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Newborn care practices among slum dwellers in Dhaka, Bangladesh: a quantitative and qualitative exploratory studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: These reported newborn care practices are similar to those in rural areas of Bangladesh and to urban and rural areas in the South Asia region. There are several program implications. Educational messages to promote providing newborn care immediately after birth, using sterile thread, delaying bathing, and ensuring dry cord care and exclusive breastfeeding are needed. Programs in urban slum areas should also consider interventions to improve social support for women, especially first time mothers. These interventions may improve newborn survival and help achieve MDG4. (Source: BMC Pregnancy and Childbirth - Latest articles)
Source: BMC Pregnancy and Childbirth - Latest articles - November 17, 2009 Category: OBGYN Authors: Allisyn MoranNuzhat ChoudhuryNazib Uz Zaman KhanZunaid Ahsan KararTasnuva WahedSabina RashidM. Ashraful Alam Source Type: journals

Surprisingly low compliance to local guidelines for risk factor based screening for gestational diabetes mellitus - A population-based study.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Surprisingly low compliance with the local clinical guidelines for screening for GDM during pregnancy was found. Furthermore, the prevalence of the risk factors of GDM in our study was almost doubled compared to previous Swedish studies. Pregnant women developing risk factors of GDM during pregnancy were found to be at substantially increased risk of giving birth to an infant with macrosomia. There is a need of actions improving compliance to the local guidelines. (Source: BMC Pregnancy and Childbirth - Latest articles)
Source: BMC Pregnancy and Childbirth - Latest articles - November 16, 2009 Category: OBGYN Authors: Margareta PerssonAnna WinkvistIngrid Mogren Source Type: journals

Maternal morbidity in the first year after childbirth in Mombasa Kenya; a needs assessmentEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Background: In sub-Saharan Africa, few services specifically address the needs of women in the first year after childbirth. By assessing the health status of women in this period, key interventions to improve maternal health could be identified. There is an underutilised opportunity to include these interventions within the package of services provided for woman-child pairs attending child-health clinics. Methods: This needs assessment entailed a cross-sectional survey with 500 women attending a child-health clinic at the provincial hospital in Mombasa, Kenya. A structured questionnaire, clinical examination, and collectio...
Source: BMC Pregnancy and Childbirth - Latest articles - November 5, 2009 Category: OBGYN Authors: Matthew ChersichNicole KleyStanley LuchtersCarol NjeruElodie YardMary OthigoMarleen Temmerman Source Type: journals

Developing and pre-testing a decision board to facilitate informed choice about delivery approach in uncomplicated pregnancyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The objective of our study was to design and pre-test a decision board to guide clinical discussions and enhance informed decision-making related to delivery approach (CS or VD) in uncomplicated pregnancy. Methods: Development of the decision board involved two preliminary studies to determine women's preferred mode of risk presentation and a systematic literature review for the most comprehensive presentation of medical risks at the time (VD and CS). Forty women were recruited to pre-test the tool. Eligible subjects were of childbearing age (18-40 years) but were not pregnant in order to avoid raising the expectation amon...
Source: BMC Pregnancy and Childbirth - Latest articles - October 30, 2009 Category: OBGYN Authors: Jill MilneAmiram GafniDiane LuStephen WoodReg SauveSue Ross Source Type: journals

Mary Crosse Project: Systematic reviews and grading the value of neonatal tests in predicting long term outcomesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
DiscussionThe project will collate, synthesise and evaluate the available evidence concerning the value of tests of neonatal wellbeing to predict long term outcomes. The systematic reviews will assess the quality of available evidence and identify tests with the strongest association with outcomes, and assess their economic value. The output of this project will help formulate practice recommendations. (Source: BMC Pregnancy and Childbirth - Latest articles)
Source: BMC Pregnancy and Childbirth - Latest articles - October 29, 2009 Category: OBGYN Authors: Gemma MalinRachel MorrisKhalid Khan Source Type: journals

Treatment of retained placenta with misoprostol: a randomised controlled trial in a low-resource setting (Tanzania)Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
DiscussionThis is a protocol for a randomized trial in a low resource setting to assess if medical treatment of women with retained placenta with misoprostol reduces the incidence of manual removal of the placenta.Clinical Trial Registration: Current Controlled Trials ISRCTN16104753 (Source: BMC Pregnancy and Childbirth - Latest articles)
Source: BMC Pregnancy and Childbirth - Latest articles - October 22, 2009 Category: OBGYN Authors: Heleen van BeekhuizenAndrea PembeHeiner FauteckFred Lotgering Source Type: journals

