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Comparative motility assessment of sperm retrieved from micro‐testicular sperm extraction: A single‐centre study comparing fresh and frozen–thawed sperm Aust. N. Z. J. Obstet. Gynaecol. (IF 1.4) Pub Date : 2024-09-17 Raneen Sawaid Kaiyal, Darren J. Bryk, Shinnosuke Kuroda, Johnathan Doolittle, Neel V. Parekh, Edmund Sabanegh, Nina Desai, Scott D. Lundy, Sarah C. Vij
IntroductionMicrosurgical testicular sperm extraction (microTESE) is crucial for treating non‐obstructive azoospermia (NOA), offering both ‘fresh’ and ‘frozen’ options. This study evaluates the impact of fresh versus frozen microTESE on the progression to intra‐cytoplasmic sperm injection (ICSI) cycles, focusing on sperm motility.Materials and MethodsWe conducted a retrospective analysis of microTESE
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Pregnancy in women with mitochondrial disease—A literature review and suggested guidance for preconception and pregnancy care Aust. N. Z. J. Obstet. Gynaecol. (IF 1.4) Pub Date : 2024-09-11 Lisa Hui, Pema Hayman, Ali Buckland, Michael C Fahey, David A Mackey, Andrew J Mallett, Daniel R Schweitzer, Clare P Stuart, Wai Yan Yau, John Christodoulou
Mitochondrial donation to reduce the risk of primary mitochondrial disease transmission from mother to child is now permitted under Australian law as part of a clinical trial. The energy demands of pregnancy have the potential to worsen mitochondrial disease symptoms and severity in affected women. We conducted a systematic literature review on mitochondrial disease in pregnancy; five cohort studies
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‘It's not a solution to keep telling me to lose weight!’ Exploring endometrial cancer survivors’ experiences of nutrition and well‐being advice: A qualitative study Aust. N. Z. J. Obstet. Gynaecol. (IF 1.4) Pub Date : 2024-09-07 Linda Williams, Claire Henry, Bryony Simcock, Tutangi Amataiti, Olivia Perelini, Sara Filoche
AimsThe aim was to explore Endometrial cancer (EC) survivors' experiences of being offered nutrition and well‐being advice.MethodsThis qualitative study was conducted at two tertiary centres in Aotearoa New Zealand. Semi‐structured conversations with people who had completed treatment for EC in the past 12 months were undertaken to explore how they were offered nutrition and well‐being advice as part
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Gender representation in obstetrics and gynaecology leadership Aust. N. Z. J. Obstet. Gynaecol. (IF 1.4) Pub Date : 2024-09-07 Belinda Holmes, Ibinabo Ibiebele, Tanya A.C. Nippita
BackgroundWomen in leadership in obstetrics and gynaecology in Australia and Aotearoa New Zealand have historically been underrepresented, despite forming a significant portion of the workforce. This study extends prior research from 2017, examining shifts in gender representation, attitudes, and perceived leadership barriers within the specialty.AimsThe study aims to evaluate changes in gender diversity
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Vaginoscopy to investigate vaginal bleeding and discharge in prepubertal girls Aust. N. Z. J. Obstet. Gynaecol. (IF 1.4) Pub Date : 2024-09-05 Asha Short, Andrea Sit, Brigitte Gerstl, Hayley Mallinder, Rebecca Deans
Study ObjectiveTo investigate the aetiology of vaginal bleeding and discharge in prepubescent girls, and the utility of vaginoscopy for making a diagnosis.DesignRetrospective observational study over 14 years.SettingTwo major tertiary referral paediatric hospitals in Sydney, Australia.ParticipantsAll prepubescent girls (n = 104) who presented with vaginal bleeding and/or discharge and subsequently
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Preserving the human voice: A plea for regulating ChatGPT use in Correspondence and Opinion writing Aust. N. Z. J. Obstet. Gynaecol. (IF 1.4) Pub Date : 2024-09-05 Shigeki Matsubara
