Research Articles (Obstetrics and Gynaecology)
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Maternal and perinatal adverse outcomes in women with pre-eclampsia cared for at facility-level in South Africa : a prospective cohort study
(Edinburgh University Global Health Society, 2018)Background: Hypertensive disorders of pregnancy contribute to 14% of all maternal deaths, the majority of which occur in low- and middle-income countries. The aim of the study was to describe the maternal and perinatal clinical ... -
Major obstetric haemorrhage in Metro East, Cape Town, South Africa : a population-based cohort study using the maternal near-miss approach
(BMC (part of Springer Nature), 2020-01-06)Background: Major obstetric haemorrhage is a leading cause of maternal mortality and accounts for one-third of maternal deaths in of Africa. This study aimed to assess the population-based incidence, causes, management ... -
'Reds flags' in antenatal care : fetal movements and fetal growth
(Health & Medical Publishing Group, 2018)Poor fetal growth in late pregnancy is a very common cause of stillbirth or fetal distress during labour. It is associated with reduced fetal movements, which can be detected by the mother antenatally. A simple management ... -
Failure to perform assisted deliveries is resulting in an increased neonatal and maternal morbidity and mortality : an expert opinion
(Health & Medical Publishing Group, 2018)The need to perform assisted vaginal delivery (AVD) has been regarded as self-evident. In high-income countries, rates of AVD range between 5% and 20% of all births. In South Africa, the rate of AVD is only 1%. This has ... -
Avoiding paternalism but not moral perplexity
(Health & Medical Publishing Group, 2018)Maternal autonomy has replaced medical paternalism, but conflicts between beneficence and autonomy persist. -
Reducing neonatal deaths in South Africa : progress and challenges
(Health & Medical Publishing Group, 2018)Although current levels of the neonatal mortality rate (NMR) are within reach of the Sustainable Development Goal (SDG) target of 12 per 1 000 live births, the absolute number of deaths is unacceptably high for a ... -
The feasibility and advantages of laparoscopic surgery for ectopic pregnancy at a secondary hospital in South Africa
(Health & Medical Publishing Group, 2019-12)ABSTRACT: Background. Ectopic pregnancy (EP) is a gynaecological emergency with implications for maternal morbidity worldwide. Laparoscopic surgery is the preferred method of surgical management in most cases, as it has ... -
Weight-related quality of life in obese, pregnant women in South Africa
(Taylor & Francis, 2017-09-11)Objective: The global obesity pandemic includes pregnant women. Obesity may negatively impact quality of life (QOL). A validated, obesity-specific, QOL assessment tool was used to assess the impact of obesity on five ... -
The costs and cost effectiveness of providing second-trimester medical and surgical safe abortion services in Western Cape Province, South Africa
(Public Library of Science, 2018-06-28)Background: In South Africa, access to second-trimester abortion services, which are generally performed using medical induction with misoprostol alone, is challenging for many women. We aimed to estimate the costs and ... -
Combined evaluation of sexually transmitted infections in HIV-infected pregnant women and infant HIV transmission
(PLOS, 2018-01-05)Background: Sexually transmitted infections (STIs) including Chlamydia trachomatis (CT), Neisseria gonorrhoeae (NG), Treponema pallidum (TP), and cytomegalovirus (CMV) may lead to adverse pregnancy and infant outcomes. The ... -
Point-of-care screening for hepatitis B virus infection in pregnant women at an antenatal clinic : a South African experience
(Public Library of Science, 2017)Background & aims: Elimination of HIV and syphilis mother-to-child transmission (MTCT) has received much attention but little consideration has been given to the possibility of elimination of HBV MTCT. In sub-Saharan ... -
Insertion of intrauterine devices after cesarean section : a systematic review update
(Dove Medical Press, 2017-04-18)Background: Women who undergo a cesarean section (CS) are in a unique position to receive the intrauterine contraceptive device (IUD). They may also want to use the IUD as a long-acting reversible contraceptive method ... -
Standardized outcome measures for pregnancy and childbirth, an ICHOM proposal
(BMC (part of Springer Nature), 2018-12-11)Background: Value-based health care aims to optimize the balance of patient outcomes and health care costs. To improve value in perinatal care using this strategy, standard outcomes must first be defined. The objective ... -
Exploring the feasibility of using mobile phones to improve the management of clients with cervical cancer precursor lesions
(BMC (part of Springer Nature), 2019-01-07)Background: Cancer screening programs hold much potential for reducing the cervical cancer disease burden in developing countries. The aim of this study was to determine the feasibility of mobile health (mHealth) ... -
Bereaved mothers' attitudes regarding autopsy of their stillborn baby
(Health and Medical Publishing Group, 2017-12)Background. Here we present additional information from the Safe Passage Study, where the effect of alcohol exposure during pregnancy on sudden infant death syndrome and stillbirth was investigated. Objective. To explore ... -
Vulvar cancer is not a disease of the elderly : treatment and outcome at a tertiary referral centre in South Africa
(Health & Medical Publishing Group, 2017)Background. An increase in vulvar cancer in young women is attributed to infection with oncogenic human papillomavirus (HPV). South Africa (SA) has a high prevalence of HPV, and it was therefore hypothesised that women ... -
Tranexamic acid for preventing postpartum haemorrhage
(Cochrane, 2015-06-16)Background: Postpartum haemorrhage (PPH) is a common and potentially life-threatening complication of labour. Several options for preventing PPH are available, but further advances in this field are important, especially ... -
Interventions for helping to turn term breech babies to head first presentation when using external cephalic version
(Cochrane, 2015-02-12)Background: Breech presentation is associated with increased complications. Turning a breech baby to head first presentation using external cephalic version (ECV) attempts to reduce the chances of breech presentation at ... -
Women's experiences with cervical cancer screening in a colposcopy referral clinic in Cape Town, South Africa: a qualitative analysis
(BMJ Publishing Group, 2017-1)Objective: The aim of this study was to explore and understand women’s experience with cervical cancer screening and with the referral pathways for abnormal Papanicolau (Pap) smears. Design and setting: Focus group ... -
Planned early delivery versus expectant management for hypertensive disorders from 34 weeks gestation to term
(John Wiley & Sons, Ltd. on behalf of The Cochrane Collaboration, 2017)Background: Hypertensive disorders in pregnancy are significant contributors to maternal and perinatal morbidity and mortality. These disorders include well‐controlled chronic hypertension, gestational hypertension ...
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