| 1. |
- Al-Adili, N, et al.
(författare)
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Maternal mortality among Palestinian women in the West Bank
- 2006
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Ingår i: International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics. - : Wiley. - 0020-7292. ; 93:2, s. 164-170
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Tidskriftsartikel (refereegranskat)
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| 2. |
- Blum, J, et al.
(författare)
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Treatment of incomplete abortion and miscarriage with misoprostol
- 2007
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Ingår i: International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics. - : Wiley. - 0020-7292. ; 9999 Suppl 2, s. S186-S189
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Tidskriftsartikel (refereegranskat)
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| 3. |
- Cedergren, Marie, 1963-
(författare)
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Effects of gestational weight gain and body mass index on obstetric outcome in Sweden
- 2006
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Ingår i: International Journal of Gynecology & Obstetrics. - : Elsevier. - 0020-7292 .- 1879-3479. ; 93:3, s. 269-274
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- Objective: The objective of this study was to estimate the effects of low and high gestational weight gain, in different maternal Body Mass Index (BMI) classes, on obstetric and neonatal outcomes. Method: A prospective population-based cohort study of 245,526 singleton term pregnancies. Women were grouped in five categories of BMI and in three gestational weight gain categories, < 8 kg (low weight gain), 8-16 kg and > 16 kg (high weight gain). Obstetric and neonatal outcomes were evaluated after adjustments for maternal age, parity, smoking, year of birth. Result: Obese women with low gestational weight gain had a decreased risk for the following outcomes (adjusted odds ratio, 95% confidence interval): preeclampsia (0.52, 0.42-0.62), cesarean section (0.81, 0.73-0.90), instrumental delivery (0.75, 0.63-0.88), and LGA births (0.66, 0.59-0.75). There was a 2-fold increased risk for preeclampsia and LGA infants among average and overweight women with excessive weight gain. High gestational weight gain increased the risk for cesarean delivery in all maternal BMI classes. Conclusion: The effects of high or low gestational weight gain differ depending on maternal BMI and the outcome variable studied. Obese women may benefit from a low weight gain during pregnancy.
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| 4. |
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| 5. |
- De Leon, RGP, et al.
(författare)
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Misoprostol for intrauterine fetal death
- 2007
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Ingår i: International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics. - : Wiley. - 0020-7292. ; 9999 Suppl 2, s. S190-S193
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Tidskriftsartikel (refereegranskat)
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| 6. |
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| 7. |
- Fiala, C, et al.
(författare)
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Cervical priming with misoprostol prior to transcervical procedures
- 2007
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Ingår i: International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics. - : Wiley. - 0020-7292. ; 9999 Suppl 2, s. S168-S171
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Tidskriftsartikel (refereegranskat)
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| 8. |
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| 9. |
- Gemell-Danielsson, K, et al.
(författare)
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Misoprostol to treat missed abortion in the first trimester
- 2007
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Ingår i: International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics. - : Wiley. - 0020-7292. ; 9999 Suppl 2, s. S182-S185
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Tidskriftsartikel (refereegranskat)
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| 10. |
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| 11. |
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| 12. |
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| 13. |
- Hussein, Julia, et al.
(författare)
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Confidential inquiries into maternal deaths : modifications and adaptations in Ghana and Indonesia
- 2009
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Ingår i: International Journal of Gynecology & Obstetrics. - : Wiley. - 0020-7292 .- 1879-3479. ; 106:1, s. 80-84
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: Factors contributing to the limited use of confidential inquiries into maternal deaths include the negative focus and demotivating effect of such inquiries, perceptions of unavailability of sufficient documentation of events, and lack of time and resources. To ascertain whether these problems can be overcome, variations to confidential inquiries into maternal deaths were introduced in Ghana and Indonesia. METHODS: Clinical review panels were set up as part of the usual process of confidential inquiries, and modifications to the confidential inquiries were introduced. In Ghana, the traditional confidential inquiry process focusing on health facility care was modified to introduce the assessment of positive factors. In addition to the assessment of positive factors, adaptations in Indonesia consisted of including cases of obstetric complications, as well as deaths, and the use of interview testimonials as data sources. Information about resource and time needs for conducting confidential inquiries was collected. RESULTS: The introduction of positive aspects to the process provided a balanced and more motivating setting for the inquiry. The data obtained from case notes in district hospitals and interview testimonials provided sufficient information to assess why maternal deaths and severe complications occurred. The costs of conducting the inquiries ranged from US $4000 to US $11000 (per study), and the estimated time required for a panel member to review each case was more than 3 hours. CONCLUSION: This study introduced practical ways to encourage the implementation of maternal death reviews, inquiries, and audits that are context specific and, therefore, acceptable to local practitioners.