Correspondence and Opinion provide a ‘human voice,’ serving as the captivating elements that grab readers' attention and stimulate contemplation. The extent of ChatGPT's involvement in writing raises controversy. We tested ChatGPT's capability to generate readable Correspondence or Opinion, producing an English Opinion from a Japanese abstract. We also tasked ChatGPT with creating Correspondence and
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Diagnostic tests for the prediction of histological chorioamnionitis and funisitis in pregnant women with preterm premature rupture of membranes: A systematic review Aust. N. Z. J. Obstet. Gynaecol. (IF 1.4) Pub Date : 2024-08-12 Valeria Lanzarone, Adam Polkinghorne, Guy Eslick, James Branley
BackgroundInfection of the amniotic cavity is an important driver and/or consequence of preterm prelabour rupture of membranes (PPROM). Prediction of infection is challenging, limiting guidance for interventions during the antenatal period. Infection typically triggers a host inflammatory response, and non‐invasive indirect markers of the maternal or fetal inflammatory response have been reported in
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Educational programs for adolescents Aust. N. Z. J. Obstet. Gynaecol. (IF 1.4) Pub Date : 2024-08-05 Felicity Roux
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Editor‐in‐chief's introduction to ANZJOG 64 (4) Aust. N. Z. J. Obstet. Gynaecol. (IF 1.4) Pub Date : 2024-08-05 Scott W. White
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Levothyroxine may not adequately prepare hypothyroid women for controlled ovarian hyperstimulation: Correspondence Aust. N. Z. J. Obstet. Gynaecol. (IF 1.4) Pub Date : 2024-08-01 Hinpetch Daungsupawong, Viroj Wiwanitkit
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Retrospective review of surgeon administered transversus abdominis plane blocks at emergency caesarean Aust. N. Z. J. Obstet. Gynaecol. (IF 1.4) Pub Date : 2024-08-01 Rachel Einarsson, Joshua Knowles
BackgroundEffective analgesics with minimal side effects are imperative for patient and neonate wellbeing postpartum. Post‐caesarean section ultrasound‐guided transversus abdominis plane (TAP) blocks have proven safety and efficacy. Surgical TAP blocks appear effective and require little time and equipment. No previous examination of surgical TAP blocks in patients having undergone emergency caesarean
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The impact of the COVID‐19 public health response on service demand and patient perceptions in a tertiary Australian gynaecology oncology unit Aust. N. Z. J. Obstet. Gynaecol. (IF 1.4) Pub Date : 2024-07-29 Nooraishah Yasin, Michael Yu, Kristen Jones, Anne Woolfield, Ian Hughes, Marcelo Nascimento, Helen Green
IntroductionThe public health response (PHR) to the COVID‐19 pandemic significantly disrupted healthcare services worldwide. Our hospital, a major tertiary centre, is a unique two‐state service across Queensland and New South Wales (NSW).ObjectiveThe primary objective is to describe changes in service demand and delivery in our hospital resulting from the COVID‐19 PHR. The secondary objective is to
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Worth waiting for? Aust. N. Z. J. Obstet. Gynaecol. (IF 1.4) Pub Date : 2024-07-26 Karen Joseph, Lauren Kite, Sonia Grover, Marilla Druitt
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Launching the ACE Aust. N. Z. J. Obstet. Gynaecol. (IF 1.4) Pub Date : 2024-07-24 Katrina Calvert, Sarah Janssens, Ian Symonds
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Management of potassium‐wasting syndrome in the antepartum, intrapartum and postpartum period Aust. N. Z. J. Obstet. Gynaecol. (IF 1.4) Pub Date : 2024-07-19 Connor McPhail, Hannah Szewczyk, Ana McCarthy, Tayla Wark, Anupam Parange, Shilpanjali Jesudason
Potassium‐wasting syndromes, including Gitelman or Bartter syndrome, require close medical and biochemical review during pregnancy to reduce potentially severe complications, morbidity and mortality. We report a case of severe potassium‐wasting syndrome managed successfully in pregnancy with extremely high oral potassium intake.
