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  • Resultat 342891-342900 av 858976
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342891.
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342892.
  • Högberg, Ulf (författare)
  • Maternal deaths in Sweden 1971-1980
  • 1986
  • Ingår i: Acta Obstetricia et Gynecologica Scandinavica. - Köpenhamn : Munksgaard Forlag. - 0001-6349 .- 1600-0412. ; 65:2, s. 161-167
  • Tidskriftsartikel (refereegranskat)abstract
    • Sixty-eight deaths during pregnancy, parturition and puerperium were recorded in Sweden during the years 1971–80, giving a maternal mortality of 6.6 per 100 000 live births. the figurese for abdominal delivery and vaginal were 45.0 and 2.5 per 100000 live births respectively. Am-niotic fluid embolism, pulmonary embolism and hemorrhage were the main causes of death within 24 hours after delivery, while pre-eclampsia/eclampsia and sepsis were predominant during the rest of the puerperium. Age and parity are highly important risk factors. Presumed avoidable factors were identified in 19% of the cases. 9% of the deaths were related to unwanted pregnancy.
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342893.
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342894.
  • Högberg, Ulf, 1949- (författare)
  • Maternal deaths related to cesarean section in Sweden 1951-1980
  • 1989
  • Ingår i: Acta Obstetricia et Gynecologica Scandinavica. - : John Wiley & Sons. - 0001-6349 .- 1600-0412. ; 68:4, s. 351-357
  • Tidskriftsartikel (refereegranskat)abstract
    • During the years 1951–1980 the cesarean section rate in Sweden increased from 1.7% to 11%. In connection with this procedure 103 maternal deaths were reported, of which 49% were related to age as risk factor. The overall fatality rate declined from 5.1 to 0.4 per 1,000 operations; cesarean section mortality decreased from 8.6 to 4.4 per 100,000 births. The altered age distribution amongst the parturients contributed to a decrease of 17% in mortality. Half of the deaths were attributed to the surgical procedure. During the 1970s these complications constituted a six-fold risk increase of abdominal over vaginal delivery, and complications attributed to the surgical procedure of abdominal delivery comprised 19% of the maternal mortality during the same period.
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342895.
  • Högberg, U, et al. (författare)
  • Maternal mortality in Sweden, 1980-1988.
  • 1994
  • Ingår i: Obstetrics and Gynecology. - 0029-7844 .- 1873-233X. ; 84:2, s. 240-4
  • Tidskriftsartikel (refereegranskat)abstract
    • Regular reviews of maternal mortality are still important in a country with a low rate of maternal deaths. The new classification of maternal deaths allows a better international comparison of mortality risks. Continuous surveillance of maternal deaths and pregnancy-related deaths requires record linkage of birth and death registrations.
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342896.
  • Högberg, Ulf, 1949-, et al. (författare)
  • Medical diagnoses among infants at entry in out-of-home care : A Swedish population-register study
  • 2019
  • Ingår i: Health Science Reports. - : Wiley. - 2398-8835. ; 2:8
  • Tidskriftsartikel (refereegranskat)abstract
    • Background and aims: Identification of child abuse involves a medical investigation and assessment of problems related to social environment and upbringing and might necessitate out-of-home care. The objective of this study was to analyse infants placed in out-of-home care in Sweden by incidence, medical diagnoses, and perinatal factors.Methods: This was a population-based register study of infants born in Sweden 1997 to 2014. Data were retrieved from registers at the Swedish National Board of Health and Welfare and Statistics Sweden. Outcome measures were out-of-home care categories: (a) "Problems Related to Social Environment/Upbringing", (b) "Abuse diagnoses without SDH (subdural haemorrhage), RH (retinal haemorrhage), rib fracture, or long bone fracture", and (c) "SDH, RH, rib fracture, or long bone fracture." As a reference population, we randomly selected infants without medical diagnoses born the same year.Results: Overall incidence of out-of-home care was 402 per 100 000. For subcategories (a), (b), and (c), the incidences were 14.8 (n = 273), 3.77 (n = 70), and 9.83 (n = 182) per 100 000, respectively. During the study period, the first remained unchanged; the latter two have been increasing. Compared with other reasons for out-of-home care, children in category (c), "SDH, RH, rib fracture, or long bone fracture", had increased odds of being boys (adjusted odds ratio [aOR] 1.60; 95% confidence interval [CI], 1.08-2.38) and decreased odds of having a mother being single (aOR 0.49; 95% CI, 0.32-0.75) and a smoker (aOR 0.60; 95% CI, 0.37-0.96). Compared with the reference population, children in this category were more often twin born (7.7% versus 2.8%), preterm (18.5% versus 5.5%), and small-for-gestational age (5.2% versus 2.1%).Conclusion: SDH, RH, rib fracture, or long bone fracture constitute a minor part of medical diagnoses for infants entered in out-of-home care, but have been increasing, both in numbers and proportion. Overdiagnosis of abuse might be a possible reason but cannot be ascertained by this study design.