A case study evaluation of implementation of a care pathway to support normal birth in one English birth centre: anticipated benefits and unintended consequencesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Care pathways are complex interventions which generate a number of consequences for practice. Those considering introduction of pathways need to ensure all relevant stakeholders are engaged with this and develop robust evaluation strategies to accompany implementation. (Source: BMC Pregnancy and Childbirth - Latest articles)
Source: BMC Pregnancy and Childbirth - Latest articles - October 4, 2009 Category: OBGYN Authors: Debra BickJo Rycroft-MaloneMarina Fontenla Source Type: journals

Determinants of use of maternal health services in Nigeria - looking beyond individual and household factorsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Factors influencing maternal health services utilization operate at various levels - individual, household, community and state. Depending on the indicator of maternal health services, the relevant determinants vary. Effective interventions to promote maternal health service utilization should target the underlying individual, household, community and policy-level factors. The interventions should reflect the relative roles of the various underlying factors. (Source: BMC Pregnancy and Childbirth - Latest articles)
Source: BMC Pregnancy and Childbirth - Latest articles - September 14, 2009 Category: OBGYN Authors: Stella BabalolaAdesegun Fatusi Source Type: journals

Assessment of perinatal outcome after sustained tocolysis in early labour (APOSTEL-II trial)Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
DiscussionThis trial will provide evidence as to whether maintenance tocolysis reduces severe perinatal morbidity and mortality in women with threatened preterm labour before 32 weeks.Clinical trial registration: www.trialregister.nl, NTR 1336, date of registration: June 3rd 2008. (Source: BMC Pregnancy and Childbirth - Latest articles)
Source: BMC Pregnancy and Childbirth - Latest articles - September 8, 2009 Category: OBGYN Authors: Carolien RoosLiesbeth ScheepersKitty BloemenkampAnnemiek BolteJerome CornetteJan DerksHans DuvekotJim van EyckJoke KokAnneke KweeAshley MerienBrent OpmeerMarielle van PampusDimitri PapatsonisMartina PorathJoris van der PostSicco ScherjonKrystyne SollieMar Source Type: journals

The role of cervical Electrical Impedance Spectroscopy in the prediction of the course and outcome of induced labour.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Cervical resistivity appears predictive of labour duration and delivery mode following induced labour. However the low predictive values obtained suggest that its current design proffers no immediate clinical utility. (Source: BMC Pregnancy and Childbirth - Latest articles)
Source: BMC Pregnancy and Childbirth - Latest articles - September 1, 2009 Category: OBGYN Authors: Roobin JokhiBrian BrownDilly Anumba Source Type: journals

Cost-effectiveness of fibronectin testing in a triage in women with threatened preterm labor: alleviation of pregnancy outcome by suspending tocolysis in early labor (APOSTEL-I trial).Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study will provide evidence for the use of fibronectin testing as safe and cost-effective method in a triage for threatened preterm labor.Trial registration: Nederlands Trial Register (NTR) number 1857, www.trialregister.nl. (Source: BMC Pregnancy and Childbirth - Latest articles)
Source: BMC Pregnancy and Childbirth - Latest articles - August 31, 2009 Category: OBGYN Authors: Jolande VisFemke WilmsMartijn OudijkMartina PorathLiesbeth ScheepersKitty BloemenkampAnnemiek BolteJerome CornetteJan DerksJohannes DuvekotJim van EyckAnneke KweeBrent OpmeerMarielle van PampusFred LotgeringSicco ScherjonKrystyna SollieMarc SpaandermanChr Source Type: journals

Optimism / pessimism and health-related quality of life during pregnancy across three continents: a matched cohort study in China, Ghana, and the United StatesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Background: Little is known about how optimism / pessimism and health-related quality of life during pregnancy compare across cultures. Methods: Three cohorts of pregnant women in their final trimester were recruited from China, Ghana, and the United States. Participants completed a survey that included the Life Orientation Test - Revised (LOT-R, an optimism / pessimism measure), the Short Form 12 (SF-12, a quality of life measure), and questions addressing health and demographic factors. A three-country set was created for analysis by matching women on age, gestational age at enrollment, and number of previous pregnancies...
Source: BMC Pregnancy and Childbirth - Latest articles - August 31, 2009 Category: OBGYN Authors: Cheryl MoyerHuixia YangYao KwawukumeAnu GuptaYu Chun ZhuIsaac KorantengYasmin ElsayedYu Mei WeiJonathan GreeneCecilia CalhounGeraldine EkpoMegan BeemsMegan RyanRichard AdanuFrank Anderson Source Type: journals

