Dear Editor, I commend the Journal for promoting a discussion on informed consent for vaginal birth, by publishing the two opinion pieces in the December 2018 issue of ANZJOG. The contrasting views of the authors are mirrored by very different styles of presentation. A/Professor Petersen offers an historical and philosophical argument about the selective advantages of natural childbirth.1 It is both off‐target and biologically incorrect. The obvious mistake occurs in the first sentence. I doubt that A/Professor Petersen could provide any evidence that the process of natural childbirth has materially changed over the course of human evolution. After all, it is one of the selection pressures that evolution applies to produce change. Human anatomy may have evolved. Human culture may have evolved. But the evolutionary function of this selection pressure remains the same as it ever was: to cull mothers and babies. Professor Dietz's main research interest is in uro‐gynaecology, he has little direct involvement in operative obstetrics. However as a scientific observer, he provides a pragmatic and elegant summary of the dilemma facing practising obstetricians.2
{"title":"Response to letter re: Consent for vaginal delivery","authors":"Rodney W Petersen","doi":"10.1111/ajo.13033","DOIUrl":"https://doi.org/10.1111/ajo.13033","url":null,"abstract":"Dear Editor, I commend the Journal for promoting a discussion on informed consent for vaginal birth, by publishing the two opinion pieces in the December 2018 issue of ANZJOG. The contrasting views of the authors are mirrored by very different styles of presentation. A/Professor Petersen offers an historical and philosophical argument about the selective advantages of natural childbirth.1 It is both off‐target and biologically incorrect. The obvious mistake occurs in the first sentence. I doubt that A/Professor Petersen could provide any evidence that the process of natural childbirth has materially changed over the course of human evolution. After all, it is one of the selection pressures that evolution applies to produce change. Human anatomy may have evolved. Human culture may have evolved. But the evolutionary function of this selection pressure remains the same as it ever was: to cull mothers and babies. Professor Dietz's main research interest is in uro‐gynaecology, he has little direct involvement in operative obstetrics. However as a scientific observer, he provides a pragmatic and elegant summary of the dilemma facing practising obstetricians.2","PeriodicalId":8599,"journal":{"name":"Australian and New Zealand Journal of Obstetrics and Gynaecology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89385171","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Informed consent for vaginal birth","authors":"G. Blanchette","doi":"10.1111/ajo.13037","DOIUrl":"https://doi.org/10.1111/ajo.13037","url":null,"abstract":"","PeriodicalId":8599,"journal":{"name":"Australian and New Zealand Journal of Obstetrics and Gynaecology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85222404","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
On the 5th of April, this year, the federal health minister announced the Australian government would invest $2.3 million over three years to establish the Australasian Pelvic Floor Procedure Registry (APFPR).1 The objective of the registry is to improve the health outcomes of the tens of thousands of women who undergo pelvic floor reconstructive procedures each year. In 2018, the Australian Senate Community Affairs Reference Committee investigating the number of women in Australia who have had transvaginal mesh implants and related matters2 reported that for many Australian women, there has been significant suffering associated with the complications and long-term effects of pelvic floor mesh. To date, there has been no systematic tracking mechanism for the outcome of these procedures in the short or long term with respect to quality, safety and relative effectiveness. The APFPR will address these systemic deficits in the collection, analysis and reporting of pelvic floor procedures, to establish early warning systems, provide feedback to clinicians, hospitals and ultimately the public regarding the status of pelvic floor interventions which have the potential to provide significant improvements in quality of life.
