The Australian & New Zealand journal of obstetrics & gynaecology
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Aust N Z J Obstet Gynaecol · Feb 2013
Comparative StudyLong-term treatment outcomes of transvaginal mesh surgery versus anterior-posterior colporrhaphy for pelvic organ prolapse.
In spite of rapid growth in the use of vaginally placed mesh in pelvic reconstructive surgery, there are few reports on the long-term efficacy and safety of mesh-augmented repairs. ⋯ Modified pelvic floor reconstructive surgery with mesh had better anatomical and functional outcomes than APC at 4-5 years postoperation, as an alternative, cheap and effective treatment option to mesh kits for the management of POP.
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Aust N Z J Obstet Gynaecol · Feb 2013
GP obstetricians' views of the model of maternity care in New Zealand.
The Lead Maternity Carer (LMC) model of maternity care, and independent midwifery practice, was introduced to New Zealand in the 1990s. The LMC midwife or general practitioner obstetrician (GPO) has clinical and budgetary responsibility for women's primary maternity care. ⋯ Participants thought the LMC model isolates maternity practitioners, is incompatible with general practice and causes loss of continuity of general practice care. They support provision of maternity care in general practice; however, for more GPs to become involved, the LMC model needs review.
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Aust N Z J Obstet Gynaecol · Feb 2013
A prospective longitudinal study on rotation thromboelastometry in women with uncomplicated pregnancies and postpartum.
Rotation thromboelastometry (ROTEM) is an easy, fast and complete method of measuring coagulation. ⋯ This study provides a better knowledge about physiological changes in ROTEM measurements during pregnancy. These normative data may serve as assistance for future studies and interventions.
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Aust N Z J Obstet Gynaecol · Feb 2013
Letter Clinical TrialSafety surveillance of influenza vaccine in pregnant women.
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Aust N Z J Obstet Gynaecol · Dec 2012
Female genital mutilation/cutting (FGM/C): survey of RANZCOG fellows, diplomates & trainees and FGM/C prevention and education program workers in Australia and New Zealand.
Female genital mutilation/cutting (FGM/C) is traditionally practised in parts of Africa, the Middle East and South-East Asia. Migration has brought FGM/C to the attention of health practitioners in industrialised nations. It is not known whether FGM/C procedures are being performed in Australia and New Zealand, where legislation has been passed banning the practice. ⋯ There is no conclusive evidence of FGM/C being performed in Australia and New Zealand, either from direct reports or children presenting with complications, although re-suturing post-delivery is occurring. Anecdotal evidence suggests that it is most likely that people other than registered health practitioners are performing FGM/C.