Still too far to walk: Literature review of the determinants of delivery service useEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Studies of the determinants of skilled attendance concentrate on sociocultural and economic accessibility variables and neglect variables of perceived benefit/need and physical accessibility. To draw valid conclusions, it is important to consider as many influential factors as possible in any analysis of delivery service use. The increasing availability of georeferenced data provides the opportunity to link health facility data with large-scale household data, enabling researchers to explore the influences of distance and service quality. (Source: BMC Pregnancy and Childbirth - Latest articles)
Source: BMC Pregnancy and Childbirth - Latest articles - August 10, 2009 Category: OBGYN Authors: Sabine GabryschOona Campbell Source Type: journals

Relative bioavailability of iron and folic acid from a new powdered supplement compared to a traditional tablet in pregnant womenEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: The unexpected lower bioavailability of iron from the powdered supplement is contrary to previously published reports. However, since pills and capsules are known to be poorly accepted by some women during pregnancy, it is reasonable to continue to explore alternative micronutrient delivery systems and forms of iron for this purpose. (Source: BMC Pregnancy and Childbirth - Latest articles)
Source: BMC Pregnancy and Childbirth - Latest articles - July 26, 2009 Category: OBGYN Authors: Brenda Hartman-CravenAnna ChristofidesDeborah O'ConnorStanley Zlotkin Source Type: journals

Reduction of late stillbirth with the introduction of fetal movement information and guidelines - a clinical quality improvementEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Improved management of DFM and uniform information to women is associated with fewer stillbirths. (Source: BMC Pregnancy and Childbirth - Latest articles)
Source: BMC Pregnancy and Childbirth - Latest articles - July 21, 2009 Category: OBGYN Authors: Julie Victoria Holm TveitEli SaastadBabill Stray-PedersenPer BordahlVicki FlenadyRuth FrettsJ. Frederik Froen Source Type: journals

Risk factors for inadequate prenatal care use in the metropolitan area of Aracaju, Northeast BrazilEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Prenatal care coverage was high. However, a significant number of women still had inadequate prenatal care use. Socioeconomic inequalities, demographic factors and behavioural risk factors are still important factors associated with inadequate prenatal care use. (Source: BMC Pregnancy and Childbirth - Latest articles)
Source: BMC Pregnancy and Childbirth - Latest articles - July 21, 2009 Category: OBGYN Authors: Eleonora RibeiroAlzira NeryHeloisa BettiolDanilo LimaMaria Luiza AlmeidaLuiz de SouzaAntonio Augusto SilvaRicardo Gurgel Source Type: journals

Impact of change in maternal age composition on the incidence of Caesarean section and low birth weight: analysis of delivery records at a tertiary hospital in Tanzania, 1999-2005Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: The population of mothers giving birth at MNH is progressively becoming older with substantial impact on the incidence of CS and LBWT. Further research is needed to estimate the health cost implications of this change. (Source: BMC Pregnancy and Childbirth - Latest articles)
Source: BMC Pregnancy and Childbirth - Latest articles - July 20, 2009 Category: OBGYN Authors: Projestine MuganyiziHussein Kidanto Source Type: journals

Knowledge and utilization of intermittent preventive treatment for malaria among pregnant women attending antenatal clinics in primary health care centers in rural southwest, Nigeria: a cross-sectional studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: In this study, IPTp use among pregnant women was very low and there was poor adherence to the Directly Observed Therapy (DOT) scheme. Concerted effort should be made to increase awareness of IPTp among the public especially women of child bearing age. Health workers should also be trained and monitored to ensure adherence. (Source: BMC Pregnancy and Childbirth - Latest articles)
Source: BMC Pregnancy and Childbirth - Latest articles - July 8, 2009 Category: OBGYN Authors: Stella AkinleyeCatherine FaladeIkeoluwapo Ajayi Source Type: journals

Experiences of professional support during pregnancy and childbirth - a qualitative study of women with type 1 diabetesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Clarity in terms of defining responsibilities is necessary during pregnancy and childbirth, both among care providers and between the woman and the care provider. Furthermore, a decision must be made concerning how to delegate, transfer or share diabetes responsibility during labour between the care providers and the parents-to-be. (Source: BMC Pregnancy and Childbirth - Latest articles)
Source: BMC Pregnancy and Childbirth - Latest articles - July 2, 2009 Category: OBGYN Authors: Marie BergCarina Sparud-Lundin Source Type: journals

