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BackgroundFetal scalp lactate has been shown to be as effective as scalp pH in predicting fetal outcomes. However, there is limited clinical evidence to demonstrate a strong correlation with fetal acidaemia at birth.
AimsTo compare the diagnostic accuracy of fetal scalp lactate and umbilical cord arterial blood gas values sampling, as it is used in clinical practice.
MethodsA retrospective cohort...
BackgroundThe effects of place of birth on birth outcomes have been examined in several studies both locally and internationally. However, none has examined the impact on caesarean section rates of different level maternity hospitals operating within the one health service. This study aimed to examine the impact of place of (Hospital level 6; 4–5 or 4) on birth outcomes in a large metropolitan health...
BackgroundTobacco smoking is the most important preventable cause of many adverse pregnancy outcomes. Some women continue to smoke during pregnancy although the harmful effects are evident.
AimsTo characterise pregnant smokers and to understand their smoking behaviours and preferences for smoking cessation.
Materials and MethodsPregnant women (≥18 years) attending the antenatal clinics of two large...
BackgroundThere are minimal data involving predictors of success of external cephalic version (ECV) in an Australian healthcare setting.
AimsTo determine the predictors of successful ECV as well as the success rate of ECV and the mode of, and presentation at, delivery for women undergoing ECV for breech presentation from 36‐weeks gestation.
MethodsA prospective review was carried out on all women...
IntroductionWhilst the prime role of a gynaecologic oncologist is the comprehensive management of women with a gynaecologic cancer, their surgical skills are increasingly utilised for general gynaecological and obstetric surgery. Within tertiary centres, there is increasing provision of support by gynaecologic oncologists for both emergency and complex elective cases.
AimThe aim of the study was...
BackgroundThe aim of the present study was to evaluate the significance of endometrial sampling in asymptomatic, bleeding‐free postmenopausal women who have endometrial thickness greater or equal to 5 mm.
MethodsA retrospective review was conducted of all women who underwent transvaginal ultrasonography between January 2000 and March 2009 in a menopause clinic, who were found to have an endometrial...
This study aims to investigate the longitudinal change in visceral fat thickness (VFT) during normal pregnancy. A prospective cohort study with 75 primiparous adolescents was carried out in Petrolina, Brazil. VFT was evaluated by ultrasound between 12–20 weeks gestation and immediately after delivery. We noted a statistically significant increase in VFT; 1.3 cm ± 1.0. No correlation was found between...
BackgroundWhile adverse events primarily affect the patient, surgeons involved can also experience considerable distress.
AimsThe aim of the survey was to assess the impact of complications on the day‐to‐day life, work and health of Australian and New Zealand obstetricians and gynaecologists and to evaluate existing support systems and coping strategies.
MethodsA 43‐question survey on self‐assessment,...
AimsThe main aim of this study was to determine the feasibility of using high‐resolution microarray to assist with prenatal diagnosis of ultrasound‐detected fetal abnormality and to describe the frequency of abnormal results in different categories of fetal anomalies.
MethodsProspective cross‐sectional study was conducted on women diagnosed with a fetal anomaly (ies) between February 2009 and December...
IntroductionTo determine current hospital practices and the opinions of senior health professionals working in Western Australian (WA) hospitals performing gynaecological procedures regarding pre‐operative pregnancy testing.
MethodsAnonymous questionnaire survey sent to all WA public and private hospitals' senior clinical staff (38 units where gynaecological surgery was performed in WA).
ResultsSixty‐one...
The first antenatal visit is a valuable opportunity to influence the health and well‐being of the mother and child during pregnancy, birth and beyond. Our primary‐care‐based cross‐sectional study of urban Aboriginal and Torres Strait Islander women found that 81% presented for their first antenatal visit within the first 10 weeks. Consequently, there can be up to 30 weeks in which health professionals...
BackgroundThere is growing support for umbilical cord blood gas analysis (UCBGA) to be conducted at delivery. A recent study in a tertiary level obstetric unit found that universal UCBGA was associated with improved perinatal outcomes, but there is less evidence of benefit in lower‐risk environments. In such settings, lactate analysis may be a suitable alternative.
AimsThis study evaluated the introduction...
BackgroundPostpartum urinary retention (PPUR) (also known as voiding dysfunction) is a common problem, defined as the inability to completely void after giving birth. If voiding dysfunction is not recognised, bladder overdistension can lead to denervation, detrusor atony and prolonged voiding dysfunction.
AimTo describe the incidence of PPUR amongst postpartum women undergoing routine bladder scanning...
BackgroundOur randomised controlled trial (RCT) found that a hysterosalpingogram (HSG) with the oil‐soluble contrast medium (OSCM) lipiodol improves pregnancy rates amongst couples with unexplained and endometriosis‐related infertility. These results were supported by the findings of our observational study of the first 100 women to undergo the procedure after it was offered as an innovative treatment...
Pre‐eclampsia remains a major burden of disease, accounting for approximately 50,000–70,000 maternal deaths each year worldwide. Frustratingly, the management of pre‐eclampsia has remained essentially unchanged for much of the last century and focussed primarily on maternal blood pressure control to allow fetal maturation. Recent advances in the understanding of the pathogenesis of pre‐eclampsia and...
A lipiodol hysterosalpingogram was the routine test for tubal patency as recently as the 1970s. Observational studies, then randomised controlled trials, provided evidence of a fertility enhancing effect of lipiodol. It has been found to improve fertility for women with normal tubal patency, particularly where the woman has a history of endometriosis. Previous successful treatment for infertility...
Retaining the placenta in situ at caesarean section for placenta percreta and awaiting placental reabsorption is widely practiced; however, there is limited evidence on the efficacy and complications of this strategy. We present three cases of placenta percreta managed conservatively and note that all three women experienced significant complications. A review of the literature showed that despite...
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