Tara Tancred, Andrew D. Weeks, Vincent Mubangizi, Emmanuel Nene Dei, Sylvia Natukunda, Chloe Cobb, Imelda Bates, Lucy Asamoah-Akuoko, Bernard Natukunda
To determine structural and process readiness for postpartum haemorrhage (PPH) care at referral-level facilities in Ghana and Uganda to identify opportunities for strengthening.
确定加纳和乌干达转诊机构产后出血（PPH）护理的结构和流程准备情况，以确定加强的机会。
{"title":"Assessment of Structural and Process Readiness for Postpartum Haemorrhage Care in Uganda and Ghana: A Mixed Methods Study","authors":"Tara Tancred, Andrew D. Weeks, Vincent Mubangizi, Emmanuel Nene Dei, Sylvia Natukunda, Chloe Cobb, Imelda Bates, Lucy Asamoah-Akuoko, Bernard Natukunda","doi":"10.1111/1471-0528.17953","DOIUrl":"https://doi.org/10.1111/1471-0528.17953","url":null,"abstract":"To determine structural and process readiness for postpartum haemorrhage (PPH) care at referral-level facilities in Ghana and Uganda to identify opportunities for strengthening.","PeriodicalId":8984,"journal":{"name":"BJOG: An International Journal of Obstetrics & Gynaecology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142247139","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}
Ruth V. Pritchett, Gavin Rudge, Beck Taylor, Carole Cummins, Sara Kenyon, Ellie Jones, Sharon Morad, Christine MacArthur, Kate Jolly
To determine the change in English emergency postnatal maternal readmissions 2007–2017 (pre-COVID-19) and the association with maternal demographics, obstetric risk factors and postnatal length of stay (LOS).
{"title":"Emergency Maternal Hospital Readmissions in the Postnatal Period: A Population-Based Cohort Study","authors":"Ruth V. Pritchett, Gavin Rudge, Beck Taylor, Carole Cummins, Sara Kenyon, Ellie Jones, Sharon Morad, Christine MacArthur, Kate Jolly","doi":"10.1111/1471-0528.17955","DOIUrl":"https://doi.org/10.1111/1471-0528.17955","url":null,"abstract":"To determine the change in English emergency postnatal maternal readmissions 2007–2017 (pre-COVID-19) and the association with maternal demographics, obstetric risk factors and postnatal length of stay (LOS).","PeriodicalId":8984,"journal":{"name":"BJOG: An International Journal of Obstetrics & Gynaecology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142236962","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}
Chivon Winsloe,James Elhindi,Matias C Vieira,Sophie Relph,Charles G Arcus,Alessandro Alagna,Annette Briley,Mark Johnson,Louise M Page,Andrew Shennan,Baskaran Thilaganathan,Neil Marlow,Christoph Lees,Deborah A Lawlor,Asma Khalil,Jane Sandall,Andrew Copas,Dharmintra Pasupathy,
OBJECTIVETo identify whether maternal and pregnancy characteristics associated with stillbirth differ between preterm and term stillbirth.DESIGNSecondary cohort analysis of the DESiGN RCT.SETTINGThirteen UK maternity units.POPULATIONSingleton pregnant women and their babies.METHODSMultiple logistic regression was used to assess whether the 12 factors explored were associated with stillbirth. Interaction tests assessed for a difference in these associations between the preterm and term periods.MAIN OUTCOME MEASUREStillbirth stratified by preterm (<37+0 weeks') and term (37+0-42+6 weeks') births.RESULTSA total of 195 344 pregnancies were included. Six hundred and sixty-seven were stillborn (3.4 per 1000 births), of which 431 (65%) were preterm. Significant interactions were observed for maternal age, ethnicity, IMD, BMI, parity, smoking, PAPP-A, gestational hypertension, pre-eclampsia and gestational diabetes but not for chronic hypertension and pre-existing diabetes. Stronger associations with term stillbirth were observed in women with obesity compared to BMI 18.5-24.9 kg/m2 (BMI 30.0-34.9 kg/m2 term adjusted OR 2.1 [95% CI 1.4-3.0] vs. preterm aOR 1.1 [0.8-1.7]; BMI ≥ 35.0 kg/m2 term aOR 2.2 [1.4-3.4] vs. preterm aOR 1.5 [1.2-1.8]; p-interaction < 0.01), nulliparity compared to parity 1 (term aOR 1.7 [1.1-2.7] vs. preterm aOR 1.2 [0.9-1.6]; p-interaction < 0.01) and Asian ethnicity compared with White (p-interaction < 0.01). A weaker or lack of association with term, compared to preterm, stillbirth was observed for older maternal age, smoking and pre-eclampsia.CONCLUSIONDifferences in association exist between mothers experiencing preterm and term stillbirth. These differences could contribute to design of timely surveillance and interventions to further mitigate the risk of stillbirth.