Epidemiology of nausea and vomiting of pregnancy: prevalence, severity, determinants, and the importance of race/ethnicity.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Our study showed that race/ethnicity was associated with the reporting of nausea and vomiting of pregnancy in the 1st trimester of pregnancy. (Source: BMC Pregnancy and Childbirth - Latest articles)
Source: BMC Pregnancy and Childbirth - Latest articles - July 1, 2009 Category: OBGYN Authors: Anais LacasseEvelyne ReyEma FerreiraCaroline MorinAnick Berard Source Type: journals

Births in two different delivery units in the same clinic - A prospective study of healthy primiparous womenEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: We did not find evidence that starting delivery in the midwife-led setting offers the advantage of lower operative delivery rates. However, epidural analgesia, pudental nerve block and episiotomies were less often while non-pharmacological pain relief was often used in the midwife-led ward. (Source: BMC Pregnancy and Childbirth - Latest articles)
Source: BMC Pregnancy and Childbirth - Latest articles - June 21, 2009 Category: OBGYN Authors: Britt Ingeborg EideAnne Britt Vika NilsenSvein Rasmussen Source Type: journals

Atosiban versus betamimetics in the treatment of preterm labour in Germany: an economic evaluation.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: In a German setting, atosiban is cost saving versus betamimetics in the treatment of preterm labour from the payer, hospital and combined perspectives. Cost savings stem from the superior safety profile of atosiban. (Source: BMC Pregnancy and Childbirth - Latest articles)
Source: BMC Pregnancy and Childbirth - Latest articles - June 18, 2009 Category: OBGYN Authors: Jaro WexMark ConnollyWerner Rath Source Type: journals

An evaluation of classification systems for stillbirthEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Background: Audit and classification of stillbirths is an essential part of clinical practice and a crucial step towards stillbirth prevention. Due to the limitations of the ICD system and lack of an international approach to an acceptable solution, numerous disparate classification systems have emerged. We assessed the performance of six contemporary systems to inform the development of an internationally accepted approach. Methods: We evaluated the following systems: Amended Aberdeen, Extended Wigglesworth; PSANZ-PDC, ReCoDe, Tulip and CODAC. Nine teams from 7 countries applied the classification systems to cohorts of st...
Source: BMC Pregnancy and Childbirth - Latest articles - June 18, 2009 Category: OBGYN Authors: Vicki FlenadyJ. Frederik FroenHalit PinarRozbeh TorabiEli SaastadGrace GuyonLaurie RussellAdrian CharlesCatherine HarrisonLawrence ChaukeRobert PattinsonRachel KoshySafiah BahrinGlenn GardenerKatie DayKarin PeterssonAdrienne GordonKristen Gilshenan Source Type: journals

Causes of death and associated conditions (CODAC) - a utilitarian approach to the classification of perinatal deathsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A carefully classified dataset of perinatal mortality will retain the most significant information on the causes of death. Such information is in demand for health care policy development, surveillance and international comparisons, clinical services and research. For comparability purposes, a classification system should serve in information management for all these needs, and be applicable in both developing and developed countries. It should adhere to basic concepts of underlying cause in the International Classification of Diseases (ICD), although gaps in ICD 10 prevent classification of perinatal deaths solely on exis...
Source: BMC Pregnancy and Childbirth - Latest articles - June 10, 2009 Category: OBGYN Authors: J Frederik FroenHalit PinarVicki FlenadySafiah BahrinAdrian CharlesLawrence ChaukeKatie DayCharles DukeFabio FacchinettiRuth FrettsGlenn GardenerKristen GilshenanSanne GordijnAdrienne GordonGrace GuyonCatherine HarrisonRachel KoshyRobert PattinsonKarin Pe Source Type: journals

Causes of death and associated conditions (Codac) - a utilitarian approach to the classification of perinatal deathsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A carefully classified dataset of perinatal mortality will retain the most significant information on the causes of death. Such information is needed for health care policy development, surveillance and international comparisons, clinical services and research. For comparability purposes, we propose a classification system that could serve all these needs, and be applicable in both developing and developed countries. It is developed to adhere to basic concepts of underlying cause in the International Classification of Diseases (ICD), although gaps in ICD prevent classification of perinatal deaths solely on existing ICD cod...
Source: BMC Pregnancy and Childbirth - Latest articles - June 9, 2009 Category: OBGYN Authors: J Frederik FroenHalit PinarVicki FlenadySafiah BahrinAdrian CharlesLawrence ChaukeKatie DayCharles DukeFabio FacchinettiRuth FrettsGlenn GardenerKristen GilshenanSanne GordijnAdrienne GordonGrace GuyonCatherine HarrisonRachel KoshyRobert PattinsonKarin Pe Source Type: journals