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| 14. |
- Ingelman-Sundberg, A
(författare)
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The effect of urine on the endometrium
- 2007
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Ingår i: International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics. - : Wiley. - 0020-7292. ; 99:1, s. 4-5
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Tidskriftsartikel (refereegranskat)
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| 15. |
- Lazarus, Jeffrey, et al.
(författare)
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Reducing postpartum hemorrhage in Africa.
- 2005
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Ingår i: International Journal of Gynecology & Obstetrics. - : Wiley. - 1879-3479 .- 0020-7292. ; 88:1, s. 89-90
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Tidskriftsartikel (refereegranskat)abstract
- Postpartum hemorrhage (PPH) is the leading cause of maternal mortality in sub-Saharan Africa. This is being addressed by leading professional organizations, which point to the importance of a skilled attendant at birth. But they also emphasize that the active management of the third stage of labor is proven to reduce the incidence of PPH. In low-income settings, the prostaglandin misoprostol should be considered as it is low-cost, stable at room temperature and easy to administer.
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| 16. |
- Lindholm, Åsa, et al.
(författare)
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Prevalence of symptoms associated with polycystic ovary syndrome
- 2008
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Ingår i: International Journal of Gynecology & Obstetrics. - : Wiley. - 0020-7292 .- 1879-3479. ; 102:1, s. 39-43
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: To establish the prevalence of symptoms associated with polycystic ovary syndrome (PCOS) in a population-based sample of women from Northern Sweden, and to relate symptoms of PCOS to features of metabolic syndrome. METHODS: A population-based survey of 147 women under 40 years of age sampled from 267 eligible women from the Northern Sweden component of the World Health Organization's MONICA study. The study involved questionnaires, physical examination, and assays of testosterone and sex hormone-binding globulin. RESULTS: The estimated prevalence of symptoms associated with PCOS was 4.8% in the study population. Features of metabolic syndrome were more common in women with signs of hyperandrogenism than in healthy controls. CONCLUSION: The estimated prevalence of PCOS in Northern Sweden corresponds with other prevalence studies. A simple questionnaire and analysis of the free androgen index are sufficient to detect the subgroup with the highest risk for metabolic syndrome.
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| 17. |
- Mbaruku, G, et al.
(författare)
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Perinatal audit using the 3-delays model in western Tanzania
- 2009
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Ingår i: International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics. - : Wiley. - 1879-3479. ; 106:1, s. 85-88
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Tidskriftsartikel (refereegranskat)
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| 18. |
- Moyo, N. T., et al.
(författare)
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Emergency obstetric care: Impact on emerging issues
- 2007
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Ingår i: International Journal of Gynecology & Obstetrics. - : Wiley. - 1879-3479 .- 0020-7292. ; 98:2, s. 175-177
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- Access to Emergency obstetric care (EmOC) remains a challenge for women. This paper presents a summary of issues and suggestions from one of the working groups at the FIGO precongress workshop on access of sexual and reproductive health care in November, 2006, in Kuala Lumpur.
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| 19. |
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| 20. |
- Nyamtema, A S, et al.