目的确定与死胎相关的孕产妇和妊娠特征在早产和足月死胎之间是否存在差异.设计DESiGN RCT的二次队列分析.设置英国13家产科医院.人群足月孕妇及其婴儿.方法使用多重逻辑回归评估所探讨的12个因素是否与死胎相关。结果共纳入 195 344 名孕妇。有 667 例死胎（每 1000 例分娩中有 3.4 例），其中 431 例（65%）为早产儿。观察到产妇年龄、种族、IMD、体重指数、胎次、吸烟、PAPP-A、妊娠高血压、子痫前期和妊娠糖尿病之间存在显著的交互作用，但慢性高血压和原有糖尿病之间不存在交互作用。与 BMI 18.5-24.9 kg/m2 相比，肥胖妇女与足月死胎的关系更密切（BMI 30.0-34.9 kg/m2 足月调整 OR 2.1 [95% CI 1.4-3.0] vs. 早产 aOR 1.1 [0.8-1.7]；BMI ≥ 35.0 kg/m2 足月 aOR 2.2 [1.4-3.4] vs. 早产 aOR 1.5 [1.2-1.8]; p-交互作用 < 0.01)，无产褥期 vs. 产褥期 1（足月 aOR 1.7 [1.1-2.7] vs. 早产 aOR 1.2 [0.9-1.6]; p-交互作用 < 0.01），亚裔 vs. 白人（p-交互作用 < 0.01）。与早产相比，高龄产妇、吸烟和先兆子痫与足月死胎的关联较弱或缺乏关联。这些差异有助于设计及时的监测和干预措施，以进一步降低死胎风险。
{"title":"Differences in Factors Associated With Preterm and Term Stillbirth: A Secondary Cohort Analysis of the DESiGN Trial.","authors":"Chivon Winsloe,James Elhindi,Matias C Vieira,Sophie Relph,Charles G Arcus,Alessandro Alagna,Annette Briley,Mark Johnson,Louise M Page,Andrew Shennan,Baskaran Thilaganathan,Neil Marlow,Christoph Lees,Deborah A Lawlor,Asma Khalil,Jane Sandall,Andrew Copas,Dharmintra Pasupathy,","doi":"10.1111/1471-0528.17951","DOIUrl":"https://doi.org/10.1111/1471-0528.17951","url":null,"abstract":"OBJECTIVETo identify whether maternal and pregnancy characteristics associated with stillbirth differ between preterm and term stillbirth.DESIGNSecondary cohort analysis of the DESiGN RCT.SETTINGThirteen UK maternity units.POPULATIONSingleton pregnant women and their babies.METHODSMultiple logistic regression was used to assess whether the 12 factors explored were associated with stillbirth. Interaction tests assessed for a difference in these associations between the preterm and term periods.MAIN OUTCOME MEASUREStillbirth stratified by preterm (<37+0 weeks') and term (37+0-42+6 weeks') births.RESULTSA total of 195 344 pregnancies were included. Six hundred and sixty-seven were stillborn (3.4 per 1000 births), of which 431 (65%) were preterm. Significant interactions were observed for maternal age, ethnicity, IMD, BMI, parity, smoking, PAPP-A, gestational hypertension, pre-eclampsia and gestational diabetes but not for chronic hypertension and pre-existing diabetes. Stronger associations with term stillbirth were observed in women with obesity compared to BMI 18.5-24.9 kg/m2 (BMI 30.0-34.9 kg/m2 term adjusted OR 2.1 [95% CI 1.4-3.0] vs. preterm aOR 1.1 [0.8-1.7]; BMI ≥ 35.0 kg/m2 term aOR 2.2 [1.4-3.4] vs. preterm aOR 1.5 [1.2-1.8]; p-interaction < 0.01), nulliparity compared to parity 1 (term aOR 1.7 [1.1-2.7] vs. preterm aOR 1.2 [0.9-1.6]; p-interaction < 0.01) and Asian ethnicity compared with White (p-interaction < 0.01). A weaker or lack of association with term, compared to preterm, stillbirth was observed for older maternal age, smoking and pre-eclampsia.CONCLUSIONDifferences in association exist between mothers experiencing preterm and term stillbirth. These differences could contribute to design of timely surveillance and interventions to further mitigate the risk of stillbirth.","PeriodicalId":8984,"journal":{"name":"BJOG: An International Journal of Obstetrics & Gynaecology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142245525","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":"Advocating for Change: Lifting Mesh Suspension in SUI Surgery Based on Established Literature and Long-Term TVT Study Results.","authors":"Reut Rotem,Orfhlaith E O'Sullivan","doi":"10.1111/1471-0528.17963","DOIUrl":"https://doi.org/10.1111/1471-0528.17963","url":null,"abstract":"","PeriodicalId":8984,"journal":{"name":"BJOG: An International Journal of Obstetrics & Gynaecology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142245526","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}
Grace Townsend, Danielle R. Zabala, Amir L. Butt, Kaitlyn J. Kulesus
{"title":"Trends in Severe Postpartum Haemorrhage Among Nulliparous Women","authors":"Grace Townsend, Danielle R. Zabala, Amir L. Butt, Kaitlyn J. Kulesus","doi":"10.1111/1471-0528.17957","DOIUrl":"https://doi.org/10.1111/1471-0528.17957","url":null,"abstract":"","PeriodicalId":8984,"journal":{"name":"BJOG: An International Journal of Obstetrics & Gynaecology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142236315","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}
Anna A. Mensah, Julia Stowe, Jennifer E. Jardine, Freja C. M. Kirsebom, Tom Clare, Meaghan Kall, Helen Campbell, Jamie Lopez-Bernal, Nick Andrews
Assessment of COVID-19 vaccine safety in pregnancy using population-based data.