Postpartum mental health after Hurricane Katrina: A cohort studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Postpartum women who experience natural disaster severely are at increased risk for mental health problems, but overall rates of depression and PTSD do not seem to be higher than in studies of the general population. (Source: BMC Pregnancy and Childbirth - Latest articles)
Source: BMC Pregnancy and Childbirth - Latest articles - June 8, 2009 Category: OBGYN Authors: Emily HarvilleXu XiongGabriella PridjianKaren Elkind-HirschPierre Buekens Source Type: journals

Pilot study for a trial of ursodeoxycholic acid (UDCA) and/or early delivery for obstetric cholestasisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
DISCUSSION The ultimate aim of the main trial is to enable clinicians to manage this condition more effectively. If it transpires that ursodeoxycholic acid and early delivery are both safe and effective then steps will be taken to ensure that all women with OC who could benefit from them receives this treatment. Conversely, if one or both the treatments turn out to be ineffective or even harmful, they will be stopped and researchers will work at developing other modes of treatment. Trial registration number ISRCTN37730443 (Source: BMC Pregnancy and Childbirth - Latest articles)
Source: BMC Pregnancy and Childbirth - Latest articles - May 16, 2009 Category: OBGYN Authors: Vinita Gurung, Catherine Williamson, Lucy Chappell, Jenny Chambers, Annette Briley, Fiona Broughton-Pipkin and Jim Thornton Source Type: journals

Magpie Trial in the UK: methods and additional data for women and children at 2 years following pregnancy complicated by pre-eclampsiaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Data presented here provide further reassurance about the longer term safety of magnesium sulphate when used for women with pre-eclampsia. Postal questionnaires in the UK to assess the longer term health and wellbeing of women and children recruited to trials are feasible, and can achieve a high response rate. Responses from families and general practitioners were comparable Trial registration number of the Magpie Trial [ISRCTN86938761] (Source: BMC Pregnancy and Childbirth - Latest articles)
Source: BMC Pregnancy and Childbirth - Latest articles - April 14, 2009 Category: OBGYN Authors: Rebecca MD Smyth, Patsy Spark, Nina Armstrong and Lelia Duley Source Type: journals

Association of Apgar score at five minutes with long-term neurologic disability and cognitive function in a prevalence study of Danish conscriptsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We examined prevalence of neurologic disability and cognitive function according to five-minute Apgar score. Results: Less than 1% (136/19,559) of the conscripts had 5-minute Apgar scores (Source: BMC Pregnancy and Childbirth - Latest articles)
Source: BMC Pregnancy and Childbirth - Latest articles - April 2, 2009 Category: OBGYN Authors: Vera Ehrenstein, Lars Pedersen, Miriam Grijota, Gunnar Lauge Nielsen, Kenneth J Rothman and Henrik Toft Sorensen Source Type: journals

Criteria-based audit on management of eclampsia patients at a tertiary hospital in Dar es Salaam, TanzaniaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Potential areas for further improvement in quality of emergency care for eclampsia relate to standardizing management guidelines, greater involvement of specialists in the management of eclampsia and continued medical education on current management of eclampsia for junior staff. (Source: BMC Pregnancy and Childbirth - Latest articles)
Source: BMC Pregnancy and Childbirth - Latest articles - March 27, 2009 Category: OBGYN Authors: Hussein L Kidanto, Ingrid Mogren, Siriel N Massawe, Gunilla Lindmark and Lennarth Nystrom Source Type: journals

Rural Tanzanian women's awareness of danger signs of obstetric complicationsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Women had low awareness of danger signs of obstetric complications. We recommend the following in order to increase awareness of danger signs of obstetrical complications: to improve quality of counseling and involving other family members in antenatal and postnatal care, to use radio messages and educational sessions targeting the whole community and to intensify provision of formal education as emphasized in the second millennium development goal. (Source: BMC Pregnancy and Childbirth - Latest articles)
Source: BMC Pregnancy and Childbirth - Latest articles - March 26, 2009 Category: OBGYN Authors: Andrea B Pembe, David P Urassa, Anders Carlstedt, Gunilla Lindmark, Lennarth Nystrom and Elisabeth Darj Source Type: journals