(författare)
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Partogram use in the Dar es Salaam perinatal care study
- 2008
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Ingår i: International Journal of Gynecology & Obstetrics. - : Wiley. - 0020-7292 .- 1879-3479. ; 100:1, s. 37-40
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Tidskriftsartikel (refereegranskat)abstract
- Objective: To assess the quality of partograms used to monitor tabor in Dar es Salaam hospitals, Tanzania. Methods: The study team reviewed the records of the parameters of tabor, and maternal and fetal conditions in 367 partograms, and interviewed 20 midwives. Results: All midwives interviewed had been previously trained to use the partogram. Of all partograms reviewed, 50% had no records of duration of tabor. Although cervical dilation and fetal heart rates were recorded in 97% and 94% of the partograms respectively, 63% and 91% of these were judged to be substandard. Substandard monitoring of fetal heart rates was strongly associated with poor fetal outcome (P<0.001). Blood pressure, temperature, and pulse rates were not recorded in 47%-76% of partograms. Conclusion: These findings reflect poor management of tabor and indicate urgent in-service training to address the importance of documentation and regular partogram audit in order to reduce maternal and perinatal deaths. (c) 2007 International Federation of Gynecology and Obstetrics.
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| 21. |
- Näsman, Per, et al.
(författare)
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Perceived consequences among pregnant and non-pregnant women of continuing or ceasing to smoke.
- 2007
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Ingår i: International Journal of Gynecology & Obstetrics. - : Elsevier. - 0020-7292. ; 99:2, s. 117-121
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Tidskriftsartikel (refereegranskat)abstract
- Objective To examine the perception of risk of smoking-related psychological and social outcomes, and the effect of pregnancy and intention to stop smoking on the perceived risk. Methods Eighty women were asked to make judgments about the probability of outcomes for smoking-related consequences. Four subgroups were created using the variables of pregnancy (pregnant versus not pregnant) and cessation of smoking (intention to stop versus no intention to stop). Judgments were based on the decision to stop and not stop smoking. Result Intention to stop smoking affected the estimated probabilities for the occurrence of consequences for both continuing and stopping smoking, whereas pregnancy did not affect the estimated probabilities. The estimated effect of stopping smoking was statistically significant. Conclusion Health messages about smoking for all population groups should consider both future risk of mortality and immediate quality-of-life effects of smoking.
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| 25. |
- ten Hoope-Bender, P, et al.
(författare)
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Human resources and access to maternal health care
- 2006
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Ingår i: International Journal of Gynecology & Obstetrics. - : Wiley. - 1879-3479 .- 0020-7292. ; 94:3, s. 226-233
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Tidskriftsartikel (refereegranskat)abstract
- The lack of human resources is one of the main bottlenecks to achieving the Millennium Development Goals on maternal and child health. A coherent national policy, recognized across government, needs to be in place to overcome this especially in countries severely affected by HIV/AIDS. Such a policy should cover selection of pre-service students, the qualifications of trainers and training sites, supportive supervision, career path development, a package of carefully thought-out incentives for the retention of staff, strategies for interaction with communities, and an agreed-upon health staff HIV/AIDS policy. Without such coherent human resource planning, a large number of countries will fail to reduce maternal and newborn mortality.
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| 26. |
- Wide-Swensson, Dag, et al.
(författare)
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Antepartum percutaneous renal biopsy
- 2007
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Ingår i: International Journal of Gynecology & Obstetrics. - : Wiley. - 1879-3479 .- 0020-7292. ; 98:2, s. 88-92
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Tidskriftsartikel (refereegranskat)abstract
- Objective: To assess the value and adverse effects of an ultrasound -guided renal biopsy technique in women with normal and pathotogic pregnancies. Method: Biopsy samples were taken from 36 women with hypertensive disease (28 with pre-eclampsia) and 18 healthy pregnant women using a thin needle and an ultrasound -guided biopsy device. Results: Gtomerutar endotheliosis, a structural change typical of pre-eclampsia, was found in all hypertensive women, but it was more pronounced in the 28 pre-eclamptic women than in the 8 women with nonproteinuric hypertension. A similar change, however, was seen in 11 of the 18 controls. One serious adverse event occurred, retroperitoneat hematoma, in the woman with the most severe pre-eclampsia. Conclusion: Glomerular endotheliosis is not to be considered pathognomonic for pre-eclampsia. Few complications followed renal biopsy in this study, but complications arose in the sickest patient. It is probably not advisable to perform anteparturn renal biopsies in pregnant women with a rapidly deteriorating renal function and swollen kidneys. In these women, the biopsy does not facilitate diagnosis and is hazardous. (c) 2007 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. AR rights reserved.
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