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Temporal and external validation of the algorithm predicting first trimester outcome of a viable pregnancy Aust. N. Z. J. Obstet. Gynaecol. (IF 1.4) Pub Date : 2024-07-18 Nicole Stamatopoulos, Donna Ngo, Chuan Lu, Mercedes Espada Vaquero, Mathew Leonardi, George Condous
BackgroundSymptoms like vaginal bleeding or abdominal pain in early pregnancy can create anxiety about potential miscarriage. Previous studies have demonstrated ultrasonographic variables at the first trimester transvaginal scan (TVS) which can assist in predicting outcomes by 12 weeks gestation.AimTo validate the miscarriage risk prediction model (MRP) in women who present with a viable intrauterine
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Universal screening for Lynch syndrome in endometrial cancer diagnoses in Auckland, New Zealand: The initial experience Aust. N. Z. J. Obstet. Gynaecol. (IF 1.4) Pub Date : 2024-07-17 Silipa Lock Sam Naiqiso, Jo Moses, Ai Ling Tan, Lois Eva
BackgroundUniversal mismatch repair immunohistochemistry (MMR IHC) tumour testing in endometrial cancer (EC) for Lynch syndrome (LS) was introduced in Auckland, New Zealand, in January 2017. Identifying patients with LS allows them and their families to access risk reduction strategies. Universal MMR IHC testing aids in the molecular classification of EC and has prognostic and therapeutic implications
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Adoption of vaginally assisted natural orifice transluminal endoscopic surgery for hysterectomy: A single tertiary experience Aust. N. Z. J. Obstet. Gynaecol. (IF 1.4) Pub Date : 2024-07-15 Supuni Kapurubandara, Jan Baekelandt, Patrick Laws, Jenny King
BackgroundVaginal hysterectomy (VH) rate is declining despite being considered as the optimal minimally invasive option for hysterectomy with reduced operative time and length of stay compared with laparoscopic hysterectomy (LH). Vaginal assisted natural orifice transluminal endoscopic surgery hysterectomy (VANH) combines the advantages of both vaginal and endoscopic approach to surgery.AimsTo report
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Editor‐in‐Chief's introduction to ANZJOG 64 (3) Aust. N. Z. J. Obstet. Gynaecol. (IF 1.4) Pub Date : 2024-07-15 Scott W. White
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Methoxyflurane analgesia for outpatient hysteroscopy: A double‐blind, randomised, controlled trial Aust. N. Z. J. Obstet. Gynaecol. (IF 1.4) Pub Date : 2024-07-15 Emily K. Twidale, Sofie Neutens, Lyn Hynt, Narena Dudley, Catherine Streeton
BackgroundDespite clinical and economic benefits, pain during outpatient hysteroscopy (OPH) remains a barrier to use. There is a lack of evidence to support routine use of one analgesic over another versus no analgesic.AimsTo study the efficacy and safety of methoxyflurane analgesia during OPH.Materials and MethodsA single‐centre, randomised, double‐blind, placebo‐controlled experiment was performed;
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Willingness to pay for expanded non‐invasive prenatal screening – An online discrete choice experiment from the perspective of women living in Western Australia Aust. N. Z. J. Obstet. Gynaecol. (IF 1.4) Pub Date : 2024-07-13 Sarah Long, Peter O'Leary, Richard Norman, Jan E. Dickinson
IntroductionOngoing advances in genetic technology may soon provide prenatal screening for multiple genetic conditions.AimsThe aims were to investigate what prenatal screening test characteristics women prioritise and their willingness to pay for these tests.MethodsWe designed an online survey incorporating a series of discrete choice scenarios. Dimensions and levels were selected based on existing
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Routine transabdominal cervical length screening in mid‐pregnancy for the prevention of preterm birth: Is it good enough to use as a screening test? Aust. N. Z. J. Obstet. Gynaecol. (IF 1.4) Pub Date : 2024-07-10 Michelle K Pedretti, Jan E. Dickinson, Dorota A. Doherty, John P. Newnham