Elevated antiphospholipid antibody titers and adverse pregnancy outcomes: analysis of a population-based hospital datasetEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Background: The primary objective of this study was to determine if elevated antiphospholipid antibody titers were correlated with the presence of preeclampsia/eclampsia, systemic lupus erythematosus (SLE), placental insufficiency, and a prolonged length of stay (PLOS), in women who delivered throughout Florida, USA. Methods: Cross-sectional analyses were conducted using a statewide hospital database. Prevalence odds ratios (OR) were calculated to quantify the association between elevated antiphospholipid antibody titers and four outcomes in 141,286 women who delivered in Florida in 2001. The possibility that the relation...
Source: BMC Pregnancy and Childbirth - Latest articles - March 16, 2009 Category: OBGYN Authors: James Nodler, Surjit R Moolamalla, Elizabeth M Ledger, Bahij S Nuwayhid and Zuber D Mulla Source Type: journals

Trends in adverse maternal outcomes during childbirth: a population-based study of severe maternal morbidityEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Severe adverse maternal outcomes associated with childbirth have increased in Australia and the increase was entirely among women who experienced a PPH. Reducing or stabilising PPH rates would halt the increase in adverse maternal outcomes. (Source: BMC Pregnancy and Childbirth - Latest articles)
Source: BMC Pregnancy and Childbirth - Latest articles - February 25, 2009 Category: OBGYN Authors: Christine L Roberts, Jane B Ford, Charles S Algert, Jane C Bell, Judy M Simpson and Jonathan M Morris Source Type: journals

Progesterone after previous preterm birth for prevention of neonatal respiratory distress syndrome (PROGRESS): a randomised controlled trial.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
DiscussionThis is a protocol for a randomised trial. Clinical Trial Registration: Current Controlled Trials ISRCTN20269066 (Source: BMC Pregnancy and Childbirth - Latest articles)
Source: BMC Pregnancy and Childbirth - Latest articles - February 24, 2009 Category: OBGYN Authors: Jodie M Dodd, Caroline A Crowther, Andrew J McPhee, Vicki Flenady and Jeffrey S Robinson Source Type: journals

Perinatal outcomes in a South Asian setting with high rates of low birth weightEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: High rates of fetal growth restriction and relatively high rates of preterm birth are responsible for the high rates of low birth weight in South Asia. Increased emphasis is required on health services that address the morbidity and mortality in all birth weight categories. (Source: BMC Pregnancy and Childbirth - Latest articles)
Source: BMC Pregnancy and Childbirth - Latest articles - February 9, 2009 Category: OBGYN Authors: Kuryan George, Jasmin Prasad, Daisy Singh, Shantidani Minz, David S Albert, Jayaprakash Muliyil, K S Joseph, Jyothi Jayaraman and Michael S Kramer Source Type: journals

Development and evaluation of a Chinese-language newborn needing hotline: A prospective cohort studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Initiation of a language-specific newborn feeding telephone hotline reached a previously underserved population and may have contributed to improved rates of exclusive breastfeeding. (Source: BMC Pregnancy and Childbirth - Latest articles)
Source: BMC Pregnancy and Childbirth - Latest articles - January 29, 2009 Category: OBGYN Authors: Patricia A Janssen, Verity H Livingstone, Bruce Chang and Michael C Klein Source Type: journals

Systematic review of effect of community-level interventions to reduce maternal mortalityEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Community-level interventions of improved perinatal care practices can bring about a reduction in maternal mortality. This challenges the view that investment in such interventions is not worthwhile. Programmes to improve maternal mortality should be evaluated using randomised controlled techniques to generate further evidence. (Source: BMC Pregnancy and Childbirth - Latest articles)
Source: BMC Pregnancy and Childbirth - Latest articles - January 20, 2009 Category: OBGYN Authors: Elaine Kidney, Heather R. Winter, Khalid S. Khan, A. M. Gulmezoglu, Catherine A. Meads, Jonathan J. Deeks and Christine MacArthur Source Type: journals

