OBJECTIVE To evaluate whether a screening strategy in pregnancy lowers the rate of preterm delivery in a general population of pregnant women. DESIGN Multicentre, prospective, randomised controlled trial. SETTING Non-hospital based antenatal clinics. PARTICIPANTS 4429 pregnant women presenting for their routine prenatal visits early in the second trimester were screened by Gram stain for ...

OBJECTIVES To determine the net health consequences, costs, and cost-effectiveness of alternative delivery strategies for HIV-infected pregnant women with detectable HIV RNA in the USA. DESIGN Cost-effectiveness analysis using a probabilistic decision model. METHODS The model compared two strategies: elective Cesarean section and vaginal delivery. Data for HIV transmission rate, maternal de...

Studies on twin pregnancy are uniquely important to Africa and particularly Nigeria where the highest incidence in the world exists. This study was designed to determine the trend, rate, and obstetric outcomes of twin deliveries in the University of Abuja Teaching Hospital, Gwagwalada. This was a retrospective study of twin deliveries in the hospital over a period of 10 years. During the study ...

BACKGROUND Data pertaining to risk factors associated with stillbirths and very low Apgar scores is very sparse. This study was conducted to determine the prevalence of, and examine the socio-demographic and obstetric factors associated with stillbirths and very low Apgar scores among vaginal births in a tertiary health facility, Ghana. METHODS A retrospective cross-sectional review of vagina...

OBJECTIVE The purpose of the research was to assess the content and quality of the intrapartum care offered in vaginal births in Turkey, based on the example of a state hospital. MATERIALS AND METHODS This cross-sectional study was conducted between January 1st, 2013 and December 31st, 2014 at Aydın Maternity and Children's Hospital. The study sample consisted of 303 women giving vaginal birt...

INTRODUCTION In the United Kingdom and Ireland more than 40% of individuals living with perinatally acquired HIV are now aged >16. Globally, increasing numbers of women with perinatally acquired HIV are becoming pregnant, but data on fertility and pregnancy outcomes is scarce. We present pregnancy outcome data for this emerging cohort. METHODS Pregnancies in diagnosed HIV-infected women in th...

During the 1980s and 1990s, the lengths of postpartum hospital stays declined for both vaginal and cesarean births. Health professionals and policy makers expressed concern that shorter hospital stays might jeopardize the health of both mothers and infants and the federal government and states responded by passing laws requiring insurance carriers provide coverage for longer postpartum stays. O...

OBJECTIVE to establish a consensus of opinion on standards of competence for professionals attending upright breech births. DESIGN a three-round Delphi e-survey. SETTING multinational. PARTICIPANTS a panel of 13 obstetricians, 13 midwives and two user representatives. Clinicians had attended >20 upright breech births, or >10 upright among >40 total breech births. Mean level of experience=...