Research Articles (Obstetrics and Gynaecology)
Recent Submissions
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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 ... -
Interventions for treating genital Chlamydia trachomatis infection in pregnancy
(John Wiley & Sons, Ltd. on behalf of The Cochrane Collaboration, 2017)Background: Genital Chlamydia trachomatis (C.trachomatis) infection may lead to pregnancy complications such as miscarriage, preterm labour, low birthweight, preterm rupture of membranes, increased perinatal mortality, ... -
Are women with history of pre-eclampsia starting a new pregnancy in good nutritional status in South Africa and Zimbabwe?
(BioMed Central, 2018-06-15)Background: Maternal nutritional status before and during pregnancy is an important contributor to pregnancy outcomes and early child health. The aim of this study was to describe the preconceptional nutritional status ... -
The CRADLE vital signs alert : qualitative evaluation of a novel device designed for use in pregnancy by healthcare workers in low-resource settings
(BioMed Central, 2018-01-05)Background: Vital signs measurement can identify pregnant and postpartum women who require urgent treatment or referral. In low-resource settings, healthcare workers have limited access to accurate vital signs measuring ... -
The diagnosis and management of struma ovarii
(MedPharm Publications, 2016)ENGLISH ABSTRACT: Struma ovarii are a rare type of monodermal teratoma. Preoperative diagnosis of struma ovarii is difficult as the symptoms, clinical presentation and image on ultrasound are often similar to that of ovarian ... -
Screening for gestational diabetes : examining a breakfast meal test
(MedPharm Publications, 2016)Objective: This study was performed to analyse the carbohydrate quantity of the non-standardised breakfast meal test consumed as part of a screening test for gestational diabetes. Design: A prospective descriptive design ... -
Reproductive autonomy : a case study
(Health and Medical Publishing Group, 2016)ENGLISH ABSTRACT: Reproductive autonomy (RA) has been challenged by the availability of genetic information, disability and the ethics of selective reproduction. Utilitarian and rights-based approaches, as well as procreative ... -
Maternal deaths from bleeding associated with caesarean delivery : a national emergency
(Health & Medical Publishing Group, 2016)ENGLISH ABSTRACT: Maternal deaths associated with caesarean deliveries (CDs) have been increasing in South Africa over the past decade. The objective of this report is to bring national attention to this increasing epidemic ... -
An evidence-based approach to recurrent pregnancy loss
(Health & Medical Publishing Group, 2013-07-26)Recurrent pregnancy loss (RPL) can be defined as more than two to three consecutive miscarriages before 24 weeks’ gestation. A literature review was done to provide an evidence-based approach to RPL, identifying the risk ... -
Stillbirth rates in singleton pregnancies in a stable population at Karl Bremer and Tygerberg hospitals over 50 years
(Health & Medical Publishing Group, 2013-09-03)Objectives. To determine the changes in stillbirth rates in singleton pregnancies in a stable population over a period of 50 years. Methods. Stillbirth rates for singleton pregnancies where the fetus weighed 1 000 g or ... -
Treatment of hypertension during pregnancy
(South African Heart Association, 2014)Hypertensive disorders of pregnancy are on the increase and remain important causes of maternal and perinatal morbidity and mortality. The different classes of hypertension carry different risks but severe hypertension in ... -
Patient profile of a tertiary obstetric-cardiac clinic
(South African Heart Association, 2014)Background: Cardiac disease is the most important medical cause of maternal mortality in South Africa. Management of women with cardiac disease in pregnancy is highly specialised and they should ideally be evaluated early ... -
Retrospective review of the medical management of ectopic pregnancies with methotrexate at a South African tertiary hospital
(Health and Medical Publishing Group, 2014)Background. An ectopic pregnancy can be a life-threatening condition. Early diagnosis with ultrasonography and quantitative betahuman chorionic gonadotrophin (β-hCG) measurement has improved early and accurate diagnosis ... -
Reproductive autonomy : a case study
(Health & Medical Publishing Group, 2016-11)Reproductive autonomy (RA) has been challenged by the availability of genetic information, disability and the ethics of selective reproduction. Utilitarian and rights-based approaches, as well as procreative beneficence ... -
Inter-pregnancy interval and risk of recurrent pre-eclampsia : systematic review and meta-analysis
(BioMed Central, 2016-07-18)Background: Women with a history of pre-eclampsia have a higher risk of developing pre-eclampsia in subsequent pregnancies. However, the role of the inter-pregnancy interval on this association is unclear. Objective: To ... -
Postpartum laparoscopic sterilisation : a role in South African healthcare?
(Health and Medical Publishing Group, 2016-09)Objective. To assess the advantages and feasibility of performing postpartum sterilisations laparoscopically in a public healthcare facility in South Africa (SA). Methods. Retrospective review of postpartum sterilisations ...
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