Misperceived pre-pregnancy body weight status predicts excessive gestational weight gain: findings from a US cohort studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Misperceived pre-pregnancy body weight status was associated with excessive gestational weight gain among both normal weight and overweight/obese women, with the greatest likelihood of excessive gain among overweight/obese underassessors. Future interventions should test the potential benefits of correcting misperception to reduce the likelihood of excessive gestational weight gain. (Source: BMC Pregnancy and Childbirth - Latest articles)
Source: BMC Pregnancy and Childbirth - Latest articles - December 22, 2008 Category: OBGYN Authors: Sharon J Herring, Emily Oken, Jess Haines, Janet W Rich-Edwards, Sheryl L Rifas-Shiman, Ken P Kleinman and Matthew W Gillman Source Type: journals

Cigarette smoking and risk of gestational diabetes: a systematic review of observational studies.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: The number of studies is small, with major heterogeneity in research design and findings. Taken together, current data do not support an association between cigarette smoking during pregnancy and the risk of gestational diabetes. (Source: BMC Pregnancy and Childbirth - Latest articles)
Source: BMC Pregnancy and Childbirth - Latest articles - December 16, 2008 Category: OBGYN Authors: Eliana M Wendland, Maria E Pinto, Bruce B Duncan, Jose M Belizan and Maria I Schmidt Source Type: journals

Study protocol. A prospective cohort study of unselected primiparous women: the pregnancy outcome prediction study.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report the design of a prospective cohort study of unselected primiparous women recruited at the time of their first ultrasound scan. Participation involves serial phlebotomy and obstetric ultrasound at the dating ultrasound scan (typically 10-14 weeks), 20 weeks, 28 weeks and 36 weeks gestation. In addition, maternal demographic details are obtained; maternal and paternal height are measured and maternal weight is serially measured during the pregnancy; maternal, paternal and offspring DNA are collected; and, samples of placenta and membranes are collected at birth. Data will be analysed as a prospective cohort study, ...
Source: BMC Pregnancy and Childbirth - Latest articles - November 19, 2008 Category: OBGYN Authors: Dharmintra Pasupathy, Alison Dacey, Emma Cook, D. STEPHEN Charnock-Jones, Ian R White and Gordon CS Smith Source Type: journals

Women's attitude towards prenatal screening for red blood cell antibodies, other than RhesusD.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Women highly accept the non-RhD antibody screening program. However, satisfaction about provided information is moderate. Oral and written information should be provided by obstetric care workers themselves, especially to screen-positive women. (Source: BMC Pregnancy and Childbirth - Latest articles)
Source: BMC Pregnancy and Childbirth - Latest articles - November 11, 2008 Category: OBGYN Authors: Joke M. Koelewijn, Tanja G.M. Vrijkotte, Masja de Haas, C. E. vander Schoot and Gouke J. Bonsel Source Type: journals

Obstetric risk indicators for labour dystocia in nulliparous women: A multi-centre cohort studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Vaginal examinations at admission provide useful information on risk indicators for dystocia. The strongest risk indicator was use of epidural analgesia and if part of that is causal, it is of concern. (Source: BMC Pregnancy and Childbirth - Latest articles)
Source: BMC Pregnancy and Childbirth - Latest articles - October 6, 2008 Category: OBGYN Authors: Hanne Kjærgaard, Jørn Olsen, Bent Ottesen, Per Nyberg and Anna-Karin Dykes Source Type: journals

Obstetric risk indicators for labour dystocia in nulliparous women:a multi-centre cohort studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Vaginal examinations at admission provide useful information on risk indicators for dystocia. The strongest risk indicator was use of epidural analgesia and if part of that is causal, it is of concern. (Source: BMC Pregnancy and Childbirth - Latest articles)
Source: BMC Pregnancy and Childbirth - Latest articles - October 6, 2008 Category: OBGYN Authors: Hanne Kjaergaard, Jorn Olsen, Bent Ottesen, Per Nyberg and Anna-Karin Dykes Source Type: journals

Maternal risk factors for abnormal placental growth: the national collaborative perinatal projectEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Maternal risk factors are either associated with placental growth restriction or placental hypertrophy not both. Our findings suggest that the placenta may have compensatory responses to certain maternal risk factors suggesting different underlying biological mechanisms. (Source: BMC Pregnancy and Childbirth - Latest articles)
Source: BMC Pregnancy and Childbirth - Latest articles - September 23, 2008 Category: OBGYN Authors: Kesha Baptiste-Roberts, Carolyn M. Salafia, Wanda K. Nicholson, Anne Duggan, Nae-Yuh Wang and Frederick L. Brancati Source Type: journals