今年4月5日，联邦卫生部长宣布澳大利亚政府将在三年内投资230万美元建立澳大利亚盆底手术登记处(APFPR)登记的目的是改善每年成千上万接受盆底重建手术的妇女的健康状况。2018年，澳大利亚参议院社区事务参考委员会(Australian Senate Community Affairs Reference Committee)调查了澳大利亚接受经阴道网状物植入的女性人数及相关事宜2，报告称，对于许多澳大利亚女性来说，盆底网状物的并发症和长期影响给她们带来了巨大的痛苦。迄今为止，还没有对这些程序的短期或长期质量、安全性和相对有效性的结果进行系统跟踪的机制。APFPR将解决盆底手术收集、分析和报告中的系统性缺陷，建立早期预警系统，向临床医生、医院和最终公众提供关于盆底干预状态的反馈，这些干预有可能显著改善生活质量。
{"title":"The Australasian Pelvic Floor Procedure Registry: Not before time","authors":"J. O. Daly, S. Ahern, R. Herkes, H. O'Connell","doi":"10.1111/ajo.13030","DOIUrl":"https://doi.org/10.1111/ajo.13030","url":null,"abstract":"On the 5th of April, this year, the federal health minister announced the Australian government would invest $2.3 million over three years to establish the Australasian Pelvic Floor Procedure Registry (APFPR).1 The objective of the registry is to improve the health outcomes of the tens of thousands of women who undergo pelvic floor reconstructive procedures each year. In 2018, the Australian Senate Community Affairs Reference Committee investigating the number of women in Australia who have had transvaginal mesh implants and related matters2 reported that for many Australian women, there has been significant suffering associated with the complications and long-term effects of pelvic floor mesh. To date, there has been no systematic tracking mechanism for the outcome of these procedures in the short or long term with respect to quality, safety and relative effectiveness. The APFPR will address these systemic deficits in the collection, analysis and reporting of pelvic floor procedures, to establish early warning systems, provide feedback to clinicians, hospitals and ultimately the public regarding the status of pelvic floor interventions which have the potential to provide significant improvements in quality of life.","PeriodicalId":8599,"journal":{"name":"Australian and New Zealand Journal of Obstetrics and Gynaecology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87332190","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
To the editor, We wish to thank Saunders and Griffin for their interest in our guideline.1 While stillbirth is becoming increasingly recognised as an important public health issue, it remains a devastating outcome, not only for the parents and family who experience the loss, but also for their healthcare providers.2
{"title":"Decreased fetal movements (DFM) – finding the balance","authors":"G. Gardener, M. Weller, D. Ellwood, V. Flenady","doi":"10.1111/ajo.13024","DOIUrl":"https://doi.org/10.1111/ajo.13024","url":null,"abstract":"To the editor, \u0000We wish to thank Saunders and Griffin for their interest in our guideline.1 While stillbirth is becoming increasingly recognised as an important public health issue, it remains a devastating outcome, not only for the parents and family who experience the loss, but also for their healthcare providers.2","PeriodicalId":8599,"journal":{"name":"Australian and New Zealand Journal of Obstetrics and Gynaecology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80901387","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Journal Editorial Board","authors":"","doi":"10.1111/ajo.12856","DOIUrl":"https://doi.org/10.1111/ajo.12856","url":null,"abstract":"","PeriodicalId":8599,"journal":{"name":"Australian and New Zealand Journal of Obstetrics and Gynaecology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88177816","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Journal Editorial Board","authors":"","doi":"10.1111/ajo.12854","DOIUrl":"https://doi.org/10.1111/ajo.12854","url":null,"abstract":"","PeriodicalId":8599,"journal":{"name":"Australian and New Zealand Journal of Obstetrics and Gynaecology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74162115","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Journal Editorial Board","authors":"","doi":"10.1111/ajo.12852","DOIUrl":"https://doi.org/10.1111/ajo.12852","url":null,"abstract":"","PeriodicalId":8599,"journal":{"name":"Australian and New Zealand Journal of Obstetrics and Gynaecology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84418807","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Journal Editorial Board","authors":"","doi":"10.1111/ajo.12710","DOIUrl":"https://doi.org/10.1111/ajo.12710","url":null,"abstract":"","PeriodicalId":8599,"journal":{"name":"Australian and New Zealand Journal of Obstetrics and Gynaecology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76738451","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Journal Editorial Board","authors":"","doi":"10.1111/ajo.12708","DOIUrl":"https://doi.org/10.1111/ajo.12708","url":null,"abstract":"","PeriodicalId":8599,"journal":{"name":"Australian and New Zealand Journal of Obstetrics and Gynaecology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77711359","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Static Posters","authors":"","doi":"10.1111/ajo.12873","DOIUrl":"https://doi.org/10.1111/ajo.12873","url":null,"abstract":"","PeriodicalId":8599,"journal":{"name":"Australian and New Zealand Journal of Obstetrics and Gynaecology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83585948","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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