| 1. |
- Stapleton, D B, et al.
(författare)
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The prevalence of recalled back pain during pregnancy : a South Australian population survey
- 2002
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Ingår i: Australian and New Zealand journal of obstetrics and gynaecology. - : Wiley. - 0004-8666 .- 1479-828X. ; 42:5, s. 482-485
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE:To determine the prevalence of low back pain during pregnancy (LBPP) in an Australian population.DESIGN:A representative population-based survey of women aged 15 years and older.SETTING AND SAMPLE:Four thousand four hundred randomly selected South Australian households were visited by trained surveyors who interviewed 1531 women (69.7% response rate) using pre-tested questions.METHODS:The South Australian Health Omnibus survey was utilised.MAIN OUTCOME MEASURES:Demographic data were collected along with details of previous pregnancies, and degree of back pain during pregnancy treatment regimens, and persistence of back pain.RESULTS:Thirty-five and a half per cent of women recall having at least moderately severe back pain during pregnancy. Women who reported such back pain were younger, were more likely to report ill health and be unemployed. Increasing parity was not associated with current back pain. The most commonly used treatments were bed rest, pain killing medication, physiotherapy, and chiropractic treatment. Half of those with symptoms were untreated. Sixty-eight per cent of women who experienced moderate or worse low back pain during pregnancy continued to experience recurring low back pain with a self reported reduction in their health.CONCLUSIONS:Chronic low back pain is commonly associated with an onset in pregnancy subjectively contributing to long-term morbidity The high prevalence may be an underestimate in view of the potential for recall bias in older women.
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| 2. |
- Stapleton, David B, et al.
(författare)
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The prevalence of recalled low back pain during and after pregnancy : a South Australian population survey
- 2002
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Ingår i: Australian and New Zealand journal of obstetrics and gynaecology. - : Wiley. - 0004-8666 .- 1479-828X. ; 42:5, s. 482-485
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Tidskriftsartikel (refereegranskat)abstract
- ObjectiveTo determine the prevalence of low back pain during pregnancy (LBPP) in an Australian Results population.DesignA representative population-based survey of women aged 15 years and older.Setting and sampleFour thousand four hundred randomly selected South Australian households were visited by trained surveyors who interviewed 1531 women (69.7% response rate) using pre-tested questions.MethodsThe South Australian Health Omnibus survey was utilised.Main outcome measuresDemographic data were collected along with details of previous pregnancies, and degree of back pain during pregnancy, treatment regimens, and persistence of back pain.ResultsThirty-five and a half per cent of women recall having at least moderately severe back pain during pregnancy. Women who reported such back pain were younger, were more likely to report ill health and be unemployed. Increasing parity was not associated with current back pain. The most commonly used treatments were bed rest, pain killing medication, physiotherapy, and chiropractic treatment. Half of those with symptoms were untreated. Sixtyeight per cent of women who experienced moderate or worse low back pain during pregnancy continued to experience recurring low back pain with a self reported reduction in their health.ConclusionsChronic low back pain is commonly associated with an onset in pregnancy subjectively contributing to long-term morbidity. The high prevalence may be an underestimate in view of the potential for recall bias in older women.
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| 3. |
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| 4. |
- Deans, R., et al.
(författare)
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The first Australian uterus transplantation procedure: A result of a long-term Australian-Swedish research collaboration
- 2023
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Ingår i: Australian & New Zealand Journal of Obstetrics & Gynaecology. - 0004-8666.
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Tidskriftsartikel (refereegranskat)abstract
- AimsThe aim is to report the results of Australia's first uterus transplantation (UTx). MethodsFollowing long-standing collaboration between the Swedish and Australian teams, Human Research Ethics approval was obtained to perform six UTx procedures in a collaborative multi-site research study (Western Sydney Local District Health 2019/ETH13038), including Royal Hospital for Women, Prince of Wales Hospital, and Westmead Hospital in New Souh Wales. Surgeries were approved in both the live donor (LD) and deceased donor models in collaboration with the inaugural Swedish UTx team. ResultsThis is the first UTx procedure to occur in Australia, involving a mother donating her uterus to her daughter. The total operative time for the donor was 9 h 54 min. Concurrently, recipient surgery was synchronised to minimise graft ischaemic time, and the total operative time for the recipient was 6 h 12 min. Surgery was by laparotomy in the LD and recipient. The total warm ischaemic time of the graft was 1 h 53 min, and the cold ischaemic time was 2 h 17 min (total ischaemic time 4 h 10 min). The patient's first menstruation occurred 33 days after the UTx procedure. ConclusionTwenty-five years of Swedish and Australian collaboration has led to Australia's first successfully performed UTx surgery at The Royal Hospital for Women, Sydney, Australia.