利用人群数据评估 COVID-19 疫苗在孕期的安全性。
{"title":"COVID-19 Vaccine Safety in Pregnancy, A Nested Case–Control Study in Births From April 2021 to March 2022, England","authors":"Anna A. Mensah, Julia Stowe, Jennifer E. Jardine, Freja C. M. Kirsebom, Tom Clare, Meaghan Kall, Helen Campbell, Jamie Lopez-Bernal, Nick Andrews","doi":"10.1111/1471-0528.17949","DOIUrl":"https://doi.org/10.1111/1471-0528.17949","url":null,"abstract":"Assessment of COVID-19 vaccine safety in pregnancy using population-based data.","PeriodicalId":8984,"journal":{"name":"BJOG: An International Journal of Obstetrics & Gynaecology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142234107","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}
Ania Wisniak, Virginie Yakam, Sophie Evina Bolo, Alida Moukam, Jessica Sormani, Pierre Vassilakos, Bruno Kenfack, Patrick Petignat
To assess the impact of thermal ablation (TA) for the treatment of cervical dysplasia on fertility and pregnancy outcomes among women screened for cervical cancer in Cameroon.
评估喀麦隆接受宫颈癌筛查的妇女在接受宫颈发育不良热消融（TA）治疗时对生育和妊娠结果的影响。
{"title":"Fertility and Miscarriage Incidence After Cervical Intraepithelial Neoplasia Treatment by Thermal Ablation: A Cohort Study","authors":"Ania Wisniak, Virginie Yakam, Sophie Evina Bolo, Alida Moukam, Jessica Sormani, Pierre Vassilakos, Bruno Kenfack, Patrick Petignat","doi":"10.1111/1471-0528.17954","DOIUrl":"https://doi.org/10.1111/1471-0528.17954","url":null,"abstract":"To assess the impact of thermal ablation (TA) for the treatment of cervical dysplasia on fertility and pregnancy outcomes among women screened for cervical cancer in Cameroon.","PeriodicalId":8984,"journal":{"name":"BJOG: An International Journal of Obstetrics & Gynaecology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142234120","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}
Danielle L. Wilson, Carley Whenn, Maree Barnes, Susan P. Walker, Mark E. Howard
To assess the effectiveness and acceptability of a pillow-like position modification device to reduce supine sleep during late pregnancy, and to determine the impacts on the severity of sleep-disordered breathing (SDB) and foetal well-being.
{"title":"A Position Modification Device for the Prevention of Supine Sleep During Pregnancy: A Randomised Crossover Trial","authors":"Danielle L. Wilson, Carley Whenn, Maree Barnes, Susan P. Walker, Mark E. Howard","doi":"10.1111/1471-0528.17952","DOIUrl":"https://doi.org/10.1111/1471-0528.17952","url":null,"abstract":"To assess the effectiveness and acceptability of a pillow-like position modification device to reduce supine sleep during late pregnancy, and to determine the impacts on the severity of sleep-disordered breathing (SDB) and foetal well-being.","PeriodicalId":8984,"journal":{"name":"BJOG: An International Journal of Obstetrics & Gynaecology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142235379","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}
Conrado Milani Coutinho, Veronica Giorgione, Basky Thilaganathan, Olga Patey
To investigate longitudinal trends in fetal and offspring cardiovascular adaptation in fetal growth restriction (FGR).
研究胎儿生长受限（FGR）的胎儿和后代心血管适应性的纵向趋势。
{"title":"Cardiovascular Adaptation in Fetal Growth Restriction: A Longitudinal Study From Fetuses at Term to the First Year of Life","authors":"Conrado Milani Coutinho, Veronica Giorgione, Basky Thilaganathan, Olga Patey","doi":"10.1111/1471-0528.17956","DOIUrl":"https://doi.org/10.1111/1471-0528.17956","url":null,"abstract":"To investigate longitudinal trends in fetal and offspring cardiovascular adaptation in fetal growth restriction (FGR).","PeriodicalId":8984,"journal":{"name":"BJOG: An International Journal of Obstetrics & Gynaecology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142236963","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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