排序方式: 共有98条查询结果,搜索用时 15 毫秒
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Abstract: Home birth has attracted a great deal of attention of late, culminating in a meta‐analysis to assess its risks for mother and baby. Mothers were estimated to be 2.6 times more likely to die and babies 3 times more likely to die from a planned home birth than from a planned hospital birth. The actual data on which these estimates were based demonstrate that meta‐analysis can be developed into an art that suits whatever purpose its authors hope to achieve. Combining studies of home versus hospital, without differentiating what is inside them, where they are, and what is around them, is akin to producing a fruit salad with potatoes, pineapples, and celery. (BIRTH 37:4 December 2010) 相似文献
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K. Hammarberg RN BSc PhD E. Sullivan MBBS FAFPHM MPH MMed MD N. Javid RM MSci Med G. Duncombe MBBS FRANZCOG CMFM L. Halliday PhD MPH BSc F. Boyle MBBS FRACP PhD C. Saunders MBBS FRCS FRACS A. Ives Dip App Sc MSc PhD J.E. Dickinson MBBS MD FRANZCOG DDU CMFM J. Fisher BSc PhD MAPS 《European journal of cancer care》2018,27(2)
Gestational breast cancer (GBC) presents many challenges for women and the clinicians who care for them. The aim of this study was to explore the health care experiences of women diagnosed with GBC to inform and improve clinical care of women in this predicament. Semi‐structured interviews were conducted with 17 women who had been diagnosed with GBC in the previous 5 years. The overarching themes for perceived quality of care were “communication” and “comprehensive care.” “Communication” had two sub themes: “interdisciplinary communication” (the way health professionals from different disciplines communicated with each other about the management of the woman's care) and “patient communication” (how they communicated this to the woman). The “comprehensive care” theme incorporated three sub themes: “the spirit” (psychological care); “the mind” (information provision); and “the body” (management of treatment side effects). Women's own accounts of positive and negative experiences of GBC care provide unique and specific insights which improve understanding of their concerns and needs. The findings can inform advances in quality and efficacy of clinical care; offer guidance for obstetricians, oncologists and allied health professionals about the needs of women diagnosed with GBC and how care can be optimised; and inform the development of resources to assist women and their families. 相似文献
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Process evaluation of a pilot evidence‐based Polycystic Ovary Syndrome clinic in the Torres Strait 下载免费PDF全文
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Karen P. Reid RN RM BN Lyle C. Gurrin BSc PhD Jan E. Dickinson FRANZCOG CMFM John P. Newnham MD FRANZCOG CMFM John M Phillips BE FRANZCOG DDU COGU 《The Australian & New Zealand journal of obstetrics & gynaecology》1999,39(3):281-285
Data from 3,953 consecutive second trimester genetic amniocenteses were analysed to determine pregnancy loss rates up to 6 weeks after the procedure. Information was prospectively collected on a cohort of 3,685 women in 3,896 singleton and 50 twin pregnancies, from 2 operating sites in Perth, Western Australia, using 9 operators over the 6-year period, 1989 to 1995. Complete information regarding pregnancy outcome was obtained for 3,643 of the 3,685 women (98.9%). There were 27 identified singletons and 1 set of twins lost within 6 weeks following amniocentesis. The overall pregnancy loss rate in this cohort was 29 of 3,911 (0.74%). The pregnancy loss rate associated with genetic amniocentesis is not excessive in comparison to the calculated background pregnancy loss rate of 1%, and it is suggested that each prenatal diagnostic team should determine their own complication rates for the purpose of counselling prior to amniocentesis. 相似文献
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Brian R. Pridmore FRCOG FRANZCOG Dennis G. Chambers FRACGP 《The Australian & New Zealand journal of obstetrics & gynaecology》1999,39(3):349-353
We analysed results of 13,907 women who underwent termination of pregnancy over a 6-year period in a public day-surgery clinic in South Australia to determine possible risk factors and preventive measures for known perforation of the uterus in surgical abortion. The perforation rate in the first trimester was 6 in 12,040 (0.05%) and in the second trimester (13-20 weeks), 6 in 1,867 (0.32%). Previous gynaecological surgery had been performed in 11 of 12 (92%) women sustaining perforation and was the main risk factor identified. No second trimester perforations occurred in the 2 years following identification of the risk factor and the introduction of precautionary protocols, and there was only 1 first trimester perforation. The overall reduction in perforation rate was from 0.13% to 0.02% (p=0.022). We conclude that previous gynaecological surgery including termination of pregnancy, lower segment Caesarean section and the large loop excision of transformation zone of the cervix (LLETZ) procedure, which may have resulted in scarring of the internal cervical os is a previously unreported risk factor for tearing of the internal os leading to perforation of the uterus during subsequent surgical abortion procedures. Dilatation of the cervix particularly for these 'at risk' procedures should be predominantly passive by the use of oral prostaglandins such as misoprostol and osmotic dilators. 相似文献
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Maternal Health and Pregnancy Outcomes Comparing Migrant Women Born in Humanitarian and Nonhumanitarian Source Countries: A Retrospective,Observational Study 下载免费PDF全文
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Prediction of Tubal Ectopic Pregnancy Using Offline Analysis of 3‐Dimensional Transvaginal Ultrasonographic Data Sets: An Interobserver and Diagnostic Accuracy Study 下载免费PDF全文
Fernando Infante FRANZCOG Mercedes Espada Vaquero MD PhD Tommaso Bignardi MD Chuan Lu PhD Antonia C. Testa MD PhD Elisabeth Epstein MD PhD Francesco P. G. Leone MD Thierry Van den Bosch MD PhD Wellington P. Martins MD PhD George Condous MBBS FRANZCOG FRCOG MD 《Journal of ultrasound in medicine》2018,37(6):1467-1472