for these groups may be clinically helpful. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=4915838 Wed, 08 Jun 2011 23:00:00 +0100 4915838 http://www.medworm.com/index.php?rid=4915837&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01322.x Conclusion:  South Asian women require culturally appropriate advice regarding strategies to reduce their risk of GDM as early as possible in pregnancy, ideally at the time pregnancy is confirmed. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=4915837 Wed, 08 Jun 2011 23:00:00 +0100 4915837 http://www.medworm.com/index.php?rid=4915836&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01323.x Conclusions:  The feasibility of BSO was primarily dependent on the stage of pelvic organ prolapse and patients’ age. Relaxation of the adnexae because of weakness of the infundibulo‐pelvic ligaments may accompany severe pelvic organ prolapse and may potentially explain the feasibility of BSO in these women. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=4915836 Wed, 08 Jun 2011 23:00:00 +0100 4915836 http://www.medworm.com/index.php?rid=4915835&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01324.x Conclusion:  Improvements in culturing protocols have facilitated extended culture, increasing embryo selection capability. These results indicate that it is now possible to maintain excellent pregnancy rates with SET blastocyst culture, while decreasing complications related to multiple births. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=4915835 Wed, 08 Jun 2011 23:00:00 +0100 4915835 http://www.medworm.com/index.php?rid=5090154&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01346.x Cyclophosphamide treatment can cause premature ovarian failure. This pilot study evaluates the protective effect of the gonadotrophin releasing hormone (GnRH) antagonist, cetrorelix, on ovarian function, when used during cyclophosphamide chemotherapy in women aged 18–35. Primary outcomes measured were serum follicle stimulating hormone (FSH) and inhibin prior to and at 6 and 12 months after chemotherapy. Secondary outcomes were hormonal evidence of a suppressive effect and the side effect profile. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=5090154 Tue, 31 May 2011 23:00:00 +0100 5090154 http://www.medworm.com/index.php?rid=5042631&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01347.x Conclusions:  This study has documented OTC EC dispensing services in the District and identified areas for improvement. A working group has been established to oversee the development and distribution of customer information packs and information for pharmacists on referral options. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=5042631 Tue, 31 May 2011 23:00:00 +0100 5042631 http://www.medworm.com/index.php?rid=5001704&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01334.x Conclusion:  Inadvertent cystotomy is a recognised complication at hysterectomy. The rate in the SWAPS unit is comparable to that of other published series. Overall, there has been a decline in the rate of bladder injury, which appears attributable to more experience gained with an acquisition of increased skill levels and improved techniques. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=5001704 Tue, 31 May 2011 23:00:00 +0100 5001704 http://www.medworm.com/index.php?rid=4963348&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01327.x Conclusions:  The rate of preterm birth in China is relatively low but appears to differ in Chinese women in other environments. Differences between traditional Chinese and contemporary Western lifestyles, possibly including smoking and sexual practices, may contribute to the different rates of preterm birth. Further research in this area may provide avenues for the prevention of preterm birth and also help to prevent a possible rise in this complication of pregnancy as Chinese society continues on the path of economic and social reform. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=4963348 Tue, 31 May 2011 23:00:00 +0100 4963348 http://www.medworm.com/index.php?rid=4915834&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01325.x Conclusion:  The testing of pre‐operative CA125 levels may a useful prognostic tool in endometrial cancer management. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=4915834 Tue, 31 May 2011 23:00:00 +0100 4915834 http://www.medworm.com/index.php?rid=4887388&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01296.x Conclusions:  Stage 2 LH combined with modified vaginal anterior colpotomy and modified McCall culdoplasty is safe and effective for benign gynaecologic tumours and the prevention of post‐LAVH vaginal prolapse. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=4887388 Tue, 31 May 2011 23:00:00 +0100 4887388 http://www.medworm.com/index.php?rid=4887387&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01299.x Conclusion:  This large meta‐analysis for the first time quantifies the additional perinatal risks associated with preterm fetal growth restriction and may help counsel parents about the complications these fetuses face following birth. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=4887387 Tue, 31 May 2011 23:00:00 +0100 4887387 http://www.medworm.com/index.php?rid=4887386&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01332.x (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=4887386 Tue, 31 May 2011 23:00:00 +0100 4887386 http://www.medworm.com/index.php?rid=4887385&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01315.x Conclusions:  This study provides a reference range for fetal NBL at 18–20 weeks of gestation in an unselected multiethnic Australian population. Whilst NBL increases linearly from 18 to 20 weeks, the data are not normally distributed and nonparametric techniques are required to define the 2.5th centile. The mixed‐effects model also accounts for variation in sonographer measurements. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=4887385 Tue, 31 May 2011 23:00:00 +0100 4887385 http://www.medworm.com/index.php?rid=4887384&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01316.x Conclusion:  A state‐wide selection process offers a transparent and meritorious means of selection of trainees in obstetrics and gynaecology. It has significant advantages over an individual hospital‐based selection process for both trainees and hospitals. Outcome data for the optimal trainee to be selected are difficult to define. Reporting and reviewing data with a national selection process are imperative. The current selection process does not address issues that may be important for selection such as manual dexterity or psychological preparedness for the speciality of obstetrics and gynaecology. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=4887384 Tue, 31 May 2011 23:00:00 +0100 4887384 http://www.medworm.com/index.php?rid=4887382&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01319.x (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=4887382 Tue, 31 May 2011 23:00:00 +0100 4887382 http://www.medworm.com/index.php?rid=4887380&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01320.x Conclusion:  Post‐partum oxygen inhalation is not beneficial for reducing vaginal blood loss during the third and fourth stages of labour. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=4887380 Tue, 31 May 2011 23:00:00 +0100 4887380 http://www.medworm.com/index.php?rid=4815947&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01314.x We present a case of a primigravid with HER‐2 positive metastatic breast cancer who received trastuzumab throughout pregnancy. She presented with cerebral metastases, requiring surgical decompression and resection. Reversible oligohydramnios developed during pregnancy. Fetal safety data on trastuzumab in pregnancy is limited, but case reports suggest a recurring pattern of (mostly reversible) oligohydramnios. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=4815947 Wed, 11 May 2011 23:00:00 +0100 4815947 http://www.medworm.com/index.php?rid=4727798&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01309.x We present our experiences using intrauterine Foley balloon tamponade for the conservative management of post‐partum haemorrhage from the lower uterine segment. Intraoperative haemostasis was achieved in all women who were unresponsive to other conservative methods. Foley balloon tamponade may be considered in the management of lower uterine segment bleeding at caesarean delivery. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=4727798 Sun, 17 Apr 2011 23:00:00 +0100 4727798 http://www.medworm.com/index.php?rid=4727797&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01311.x Conclusion:  In the prediction of progression to a high‐risk situation, in women with GH or mild PE at term, a distinction can be made between women with a low risk and women with high risk. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=4727797 Sun, 17 Apr 2011 23:00:00 +0100 4727797 http://www.medworm.com/index.php?rid=4834312&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01313.x Conclusions:  Behavioural factors were not as predictive as ethnicity, season and BMI. As most participants had one of the predictive risk factors for suboptimal vitamin D, a case could be made for universal supplementation with a higher dose of vitamin D in pregnancy and continued targeted screening of the women at highest risk of vitamin D deficiency. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=4834312 Thu, 31 Mar 2011 23:00:00 +0100 4834312 http://www.medworm.com/index.php?rid=4815946&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01310.x We present a case report of a 34‐year‐old woman who successfully underwent evacuation of a large vulval haematoma using the simple hypnosis technique of ‘believed‐in imagination’ as the principal anaesthetic technique with only minimal adjunctive pharmacological analgesia. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=4815946 Thu, 31 Mar 2011 23:00:00 +0100 4815946 http://www.medworm.com/index.php?rid=4727796&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01312.x Conclusions:  Adherence to prescribed medicines during pregnancy is alarmingly low. Health professionals should be more proactive in promoting adherence and assisting women avoid potential fetal harm because of nonadherence. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=4727796 Thu, 31 Mar 2011 23:00:00 +0100 4727796 http://www.medworm.com/index.php?rid=4688501&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01297.x (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=4688501 Thu, 31 Mar 2011 23:00:00 +0100 4688501 http://www.medworm.com/index.php?rid=4688499&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01298.x (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=4688499 Thu, 31 Mar 2011 23:00:00 +0100 4688499 http://www.medworm.com/index.php?rid=4688498&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01290.x (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=4688498 Thu, 31 Mar 2011 23:00:00 +0100 4688498 http://www.medworm.com/index.php?rid=4688497&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01307.x (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=4688497 Thu, 31 Mar 2011 23:00:00 +0100 4688497 http://www.medworm.com/index.php?rid=4646838&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01304.x Conclusion:  These data do not support the use of rectal misoprostol to reduce blood loss during LAVH. The pharmacoclinical effects of misoprostol in the uterus should be clarified. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=4646838 Mon, 28 Mar 2011 23:00:00 +0100 4646838 http://www.medworm.com/index.php?rid=4597223&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01293.x Conclusion:  The RAH experience is that robotic surgery in gynaecology and gynaecological oncology is safe and feasible. Patient recovery is excellent, and the hospital stay is reduced. Robotic surgery has the potential to significantly expand the minimally invasive surgical options for women undergoing surgery for benign and malignant gynaecological disease in Australia. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=4597223 Wed, 16 Mar 2011 00:00:00 +0100 4597223 http://www.medworm.com/index.php?rid=4597222&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01294.x Restless legs syndrome (RLS) is common in the third trimester of pregnancy. In this case–control study, 22.5% of 211 women had RLS. The RLS cases had a history of growing pains (GP) more frequently than controls (P = 0.042). A family history of GP (P = 0.025) and RLS (P = 0.018) was more frequent among cases than controls. RLS in pregnancy is predicted by family history of RLS and GP, and by childhood history of GP. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=4597222 Wed, 16 Mar 2011 00:00:00 +0100 4597222 http://www.medworm.com/index.php?rid=4597221&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01295.x Conclusion:  This study provides preliminary evidence that BMI may be an important prognostic factor in response to metformin for women with ovulation dysfunction related to polycystic ovary syndrome, suggesting that women with a lower BMI may respond better to metformin treatment versus placebo amongst women with BMI > 32 kg/m2. Individual patient data meta‐analysis of existing randomised trials would clarify this further and would assess whether other factors might predict better response to metformin versus standard treatments. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=4597221 Wed, 16 Mar 2011 00:00:00 +0100 4597221 http://www.medworm.com/index.php?rid=4597220&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01301.x Conclusions:  The findings of this research may be useful for hospitals and clinicians to review and improve their current service delivery models for women who present to the ED with a problem in early pregnancy. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=4597220 Wed, 16 Mar 2011 00:00:00 +0100 4597220 http://www.medworm.com/index.php?rid=4597219&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01302.x Conclusion:  Erythromycin and clindamycin resistance among invasive neonatal GBS isolates has emerged in both New Zealand and Australia over the past decade and is consistent with global trends in GBS resistance patterns. Although regional variations exist, these findings should be considered when implementing intrapartum GBS prevention strategies. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=4597219 Wed, 16 Mar 2011 00:00:00 +0100 4597219 http://www.medworm.com/index.php?rid=4443283&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2010.01281.x (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=4443283 Mon, 07 Feb 2011 00:00:00 +0100 4443283 http://www.medworm.com/index.php?rid=4443282&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2010.01282.x Conclusions:  Several important differences in the obstetric profiles of foreign‐born women were found. These differences have useful implications for obstetric services in culturally and linguistically diverse populations. Collection of further variables would also benefit the future provision of equitable and culturally appropriate care to diverse immigrant groups. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=4443282 Mon, 07 Feb 2011 00:00:00 +0100 4443282 http://www.medworm.com/index.php?rid=4443281&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2010.01283.x Uterine transplantation (UTx) aims to treat unconditional uterine factor infertility by replacing a non‐functioning or non‐existing uterus. After one attempt of UTx in the human 10 years ago, intensive research has been performed. The results of these specific studies on surgical technique, ischaemia‐reperfusion injury, immunosuppression and fertility are discussed. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=4443281 Mon, 07 Feb 2011 00:00:00 +0100 4443281 http://www.medworm.com/index.php?rid=4443280&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2010.01287.x Conclusion:  Most women tolerated pregnancy well without major complications despite many having at least moderate lung function impairment. Pre‐pregnancy FEV1 and BMI were important predictors of outcomes. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=4443280 Mon, 07 Feb 2011 00:00:00 +0100 4443280 http://www.medworm.com/index.php?rid=4443279&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01288.x Conclusions:  The diagnosis of isolated FTT is often not made before surgical intervention because clinical features are non‐specific. However, it needs to be considered in women with acute lower abdominal pain with a unilateral cystic adnexal mass. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=4443279 Mon, 07 Feb 2011 00:00:00 +0100 4443279 http://www.medworm.com/index.php?rid=4646837&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01308.x Conclusion:  A survey of gynaecologists revealed that few currently appear to adhere to the College Statement regarding prophylactic oophorectomy at the time of hysterectomy for benign disease. High quality evidence regarding either harm or benefit following retention of ovaries after menopause is lacking. Nevertheless, dialogue between clinicians and patients on this topic is important. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=4646837 Tue, 01 Feb 2011 00:00:00 +0100 4646837 http://www.medworm.com/index.php?rid=4618153&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01300.x Fibroid management is surrounded by considerable controversy and uncertainty. This paper summarises the consensus developed by a group of Australasian subspecialists in reproductive endocrinology and infertility (the ACCEPT group) on the evidence concerning the impact and management of fibroids in infertility. The location of a fibroid within the uterus influences its effect on fertility. Subserosal fibroids do not appear to impact on fertility outcomes. Intramural (IM) fibroids may be associated with reduced fertility and an increased miscarriage rate (MR); however, there is insufficient evidence to inform whether myomectomy for IM fibroids improves fertility outcomes. Submucosal fibroids are associated with reduced fertility and an increased MR, and myomectomy for submucosal fibroids app... The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=4618153 Tue, 01 Feb 2011 00:00:00 +0100 4618153 http://www.medworm.com/index.php?rid=4597218&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01303.x Conclusions:  Critically ill obstetric patients can be managed successfully in a general ICU with obstetric input. It may be sensible to cluster these patients into units that are best equipped to deal with them, especially in the ante‐ and peripartum period. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=4597218 Tue, 01 Feb 2011 00:00:00 +0100 4597218 http://www.medworm.com/index.php?rid=4474234&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2010.01270.x Fetomaternal or neonatal alloimmune thrombocytopenia (NAIT) is a rare but serious condition associated with significant fetal and neonatal morbidity and mortality. The most useful predictor of severe disease is a history of a sibling with an antenatal intracranial haemorrhage. However, NAIT can occur during the first pregnancy and may not be diagnosed until the neonatal period. Antenatal treatment options include maternal intravenous immunoglobulin (IVIG) and corticosteroid treatment, fetal blood sampling (FBS) and intrauterine platelet transfusion (IUT) and early delivery. FBS (with or without IUT) can be used to direct and monitor response to therapy, and to inform mode and timing of delivery. However, this procedure is associated with significant risks, including fetal death, and is gen... The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=4474234 Tue, 01 Feb 2011 00:00:00 +0100 4474234 http://www.medworm.com/index.php?rid=4447435&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01291.x (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=4447435 Tue, 01 Feb 2011 00:00:00 +0100 4447435 http://www.medworm.com/index.php?rid=4447434&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2010.01240.x (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=4447434 Tue, 01 Feb 2011 00:00:00 +0100 4447434 http://www.medworm.com/index.php?rid=4447433&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2010.01245.x (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=4447433 Tue, 01 Feb 2011 00:00:00 +0100 4447433 http://www.medworm.com/index.php?rid=4447432&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2010.01284.x Conclusions:  There is a high prevalence of ovarian cancer symptoms in the Australian community. Because of this, awareness campaigns will likely impact a large number of women who do not have ovarian cancer. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=4447432 Tue, 01 Feb 2011 00:00:00 +0100 4447432 http://www.medworm.com/index.php?rid=4447431&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2010.01285.x Conclusions:  First‐year trainees’ basic knowledge of electrosurgery, hysteroscopy and laparoscopy and the time to perform skills on a laparoscopic pelvi‐trainer improved after a BSSW but there was no further improvement at 5 years. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=4447431 Tue, 01 Feb 2011 00:00:00 +0100 4447431 http://www.medworm.com/index.php?rid=4447430&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2011.01292.x Conclusions:  Increasing age and BMI and previous GDM were the most significant risk factors for GDM. Current selective screening guidelines have high sensitivity but low specificity and offer little over universal screening. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=4447430 Tue, 01 Feb 2011 00:00:00 +0100 4447430 http://www.medworm.com/index.php?rid=4447429&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2010.01275.x Conclusions:  Cord gases and placental histology should be sought in all babies with low Apgar scores for the benefit of understanding causation, counselling of the parents, research and professional liability assessment. Heightened awareness for adverse perinatal outcomes is required by health care professionals when a neonate requires resuscitation. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=4447429 Tue, 01 Feb 2011 00:00:00 +0100 4447429 http://www.medworm.com/index.php?rid=4447428&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2010.01286.x (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=4447428 Tue, 01 Feb 2011 00:00:00 +0100 4447428 http://www.medworm.com/index.php?rid=4420991&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2010.01262.x Conclusion:  Labour induction affects women’s experiences of birth and is related to length of pregnancy. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=4420991 Mon, 31 Jan 2011 00:00:00 +0100 4420991 http://www.medworm.com/index.php?rid=4420990&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2010.01265.x Conclusions:  The 2005 NHMRC guidelines should result in 33.9% fewer LLETZ procedures being performed in the younger age group. This has benefits for their future fertility needs. STI screening would be beneficial in this group when seen at colposcopy clinics, as they have significant rates of prior or current infection. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=4420990 Mon, 31 Jan 2011 00:00:00 +0100 4420990 http://www.medworm.com/index.php?rid=4420989&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2010.01268.x Conclusion:  A four‐step management plan adopted with obese women reduces the incidence of gestational diabetes. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=4420989 Mon, 31 Jan 2011 00:00:00 +0100 4420989 http://www.medworm.com/index.php?rid=4408068&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2010.01269.x Cervical cancer remains a significant problem worldwide particularly in underdeveloped countries. The disease and its financial impact are significant. Infection with the human papilloma virus (HPV) is necessary for the development of cervical cancer and its precursors. HPV also causes precancer and cancer elsewhere in the lower genital tract in women and men, as well as cancers of the aerodigestive tract. Whilst non‐sexual transmission has been reported, the usual method of transmission is by sexual intercourse with the virus deposited on the basement membrane of the cervical epithelium. It is then taken up by the basal cells, and viral amplification occurs with the maturation of the squamous epithelium. During this process, it remains hidden from the host immune system, thus not mounti... The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=4408068 Fri, 28 Jan 2011 00:00:00 +0100 4408068 http://www.medworm.com/index.php?rid=4408067&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2010.01271.x Obesity represents a rapidly emerging epidemic amongst pregnant women. Our study looks at the impact of morbid obesity on pregnant singleton nulliparous women in comparison with normal body mass index women. We conclude that morbid obesity is associated with a significantly higher risk of pre‐existing medical conditions, developing antenatal complications, induction of labour, caesarean section and greater birth weight. However, there was no significant difference in caesarean section rates when adjusted for induction of labour. We also found no significant difference in length of hospital stay, postnatal complications and neonatal morbidity. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=4408067 Fri, 28 Jan 2011 00:00:00 +0100 4408067 http://www.medworm.com/index.php?rid=4408066&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2010.01272.x Conclusions:  There is a well‐documented increased risk of maternal and perinatal health complications for women who are overweight or obese during pregnancy. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=4408066 Fri, 28 Jan 2011 00:00:00 +0100 4408066 http://www.medworm.com/index.php?rid=4408065&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2010.01273.x Conclusions:  Surprisingly, we found no association between avulsion of the puborectalis muscle and hiatal biometry on the one hand and anal continence on the other hand. These findings argue against a major role of the puborectalis muscle in anal continence. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=4408065 Fri, 28 Jan 2011 00:00:00 +0100 4408065 http://www.medworm.com/index.php?rid=4408064&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2010.01274.x Conclusion:  The available randomised trial data show no significant difference in effectiveness of metformin versus clomiphene as ovulation induction agents for non‐obese women with anovulatory PCOS. Metformin and clomiphene are both suitable options for first‐line treatment. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=4408064 Fri, 28 Jan 2011 00:00:00 +0100 4408064 http://www.medworm.com/index.php?rid=4408063&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2010.01276.x Four women, who previously had undergone multiple unsuccessful in vitro fertilisation (IVF) cycles because of failure of implantation of good quality embryos, were identified as having coexisting uterine adenomyosis. Endometrial biopsies showed that adenomyosis was associated with a prominent aggregation of macrophages within the superficial endometrial glands, potentially interfering with embryo implantation. The inactivation of adenomyosis by an ultra‐long pituitary downregulation regime promptly resulted in successful pregnancy for all women in this case series. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=4408063 Fri, 28 Jan 2011 00:00:00 +0100 4408063 http://www.medworm.com/index.php?rid=4408062&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2010.01277.x Recent studies using universal cystoscopy have demonstrated a higher rate of urinary tract injury at major gynaecological procedures than previously thought. These injuries are associated with significant medical and medico‐legal implications. The sensitivity of visual inspection is low and cystoscopic screening with intravenous dye improves detection. We review the evidence for intra‐operative cystoscopy in gynaecology, with emphasis on rates of urinary tract injury and the use of intravenous contrast dye. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=4408062 Fri, 28 Jan 2011 00:00:00 +0100 4408062 http://www.medworm.com/index.php?rid=4408061&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2010.01278.x Conclusions:  In our series, abnormal placentation causing severe haemorrhage was the commonest indication for EPH. Previous CS is a risk factor for abnormal placentation and particularly for morbid adherence of the placenta. The morbidity associated with EPH is considerable. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=4408061 Fri, 28 Jan 2011 00:00:00 +0100 4408061 http://www.medworm.com/index.php?rid=4315423&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2010.01257.x Conclusion:  Our findings show a high level of obesity in fathers‐to‐be, which has implications not only for the men themselves but also their families. We suggest that public health interventions directed at obesity during pregnancy should include both parents‐to‐be. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=4315423 Thu, 06 Jan 2011 00:00:00 +0100 4315423 http://www.medworm.com/index.php?rid=4311135&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2010.01258.x Conclusions:  This study showed that TPC and TPH have similar surgical outcomes, except for vaginal vault measurements reflected by POP‐Q point C. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=4311135 Wed, 05 Jan 2011 00:00:00 +0100 4311135 http://www.medworm.com/index.php?rid=4311134&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2010.01259.x Conclusions:  The study found no evidence linking maternal smoking and weight status and did not support the notion that smoking could lead to a lower weight status. However, maternal smoking was associated with fruit and soft drink consumption and needs to be considered while examining dietary behaviours and weight status. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=4311134 Wed, 05 Jan 2011 00:00:00 +0100 4311134 http://www.medworm.com/index.php?rid=4311133&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2010.01260.x Women reporting childhood sexual abuse (CSA) that involved actual or attempted penetration may not identify this as their first sexual intercourse. Data were drawn from a population‐based, prospective cohort study spanning adolescence to adulthood. CSA prior to age 16 and age of first sexual intercourse with a male were assessed retrospectively. More than half of women reporting CSA in the form of actual or penetrative abuse reported an age of first sexual intercourse at or beyond 16 years. Direct questioning about CSA is needed to accurately ascertain sexual history. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=4311133 Wed, 05 Jan 2011 00:00:00 +0100 4311133 http://www.medworm.com/index.php?rid=4311132&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2010.01261.x (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=4311132 Wed, 05 Jan 2011 00:00:00 +0100 4311132 http://www.medworm.com/index.php?rid=4311131&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2010.01263.x (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=4311131 Wed, 05 Jan 2011 00:00:00 +0100 4311131 http://www.medworm.com/index.php?rid=4239620&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2010.01253.x Conclusion:  Combined vasopressin and tourniquets was not associated with a statistically significant decrease in blood loss or need for blood transfusion. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=4239620 Tue, 07 Dec 2010 00:00:00 +0100 4239620 http://www.medworm.com/index.php?rid=4239619&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2010.01247.x Conclusion:  Oral glucose tolerance test alone is the best procedure without prior preliminary testing. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=4239619 Tue, 07 Dec 2010 00:00:00 +0100 4239619 http://www.medworm.com/index.php?rid=4239618&cid=s_32405_29_f&fid=32405&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1479-828X.2010.01252.x Conclusions:  Sleep during pregnancy is compromised by higher amounts of wake and cortical arousals leading to sleep fragmentation, with greater amounts of light sleep and less deep sleep. Mood state did not have an effect on sleep. Given the impact of sleep on well‐being, this study increases our understanding of the characteristics of sleep during pregnancy, to help recognise when severe sleep disruption may warrant referral to a specialist for appropriate diagnosis and treatment. (Source: The Australian and New Zealand Journal of Obstetrics and Gynaecology) The Australian and New Zealand Journal of Obstetrics and Gynaecology journals http://www.medworm.com/rss/comments.php?id=4239618 Tue, 07 Dec 2010 00:00:00 +0100 4239618