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| 5. |
- Gerdin, Eva, et al.
(författare)
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The role of maternal age and episiotomy in the risk of anal sphincter tears during childbirth
- 2007
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Ingår i: Australian and New Zealand journal of obstetrics and gynaecology. - 0004-8666 .- 1479-828X. ; 47:4, s. 286-290
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Many women who experience anal sphincter tear will suffer from anal incontinence. The most important tool to avoid this is to recognise the obstetric risk factors involved and thereby prevent injury. AIMS: The aim of this study was to analyse and evaluate the risk factors of anal sphincter tear during delivery. METHODS: Of a total of 57,943 vaginal deliveries, we identified 565 women with partial or total rupture of the anal sphincter and compared these women with 565 controls without sphincter tear with respect to possible risk factors. RESULTS: Several factors were significantly associated with sphincter tears, including nulliparity, birthweight, instrumental delivery, episiotomy, malpresentation, maternal age and epidural analgesia. The importance of these variables was further confirmed in a stepwise logistic regression analysis. Age was found to be a significant risk factor only when the birthweight was less than 4000 g. Episiotomy more than doubled the risk of sphincter tear when delivery was non-instrumental. CONCLUSION: There are several independent risk factors that should be considered when making decisions regarding delivery mode. Maternal age and episiotomy in non-instrumental delivery are two of these.
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| 6. |
- Hassan, Wassim A, et al.
(författare)
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Intrapartum assessment of caput succedaneum by transperineal ultrasound: a two-centre pilot study.
- 2015
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Ingår i: Australian and New Zealand Journal of Obstetrics and Gynaecology. - : Wiley. - 1479-828X .- 0004-8666. ; 55:4, s. 401-403
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Tidskriftsartikel (refereegranskat)abstract
- Digital assessments of caput succedaneum are subjective; however, caput succedaneum can also be expressed as ultrasound measured skin-skull distance (SSD). In this study, we aimed to compare the clinical and ultrasound assessment of caput succedaneum (caput) in nulliparous women in the first stage of labour. Furthermore, we aimed to investigate the repeatability of ultrasound measurements. We observed a significant but low correlation between clinical and ultrasound assessments (Kappa value 0.29; P < 0.01). Interobserver repeatability for SSD showed an intraclass correlation coefficient of 0.96 (95% CI, 0.93-0.98). The mean difference for the caput measurements was -0.4 mm (95% CI, -0.85 to 0.05), and limits of agreement were -3.44 to 2.64 mm. We conclude that ultrasound measured SSD is an objective expression of caput with significant correlation with clinical assessment.
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| 7. |
- Hildingsson, Ingegerd, et al.
(författare)
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Women’s experiences of labour induction - findings from a Swedish regional study
- 2011
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Ingår i: Australian and New Zealand journal of obstetrics and gynaecology. - 0004-8666 .- 1479-828X. ; 51:2, s. 151-157
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Tidskriftsartikel (refereegranskat)abstract
- Background: Induction of labour is common in modern obstetrics but its impact on women's birth experiences is inconclusive.Aim: The aim of the present study was to explore the prevalence of induction in a Swedish region and reasons for labour induction. A second aim was to compare the experience of spontaneous labour and birth for women to the experience of induction of labour. A third aim was to explore the difference in labour in relation to the length of pregnancy.Methods: A one-year cohort of 936 women was included in a longitudinal Swedish survey in which data were collected by questionnaires, two months after birth. The main outcome was a set of data recording women's birth experiences.Results: Labour induction was performed in 17% of births and mostly performed for medical reasons. Women who were induced used more epidurals (OR 2.3; 95% CI 1.4-3.8) for pain relief and used bath/shower less frequently for pain relief (OR 0.3; 95% CI 0.2-0.5). Labour induction was associated with a less positive birth experience (OR 1.5; 95% CI 1.0-2.3), and women who were induced were more likely to totally agree that they were frightened that the baby would be damaged during birth (OR 2.1; 95% CI 1.2-3.9), but the assessment of feelings during birth differed with regard to length of pregnancy.Conclusion: Labour induction affects women's experiences of birth and is related to length of pregnancy.
