Research Articles (Obstetrics and Gynaecology)
Recent Submissions
-
Stillbirth risk across pregnancy by size for gestational age in Western Cape Province, South Africa : application of the fetuses-at-risk approach using perinatal audit data
(South African Medical Association, 2019-11-27)Background: There is little published work on the risk of stillbirth across pregnancy for small-for-gestational-age (SGA) and large-for-gestational (LGA) pregnancies in low-resource settings. Objectives: To compare ... -
Pregnancy-related acute kidney injury in preeclampsia : risk factors and renal outcomes
(American Heart Association, 2019)ENGLISH ABSTRACT: Preeclampsia is a common cause of acute kidney injury (AKI) in low- and middle-income countries, but AKI incidence in preeclampsia, its risk factors, and renal outcomes are unknown. A prospective ... -
The efficacy of intrauterine devices for emergency contraception and beyond : a systematic review update
(Dove Medical Press, 2019)Background: The copper intrauterine device (IUD) is a very effective form of emergency contraception. The failure rate is about 0.1%. IUDs are also very cost-effective when used as long acting-reversible contraception ... -
Prepregnancy and early pregnancy calcium supplementation among women at high risk of pre-eclampsia : a multicentre, double-blind, randomised, placebo-controlled trial
(Elsevier, 2019)Background: Reducing deaths from hypertensive disorders of pregnancy is a global priority. Low dietary calcium might account for the high prevalence of pre-eclampsia and eclampsia in low-income countries. Calcium supplementation ... -
Should home-based ovulation predictor kits be offered as an additional approach for fertility management for women and couples desiring pregnancy? a systematic review and meta-analysis
(BMJ Publishing Group, 2019)ENGLISH ABSTRACT: Introduction to inform the WHO Guideline on self-care interventions, we conducted a systematic review of the impact of ovulation predictor kits (OPKs) on time-topregnancy, pregnancy, live birth, ... -
Delivery outcomes of patients with pre-eclampsia at 27 - 34 weeks’ gestation at Tygerberg Hospital, Cape Town, South Africa : a retrospective observational study
(Health & Medical Publishing Group, 2021-04-03)Background. Obstetricians are cognisant of the serious nature of hypertensive disorders in pregnancy. Despite a 17% overall reduction in maternal deaths in South Africa between 2011 and 2016, there was a 14% increase in ... -
Shock index thresholds to predict adverse outcomes in maternal hemorrhage and sepsis : a prospective cohort study
(Wiley, 2019)Introduction: Shock index (SI) is a predictor of hemodynamic compromise in obstetric patients. The SI threshold for action is not well understood. We aimed to evaluate SI thresholds as predictors of outcomes in obstetric ... -
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 ...
RSS 1.0