BJOG : an international journal of obstetrics and gynaecology
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To assess the incidence of hypertensive disorders of pregnancy and related severe complications, identify other associated factors and compare maternal and perinatal outcomes in women with and without these conditions. ⋯ The analysis of this large database provides estimates of the global distribution of the incidence of hypertensive disorders of pregnancy. The information on the most frequent complications related to pre-eclampsia and eclampsia could be of interest to inform policies for health systems organisation.
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Multicenter Study Comparative Study
Advanced maternal age and pregnancy outcomes: a multicountry assessment.
To assess the association between advanced maternal age (AMA) and adverse pregnancy outcomes. ⋯ Advanced maternal age predisposes women to adverse pregnancy outcomes. The findings of this study would facilitate antenatal counselling and management of women in this age category.
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Multicenter Study
Development of criteria for identifying neonatal near-miss cases: analysis of two WHO multicountry cross-sectional studies.
To develop and test markers of neonatal severe morbidity for the identification of neonatal near-miss cases. ⋯ Newborn infants presenting selected markers of severity and surviving the first neonatal week could be considered as neonatal near-miss cases. This definition and criteria may be seen as a basis for future applications of the near-miss concept in neonatal health. These tools can be used to inform policy makers on how best to apply scarce resources for improving the quality of care and reducing neonatal mortality.
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Multicenter Study Comparative Study
Maternal and neonatal morbidity in relation to the instrument used for mid-cavity rotational operative vaginal delivery: a prospective cohort study.
To compare the maternal and neonatal morbidity associated with alternative instruments used to perform a mid-cavity rotational delivery. ⋯ Maternal and perinatal outcomes are comparable with Kielland forceps, vacuum extraction, and manual rotation, with few serious adverse outcomes. With appropriate training mid-cavity rotational delivery can be practiced safely, including the use of Kielland forceps.
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Multicenter Study Observational Study
Birth defects in a national cohort of pregnant women with HIV infection in Italy, 2001-2011.
We used data from a national study of pregnant women with HIV to evaluate the prevalence of congenital abnormalities in newborns from women with HIV infection. ⋯ This study adds further support to the assumption that first-trimester exposure to antiretroviral treatment does not increase the risk of congenital abnormalities.