Recent studies show that the infants of women with pregestational diabetes have a 4to 6-fold increased risk of PNM reaching 28 to 48 per 10003-14. However, the true PNM rate in this population is difficult to asses because it includes women with type 1 and type 2 diabetes and excludes some women with previously undiagnosed type 2 diabetes misdiagnosed as having GDM. There are only a few publish...

Recent studies show that the infants of women with pregestational diabetes have a 4to 6-fold increased risk of PNM reaching 28 to 48 per 10003-14. However, the true PNM rate in this population is difficult to asses because it includes women with type 1 and type 2 diabetes and excludes some women with previously undiagnosed type 2 diabetes misdiagnosed as having GDM. There are only a few publish...

BACKGROUND Perinatal audit and the three-delays model are increasingly being employed to analyse barriers to perinatal health, at both community and facility level. Using these approaches, our aim was to assess factors that could contribute to perinatal mortality and potentially avoidable deaths at Rwandan hospitals. METHODS Perinatal audits were carried out at two main urban hospitals, one a...

OBJECTIVE The aim of this study was to investigate the influence of maternal age on perinatal and obstetric outcome in women aged 40-44 years and those 45 years or older and to estimate whether adverse outcome was related to intercurrent illness and pregnancy complications. METHODS National prospective, population-based, cohort study in women aged 40-44 years and those 45 years or older and i...

Recent studies show that the infants of women with pregestational diabetes have a 4to 6-fold increased risk of PNM reaching 28 to 48 per 10003-14. However, the true PNM rate in this population is difficult to asses because it includes women with type 1 and type 2 diabetes and excludes some women with previously undiagnosed type 2 diabetes misdiagnosed as having GDM. There are only a few publish...

BACKGROUND Twin pregnancies in low- and middle-income countries (LMICs) pose a high risk to mothers and newborns due to inherent biological risks and scarcity of health resources. We conducted a secondary analysis of the WHO Global Survey dataset to analyze maternal and perinatal outcomes in twin pregnancies and factors associated with perinatal morbidity and mortality in twins. METHODS We ex...

OBJECTIVE We wanted to compare customised and population standards for defining smallness for gestational age (SGA) in the assessment of perinatal mortality risk associated with parity and maternal size. DESIGN Population-based cohort study. SETTING Sweden. POPULATION Swedish Birth Registry database 1992-1995 with 354 205 complete records. METHOD Coefficients were derived and applied to...

OBJECTIVE To evaluate the effectiveness of routine ultrasound scanning in pregnancy by a meta-analysis of various outcome measures. DESIGN Meta-analysis of randomised controlled trials evaluating the effect of routine ultrasound scanning on perinatal mortality and morbidity. Live birth rate (that is, live births per pregnancy) is included as a measure of pregnancy outcome in addition to the c...

General aims: The main purpose of the present studies was to examine the problem of maternal and perinatal mortality in an upcountry region of a low-income country. This was done by estimating the magnitude of maternal and perinatal mortality, both in the hospital and in the community, through elucidating the underlying causes of maternal and perinatal mortality, and by initiating low-cost inte...

Over 9 million children die each year during the perinatal and neonatal periods, and nearly all of these deaths occur in developing countries. Perinatal asphyxia is a serious clinical problem globally. Every year approximately 4 million babies are born asphyxiated; this results in 1 million deaths and an equal number of serious neurological consequences ranging from cerebral palsy and mental re...