A thematic analysis of factors influencing recruitment to maternal and perinatal trialsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Although factors reported by both participants and clinicians which influence recruitment were quite consistent across the included studies, studies comparing different recruitment strategies were largely missing. Trials of different recruitment strategies could be embedded in large multicentre RCTs, with strategies tailored to the factors specific to the trial and institution. (Source: BMC Pregnancy and Childbirth - Latest articles)
Source: BMC Pregnancy and Childbirth - Latest articles - August 7, 2008 Category: OBGYN Authors: Rebecca L Tooher, Philippa F Middleton and Caroline A Crowther Source Type: journals

Serum Screening with Down's Syndrome Markers to Predict Pre-eclampsia and Small for gestational age: Systematic Review and Meta-analysis.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Background: Reliable antenatal identification of pre-eclampsia and small for gestational age is crucial to judicious allocation of monitoring resources and use of preventative treatment with the prospect of improving maternal/perinatal outcome. The purpose of this systematic review was to determine the accuracy of five serum analytes used in Down's serum screening for prediction of pre-eclampsia and/or small for gestational age. Methods: The data sources included Medline, Embase, Cochrane library, Medion (inception to February 2007), hand searching of relevant journals, reference list checking of included articles, contact...
Source: BMC Pregnancy and Childbirth - Latest articles - August 4, 2008 Category: OBGYN Authors: Rachel K Morris, Jeltsje S Cnossen, Marloes Langejans, Stephen C Robson, Jos Kleijnen, Gerben ter Riet, Ben W Mol, Joris AM van der Post and Khalid S Khan Source Type: journals

Transition to parenthood: the needs of parents in pregnancy and early parenthoodEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Many studies and policy documents have highlighted the paucity of parents' preparation for parenthood. This study has indicated the need for an improvement in parents' preparation for parenthood, the importance of including fathers in antenatal education and that inadequate preparation remains a concern to both women and their partners. This paper identifies several avenues for action and further research to improve both new parents' experience of antenatal education and their preparation for parenthood. (Source: BMC Pregnancy and Childbirth - Latest articles)
Source: BMC Pregnancy and Childbirth - Latest articles - July 29, 2008 Category: OBGYN Authors: Toity Deave, Debbie Johnson and Jenny Ingram Source Type: journals

The early postnatal period: exploring women's views, expectations and experiences of care using focus groups in Victoria, AustraliaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Women have anxieties and fears around early parenting and their changing role, and may consider that the physical availability of professional care providers will help during this time. Care providers should be cognisant of these potential issues. It is crucial that women's concerns and needs be considered when service delivery changes are planned. If anxiety around new parenting is a predominant view then care providers need to recognise this and ensure care is individualised to address each woman's/families particular concerns. (Source: BMC Pregnancy and Childbirth - Latest articles)
Source: BMC Pregnancy and Childbirth - Latest articles - July 22, 2008 Category: OBGYN Authors: Della A Forster, Helen L McLachlan, Jo Rayner, Jane Yelland, Lisa Gold and Sharon Rayner Source Type: journals

Developing evidence-based maternity care in Iran: a quality improvement studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: The introduction of a quality improvement care model improved compliance with evidence-based guidelines and was associated with an improvement in women's satisfaction levels and a reduction in rates of caesarean birth. (Source: BMC Pregnancy and Childbirth - Latest articles)
Source: BMC Pregnancy and Childbirth - Latest articles - June 13, 2008 Category: OBGYN Authors: Siamak Aghlmand, Feizollah Akbari, Aboulfath Lameei, Kazem Mohammad, Rhonda Small and Mohammad Arab Source Type: journals

Multiplex ligation-dependent probe amplification versus karyotyping in prenatal diagnosis: the M.A.K.E. studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
DiscussionThe study results are expected to help decide whether MLPA can replace traditional karyotyping for 'low-risk' pregnancies in terms of diagnostic accuracy, quality of life and women's preferences. This will be the first clinical study to report on all relevant aspects of the potential replacement.Trial RegistrationThe protocol is registered in the clinical trial register number ISRCTN47252164 (Source: BMC Pregnancy and Childbirth - Latest articles)
Source: BMC Pregnancy and Childbirth - Latest articles - May 20, 2008 Category: OBGYN Authors: Elisabeth MA Boormans, Erwin Birnie, Hajo I Wildschut, Heleen G Schuring-Blom, Dick Oepkes, Carla AC van Oppen, Jan G Nijhuis, Merryn VE Macville, Angelique JA Kooper, Karin Huijsdens, Mariëtte VJ Hoffer, Attie Go, Johan Creemers, Shama L Bhola, Katia M Source Type: journals