Australian and New Zealand Journal of Obstetrics and Gynaecology
Background: There is conflicting information on the effects of oestrogen on the heart in women, especially those using postmenopausal hormone therapy. Whilst some studies reported a beneficial effect, others showed adverse outcomes. The interplay of lifestyle factors and type/timing of therapy remains to be clarified.
Aim: The aim of this study was to determine the effects of lifestyle and hormone...
Background: The use of oxytocin to prevent postpartum haemorrhage at elective caesarean section is largely based on evidence derived from vaginal births. Overseas studies indicate wide variation in practice with regard to specific doses of oxytocin administered at caesarean section. No such surveys have been undertaken in Australia or New Zealand.
Aims: To survey and report Australian and New Zealand...
Background: The major concern in gestational trophoblastic disease is management of persistent disease and malignant sequelae. However, prediction of response to treatment is difficult and methods used controversial.
Aim and methods: To evaluate the usefulness of clinical presentation, methods of diagnosis and categorisation of risk in determining clinical outcomes, by analysis of a database of...
Aims: To examine the costs, outcomes and cost savings of three models of prenatal cystic fibrosis (CF) carrier screening compared to no screening from a public health sector perspective.
Methods: A decision tree was generated to estimate costs and outcomes for each screening model for a hypothetical cohort of 38 000 pregnancies. Sensitivity analysis assessed the impact of model parameter variation...
Background: Early pregnancy loss has been linked to enduring psychological morbidity.
Aims: This study aimed to investigate the utility of the Kessler 10 (K10) questionnaire as a brief screening instrument to identify women at risk for the development of psychiatric diagnoses three months post‐miscarriage.
Method: Participants were 117 consecutive women presenting at a public hospital emergency...
Background: Papua New Guinea is a developing country with a population of six million, facing significant geographical, cultural and economic barriers to the provision of antenatal and intrapartum care. The maternal mortality ratio (MMR) is an internationally regarded index of the quality of a country’s maternity services; the most recently reported MMR for Papua New Guinea of 773 deaths per 100...
Objective: The purpose of this prospective, randomised, double‐blind, placebo‐controlled study was to assess the effects of a 5‐IU oxytocin bolus and placebo infusion versus a 5‐IU oxytocin bolus and 30 IU infusion on the control of blood loss at elective lower segment caesarean section (C/S).
Methods: Participants with indication for elective C/S were randomly allocated to two groups. Group A,...
Background: The federal government wants outcomes of hospital care to be made publicly available. League tables based on single clinical indicators are misleading, largely because of their inability to take case‐complexity into account.
Aim: To demonstrate the application of a graphical tool (the risk‐adjusted funnel plot) to the comparison of clinical outcomes across hospitals; and its advantages...
Background: Hypertensive disorders of pregnancy are an important cause of maternal mortality in this environment, it accounts for about 20% of all maternal deaths in pregnancy in Nigeria.
Aim: This study aims to determine the effect of the length of sexual cohabitation on the development of hypertension in pregnancy in a Nigerian population.
Materials and methods: The study was a prospective cohort...
Background: In 2004, the Federal Government introduced the baby bonus, a one‐off payment upon the birth of a child.
Aims: To assess the impact of an increase in the number of births on maternity services in New South Wales following the introduction of the baby bonus payment in July 2004.
Methods: A population‐based study, using NSW birth records, of 965 635 deliveries from 1998 to 2008 was carried...
Aim: The study aimed to compare the effect of intrauterine bupivacaine and levobupivacaine with placebo in reducing the post‐procedure discomfort owing to pain caused by suction endometrial sampling.
Methods: This study was conducted on randomly selected 45 women with abnormal uterine bleeding and who had undergone outpatient hysteroscopy and endometrial biopsy under sedation with propofol 0.5 mg/kg...