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- Ellberg, L, et al.
(författare)
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Comparison of health care utilization of postnatal programs in Sweden
- 2005
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Ingår i: Journal of Obstetric, Gynecologic and Neonatal Nursing. - : Elsevier BV. - 0884-2175 .- 1552-6909. ; 34:1, s. 55-62
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: To describe the utilization of health care services, based on number of outpatient visits and readmissions, by mothers and newborns following discharge postnatally after having received various types of maternity care.DESIGN: The design was a cohort of Swedish women giving birth at full term. All together, 773 women and 782 newborns were followed using questionnaires, registry data, and medical chart notes. The information served as a basis for analyzing utilization of health care services during the first 28 days post-delivery.RESULTS: Of the women, 15% sought medical care and 1.7% were readmitted, whereas 17% of the newborns received medical care and 2.9% were readmitted. At 6 months, about half were exclusively being breastfed. There was no difference in need to seek health care or breastfeeding outcome owing to type of maternity care.CONCLUSION: Mothers with newborns sought care relatively frequently but rarely needed to be readmitted after discharge from the maternity care. The risk of readmission during the first month after childbirth was not greater for mothers and children who received care through the family suite or early discharge programs.
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- Raberg, U., et al.
(författare)
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Detection and species discrimination using rDNA T-RFLP for identification of wood decay fungi
- 2005
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Ingår i: Holzforschung. - 0018-3830 .- 1437-434X. ; 59:6, s. 696-702
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Tidskriftsartikel (refereegranskat)abstract
- In the present work PCR technology was used as a tool to detect the early stages of wood decay and was compared with microscopic evaluation. The wood decay fungi Postia placenta and Coniophora puteana were detectable in interior wood samples by terminal restriction fragment length polymorphism (T-RFLP) after 2 weeks of incubation with monocultures, while microscopic detection of hyphae was not possible until after 7 weeks. A potential problem when fungal communities are studied with T-RFLPs of rDNA is that intra-specific variation complicates data analysis. In this work, we show that intra-specific sequence variation in the internal transcribed spacer of the rDNA in Coniophora puteana allows T-RFLP identification of this species. This is due to intra-specific variations in fragment length, in combination with the absence of point mutations in the selected restriction sites.
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- Samuelsson, Ellen, et al.
(författare)
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Pregnancy-related deaths due to pulmonary embolism in Sweden
- 2007
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Ingår i: Acta Obstet Gynecol Scand. ; 86:4, s. 435-43
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: The objective of this study was to report deaths from amniotic fluid embolism (AFE) and pregnancy-related venous thromboembolism (VTE), to study contributing factors, and to analyse mortality trends. METHODS: Using the Swedish Cause of Death Register (CDR), we identified all women aged 15-44, who died during 1990-1999, with VTE or AFE coded as the underlying or contributory cause of death. We scrutinised medical records, and women who had died during pregnancy or within 6 weeks of terminated pregnancy were included. We also used data from the Medical Birth Register (MBR) on incident and fatal cases. Mortality data from the 1970s and 1980s were based on previous studies, in which cases were identified through register linkage (CDR and MBR). RESULTS: Five women died of AFE and 10 of VTE - 6 in early pregnancy - during the 1990 s. Five of the cases were not registered as maternal deaths. Only 4 cases were reported as pregnancy-related deaths from pulmonary embolism (PE). Cesarean section/surgery without thromboprophylaxis, overweight, severe intercurrent disease, delays in seeking health care, and verbal miscommunication were contributing factors in the VTE cases. VTE mortality rates (pregnancy >28 weeks and/or a registered birth) were 1.0 (0.5-1.8), 0.8 (0.3-1.6), and 0.4 (0.1-1.0) per 100,000 live births during the 1970s, 1980s and 1990 s, respectively; the corresponding respective figures for AFE were 1.0 (0.5-1.8), 1.1 (0.6-2.1), and 0.5 (0.2-1.1) per 100,000 live births. The case fatality rate for VTE decreased from 4.5% in the 1970s, to 0.6% in the 1990 s, paralleled with quadrupled incidence. The case fatality rate for AFE was unaltered and high, around 45%, during those 3 decades. CONCLUSIONS: Mortality from pregnancy-related PE in Sweden is in the lowest range ever reported, and shows a downward trend during the 1990 s, with a shift towards early pregnancy. In order to monitor mortality trends, death certificate quality must improve, and registers must be linked routinely.
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