Department of 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 ... -
Time-lapse analysis and morphokinetic evaluation of fresh vs. vitrified/warmed oocytes, including donor and explorative sibling oocyte cycles
(Stellenbosch : Stellenbosch University., 2020-03)ENGLISH ABSTRACT: BACKGROUND: Infertility is defined as a disorder of the reproductive system whereby there is failure to achieve a clinical pregnancy after 12 months or more of regular unprotected sexual intercourse. The ... -
Uterine carcinosarcoma: A 10-Year single institution experience
(Stellenbosch : Stellenbosch University, 2019-12)Objective: This study aimed to determine 5-year progression-free and overall survival in patients with uterine carcinosarcoma, to determine clinical and surgical-pathologic features, to recognize patterns of recurrence and ... -
Eyeball (Office) urodynamics: is there value to predict hidden (Occult) stress urinary incontinence with sims speculum reduction in patients with pelvic organ prolapse? – a retrospective descriptive study
(Stellenbosch : Stellenbosch University, 2019-12)Introduction: Occult stress urinary incontinence (OSUI) is an accepted predictor of postoperative stress urinary incontinence (POSUI) in stress continent women with pelvic organ prolapse (POP)(1). De novo stress urinary ... -
'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 impact of HIV status on staging, treatment and outcomes in locally advanced cervical carcinoma
(Stellenbosch : Stellenbosch University, 2019-12)ENGLISH ABSTRACT: Cervical carcinoma is one of the most frequently diagnosed malignancies in women in many countries in sub-Saharan Africa, including South Africa. In sub-Saharan Africa, among women without HIV the ... -
Management of epithelial ovarian cancer at a tertiary centre in South Africa: a retrospective evaluation of early recurrence and contributory factors
(Stellenbosch : Stellenbosch University, 2019-12)Introduction. Epithelial ovarian cancer is associated with high recurrence rates and poor survival, especially if the disease is advanced, surgery sub-optimal, and or has high-grade histology. However, there is a paucity ... -
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 ... -
Experiences of women who survive major obstetric haemorrhage
(Stellenbosch : Stellenbosch University, 2019-12)ENGLISH ABSTRACT: Severe post-partum haemorrhage is a major cause of maternal morbidity in South Africa. There is very little information about the experience of survivors of PPH in the local South African setting. This ... -
The context of fetal ventriculomegaly in a developing country : a retrospective review
(2019-12)AIM: The goal of this study is to describe fetal ventriculomegaly (VM) in a developing country population with regards to clinical presentation, associated findings, natural history and outcome. Materials and methods This ... -
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 ... -
Longterm follow-up of anti-müllerian hormone levels in patients who had surgery for endometrioma
(Stellenbosch : Stellenbosch University, 2019-04)Introduction: Endometriosis is highly prevalent among women of reproductive age increasing up to 50% in those presenting with infertility. Ovarian endometriosis, known as endometriomas, is found in up to 44% of women ... -
Bone involvement in patients with cervical carcinoma – a single institution cohort study
(Stellenbosch : Stellenbosch University, 2019-04)Introduction Bony metastases in cervical carcinoma are rare, occurring on average in 4.6% of patients. Autopsy studies indicate that it is underdiagnosed. It is important to recognise bony infiltration as palliative ... -
Effect of human male patient diagnosis on syngamy timing and blastulation using time-lapse technology
(Stellenbosch : Stellenbosch University, 2019-04)BACKGROUND: Improving embryo selection for embryo transfer is essential in Assisted Reproductive Technologies (ART), especially in single embryo transfer settings to reduce multiple birth rate. Current selection methods ... -
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 ...
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