BackgroundPreterm birth (PTB) is a major pregnancy complication. There is evidence that a short cervical length in mid‐pregnancy may predict women at increased risk of PTB.AimsTo evaluate the utility of population‐based, transabdominal cervical length (TACL) measurement screening in mid‐pregnancy for PTB prediction in women.Materials and MethodsA transabdominal approach was initially performed, with
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Characteristics of preterm births during COVID‐19 mitigation measures Aust. N. Z. J. Obstet. Gynaecol. (IF 1.4) Pub Date : 2024-06-29 Yizhen (Amy) Liu, Alexia Matheson, Rochelle Sleaby, Brendan Mulcahy, Kirsten R. Palmer, Ryan J. Hodges, Ben W. Mol, Atul Malhotra, Daniel L. Rolnik
BackgroundDuring the COVID‐19 pandemic, mitigation measures were associated with a reduction in preterm birth rates; while not clearly proven, this observation has sparked significant interest.AimTo understand the cause of this reduction by exploring the characteristics of preterm birth cohorts.Material and methodsWe performed a retrospective cohort study where we compared women who delivered preterm
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Australasian recurrent pregnancy loss clinical management guideline 2024, part II. Aust. N. Z. J. Obstet. Gynaecol. (IF 1.4) Pub Date : 2024-06-27 Adriana Suker,Ying Li,Danielle Robson,Anthony Marren,
Part II of the Australasian guideline for the investigation and management of recurrent pregnancy loss (RPL) provides evidence-based guidance on the management of RPL provided. The implications of inherited and acquired thrombophilia with respect to RPL and suggestions for clinical management are provided. Autoimmune factors, including human leukocyte antigen, cytokines, antinuclear antibodies and
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Australasian Recurrent Pregnancy Loss Clinical Management Guideline 2024 Part I. Aust. N. Z. J. Obstet. Gynaecol. (IF 1.4) Pub Date : 2024-06-27 Adriana Suker,Ying Li,Danielle Robson,Anthony Marren,
Guidelines for the investigation and management of recurrent pregnancy loss (RPL) have been developed in Europe, USA and UK, but there is currently no Australasian guideline. The Australasian Certificate of Reproductive Endocrinology and Infertility Consensus Expert Panel on Trial Evidence group has prepared a two-part guideline to provide guidance on the management of RPL. In Part I chromosomal, anatomical
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A survey of obstetric and gynaecology doctors at an Australian metropolitan tertiary hospital to understand their views, training and confidence in abortion care Aust. N. Z. J. Obstet. Gynaecol. (IF 1.4) Pub Date : 2024-06-27 Laura C. Phung, Joanne M. Said, Aekta Neel
BackgroundThe barriers to comprehensive abortion care in Australian metropolitan tertiary hospitals are under‐researched. Previous work has suggested that negative practitioner attitudes and lack of training may play a large role; however, this remains poorly understood.AimThe aim was to survey doctors practicing obstetrics and gynaecology to better understand their views, training experience and confidence
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Pelvic pain education – A short review on pelvic pain and endometriosis educational programs for adolescents Aust. N. Z. J. Obstet. Gynaecol. (IF 1.4) Pub Date : 2024-06-26 Hui Ping Adeline Thong, Amelia Kate Mardon, Susan Evans
Persistent pelvic pain is a significant healthcare concern among adolescents; however adolescents often have poor health literacy regarding their pain. Current school curricula fail to specifically address pelvic pain and management strategies. This review aims to summarise current pelvic pain education programs in Australian and New Zealand schools. These programs have successfully strengthened the
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Levothyroxine may not adequately prepare hypothyroid women for controlled ovarian hyperstimulation Aust. N. Z. J. Obstet. Gynaecol. (IF 1.4) Pub Date : 2024-06-24 Rachel A. Bradbury, Karen Byth, Howard C. Smith