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342897.
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342898.
  • Högberg, Ulf, 1949-, et al. (författare)
  • Metabolic bone disease risk factors strongly contributing to long bone and rib fractures during early infancy : A population register study
  • 2018
  • Ingår i: PLOS ONE. - : PUBLIC LIBRARY SCIENCE. - 1932-6203. ; 13:12
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: The aim of this study was to assess the incidence of fractures in infancy, overall and by type of fracture, its association with accidents, metabolic bone disease risk factors, and abuse diagnosis.Methods: The design was a population-based register study in Sweden. Participants: Children born 1997-2014,0-1 years of age diagnosed with fracture-diagnosis according to International Classification of Diseases (ICD10) were retrieved from the National Patient Register and linked to the Swedish Medical Birth Register and the Death Cause Register. Main outcome measures were fractures of the skull, long bone, clavicle and ribs, categorized by age (younger or older than 6 months), and accident or not.Findings: The incidence of fractures during infancy was 251 per 100 000 infants (n = 4663). Major fracture localisations were long bone (44.9%), skull (31.7%), and clavicle (18.6%), while rib fractures were few (1.4%). Fall accidents were reported among 71-4%. One-third occurred during the first 6 months. Metabolic bone disease risk factors, such as maternal obesity, pre-term birth, vitamin D deficiency, rickets, and calcium metabolic disturbances, had increased odds of fractures of long bones and ribs in early infancy (0-6 months): birth 32-36 weeks and long bone fracture [AOR 2.13 (95%CI 1.67-2.93)] and rib fracture [AOR 4.24 (95%Cl 1.40-12.8)]. Diagnosis of vitamin D deficiency/rickets/disorders of calcium metabolism had increased odds of long bone fracture [AOR 49.5 (95%CI 18.3-134)] and rib fracture [AOR 617 (95%CI 162-2506)]. Fractures without a reported accident had higher odds of metabolic risk factors than those with reported accidents. Abuse diagnosis was registered in 105 infants, with overrepresentation of preterm births, multiple births and small-for-gestational age.Interpretation: Metabolic bone disease risk factors are strongly associated with fractures of long bone and ribs in early infancy. Fracture cases with abuse diagnosis had a metabolic bone risk factor profile.
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342899.
  • Högberg, Ulf (författare)
  • Midlevel providers and the Fifth Millennium Goal of reducing maternal mortality.
  • 2010
  • Ingår i: Sexual & reproductive healthcare : official journal of the Swedish Association of Midwives. - : Elsevier BV. - 1877-5764. ; 1:1, s. 3-5
  • Tidskriftsartikel (refereegranskat)abstract
    • The implementation of community midwifery, characterized by a health system approach, political commitment, task-shifting, close supervision and complimentary roles of midwives and doctors, was a major contributor to the decline in maternal and neonatal mortality in Sweden during the late 19th century. In respect of the MDG5 a causal inference between skill birth attendants and decline in maternal mortality might not be straight forward but more a matter of skilled birth attendance, i.e. obstetricians, professional midwives, other midlevel providers and nurse-aides working in an enabling environment. A health system approach, commitment and mobilization, is a necessity to achieve safe abortions and safe deliveries by full coverage and equity.
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342900.
  • Högberg, Ulf (författare)
  • [No way back?]
  • 2007
  • Ingår i: Lakartidningen. - 0023-7205. ; 104:9, s. 692-
  • Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)
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