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| 8. |
- Mathai, M, et al.
(författare)
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Ethnicity and fetal growth in Fiji
- 2004
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Ingår i: The Australian & New Zealand journal of obstetrics & gynaecology. - 0004-8666. ; 44:4, s. 318-321
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Tidskriftsartikel (refereegranskat)
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| 9. |
- Mårtensson, Lena, et al.
(författare)
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Sterile water injections as treatment for low-back pain during labour : A review
- 2008
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Ingår i: Australian and New Zealand journal of obstetrics and gynaecology. - : Blackwell Publishing. - 0004-8666 .- 1479-828X. ; 48:4, s. 369-374
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Forskningsöversikt (refereegranskat)abstract
- Background: Some women have severe low-back pain during childbirth. It has been shown that sterile water injections reduce this pain. This method, which is easy to learn and very cheap can be a good pain relief alternative primarily in countries with limited available pain relief options. Aims: The aim of this article was to describe published research concerning sterile water injections for treatment of low-back pain during labour. Methods: Three databases were searched from their inception until February, 2008. The inclusion criteria were trials elucidating the pain relief effect of sterile water injections during childbirth. The search terms were labour, birth, obstetrics, parturient, pregnancy, pain relief, analgesia, injection, papules, blocks and sterile water. The computerised literature searches yielded 64 trials, 55 of which failed to meet our inclusion criteria. We used the Jadad Score Instrument to assess the quality of the remaining nine articles, of which six were of adequate quality. Results: All studies in this review had similar alms, designs and measurement instruments and they reported good pain relief particularly, for low-back pain during childbirth. In all studies the pain score reduction is approximately, 60% and the effect remains up to two hours. Conclusions: Sterile water injections seem to be a good alternative for low-back pain during childbirth.
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| 10. |
- Nilsson, Lena, et al.
(författare)
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Risk factors for postoperative complications after fast-track abdominal hysterectomy
- 2012
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Ingår i: Australian and New Zealand journal of obstetrics and gynaecology. - : Wiley-Blackwell. - 0004-8666 .- 1479-828X. ; 52:2, s. 113-120
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Tidskriftsartikel (refereegranskat)abstract
- Background: Fast-track regimen has been shown to reduce postoperative complications in gastrointestinal surgery. less thanbrgreater than less thanbrgreater thanAims: We investigated the incidence and type of postoperative complications and associated risk factors after benign abdominal hysterectomy undertaken in a fast-track program. less thanbrgreater than less thanbrgreater thanMethods: A prospective longitudinal cohort study. In five Swedish hospitals, a cohort of 162 women, ASA 1-2, undergoing abdominal hysterectomy in a fast-track program was prospectively studied. Surgery was performed under spinal or general anaesthesia. The fast-track concept was standardised with discharge criteria and a restricted intravenous fluid regimen. Complications were systematically registered during the five-week follow-up period. Risk factors for complications were analysed using multiple logistic regression models. less thanbrgreater than less thanbrgreater thanResults: Forty-one (25.3%) developed postoperative complications, mainly infection and wound healing complications. The majority of the complications developed after discharge and were treated in the outpatient clinics. Four women (2.5%) were readmitted to hospital. Substantial risk factors for postoperative complications were obesity (OR 8.83), prior laparotomy (OR 2.92) and relative increase in body weight on the first postoperative day (OR 1.52). less thanbrgreater than less thanbrgreater thanConclusions: Minor infection and wound healing complications seem to be common in healthy women undergoing abdominal hysterectomy in a fast-track program. Obesity is an important risk factor also in fast-track abdominal hysterectomy. A modest increase in postoperative relative weight gain during the first postoperative day seemed to increase the risk of postoperative complications. This factor merits further study. Randomised studies are necessary to determine the impact of fast-track program and perioperative fluid regimens on postoperative complications.
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