BackgroundThyroid axis dysregulation during controlled ovarian hyperstimulation (COH) is more pronounced in hypothyroid‐treated women. Whether or not this leads to compromised thyroid hormone levels within the ovarian follicular fluid is not known.AimsTo determine whether ovarian follicular thyroid hormone levels are compromised in adequately replaced hypothyroid women undergoing controlled ovarian
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SOMANZ position statement for the investigation and management of sepsis in pregnancy 2023 Aust. N. Z. J. Obstet. Gynaecol. (IF 1.4) Pub Date : 2024-06-24 Lucy Bowyer, Briony A. Cutts, Helen L. Barrett, Kendall Bein, Timothy M. Crozier, Jessica Gehlert, Michelle L. Giles, Jennifer Hocking, Sandra Lowe, Karin Lust, Angela Makris, Mark R. Morton, Tara Pidgeon, Joanne Said, Helen L. Tanner, Lucille Wilkinson, Maggie Wong
BackgroundThe Society of Australia and New Zealand (SOMANZ) published its first sepsis in pregnancy and the postpartum period guideline in 2017 (Aust N Z J Obstet Gynaecol, 57, 2017, 540). In the intervening 6 years, maternal mortality from sepsis has remained static.AimsTo update clinical practice with a review of the subsequent literature. In particular, to review the definition and screening tools
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Australia's fertility rate and the future Aust. N. Z. J. Obstet. Gynaecol. (IF 1.4) Pub Date : 2024-06-21 Clare Boothroyd, Katharine Bassett, Stephen Robson
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Inter-observer reproducibility of the 2021 AAGL Endometriosis Classification. Aust. N. Z. J. Obstet. Gynaecol. (IF 1.4) Pub Date : 2024-06-19 Jason Nicholas Mak,Cansu Uzuner,Mercedes Espada,Allie Eathorn,Shannon Reid,Mathew Leonardi,Mike Armour,George Stanley Condous
BACKGROUND Inter-observer agreement for the American Association of Gynecologic Laparoscopists (AAGL) 2021 Endometriosis Classification staging system has not been described. Its predecessor staging system, the revised American Society for Reproductive Medicine (rASRM), has historically demonstrated poor inter-observer agreement. AIMS We aimed to determine the inter-observer agreement performance of
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Ascertainment of Aboriginal and Torres Strait Islander status for assessment of perinatal health outcomes: Reported versus derived maternal ethnicity in Western Australian pregnancy data. Aust. N. Z. J. Obstet. Gynaecol. (IF 1.4) Pub Date : 2024-06-04 Ye'elah E Berman,John P Newnham,Sarah V Ward,Kiarna Brown,Dorota A Doherty
BACKGROUND Under-identification of Aboriginal and Torres Strait Islander (hereafter referred to as Aboriginal) people can result in inaccurate estimation of health outcomes. Data linkage has improved identification of Aboriginal people in administrative datasets. AIM To compare three methods of ascertainment of Aboriginal status using only pregnancy data from the Western Australian Midwives Notification
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Using language to identify a bladder pain component in women with Dysmenorrhoea‐Related Pelvic Pain: A cross‐sectional study Aust. N. Z. J. Obstet. Gynaecol. (IF 1.4) Pub Date : 2024-05-28 Eleanor Schofield, Roland Sussex, Tania Crotti, Susan Evans
BackgroundDysmenorrhoea‐Related Pelvic Pain (DRPP) is a common condition, which may or may not include bladder‐related symptoms. Primary health care practitioners (PHCP) rely heavily on language for diagnosis of DRPP‐related conditions. However, there are no established pain descriptors to assist PHCP to determine whether an individual's DRPP may include a bladder component.AimsTo identify differences
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Does abdominal protrusion in pregnant women affect abdominal injury severity in motor vehicle collisions? A nationwide database study Aust. N. Z. J. Obstet. Gynaecol. (IF 1.4) Pub Date : 2024-05-25 Ayumu Kuwahara, Masahito Hitosugi, Arisa Takeda, Mami Nakamura
AimsSome pregnant women avoid vehicle driving owing to the risk of contact between their protruding abdomen and steering wheel. This study was performed to determine whether abdominal protrusion in late‐term pregnant car users affects the occurrence and severity of abdominal injuries in motor vehicle collisions using a national crash database.MethodsThe National Automotive Sampling System/Crashworthiness
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A double‐blinded randomised controlled study of fluid restriction versus liberal fluid during induction of labour: A pilot study Aust. N. Z. J. Obstet. Gynaecol. (IF 1.4) Pub Date : 2024-05-23 Darren J. Lowen, Marina Meikhail, Ekaterina Jovic, Nicole Sheridan, Mark Tacey, Andrew Bisits, Russell Hodgson
BackgroundExcess intravenous fluid for women requiring an induction of labour may adversely affect the duration of labour and maternal/neonatal outcomes.AimsThis study aimed to determine the difference in duration of labour and outcomes with a low background infusion rate, compared to liberal background intravenous fluid management.Materials and MethodsA double blind randomised controlled pilot study
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Maternal and perinatal outcomes in nulliparous women with a booking body mass index exceeding 50 kg/m2 Aust. N. Z. J. Obstet. Gynaecol. (IF 1.4) Pub Date : 2024-05-23 Mia Shepherdson, Ashlee Koch, Willem Gheysen, Elizabeth Beare, Jan Ardui
BackgroundWomen with a body mass index (BMI) >35 kg/m2 carry an increased obstetric risk; however, the experience of the Class IV and above obese nulliparous women is less understood.AimsTo describe maternal and perinatal outcomes in nulliparous women of booking BMI > 50 kg/m2.Materials and methodsA cohort study of 48 nulliparous women who delivered between 2015 and 2019 in a tertiary hospital and
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COVID‐19 vaccination in pregnancy: A quantitative and qualitative analysis of the effect of strong public health messaging in an Australian cohort Aust. N. Z. J. Obstet. Gynaecol. (IF 1.4) Pub Date : 2024-05-23 Sarah Malone, Siobhan Walsh, Zoe Butters, Ashleigh Seiler, Julia Unterscheider
BackgroundSARS‐CoV‐2 infection in pregnancy predisposes women and their offspring to adverse health outcomes, while internationally reported rates of vaccination uptake remain low. Our study objective was to quantify the uptake of COVID‐19 vaccination in pregnant women, and to assess their attitudes toward vaccination in pregnancy with both quantitative and qualitative analyses.Materials and methodsThis
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Redesigning antenatal care: Prospective use of an implementation framework to establish a population‐based multidisciplinary first‐trimester screening, assessment and prevention service Aust. N. Z. J. Obstet. Gynaecol. (IF 1.4) Pub Date : 2024-05-23 Ailsa Borbolla Foster, Jennifer Haxton, Nicole Bennett, Jon Hyett, Felicity Park
BackgroundAustralian rates of adverse obstetric outcomes have improved little despite guidelines recommending history‐based screening and intervention. The first trimester provides a unique opportunity to predict and prevent complications, yet population‐based screening has failed to be translated into broad clinical practice.AimsThis study aimed to redesign antenatal care within an Australian public
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A decade to wait: Update on the average delay to diagnosis for endometriosis in Aotearoa New Zealand Aust. N. Z. J. Obstet. Gynaecol. (IF 1.4) Pub Date : 2024-05-22 Katherine Ellis, Rachael Wood
Endometriosis is a common condition with varying delays from symptom onset to diagnosis reported internationally. In New Zealand, the previously accepted average delay to diagnosis was 8.6–8.7 years. An online survey completed by the largest cohort of self‐reported New Zealand‐confirmed endometriosis patients (n = 1024) for the collection of delay to diagnosis was conducted in September and October
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Australian postpartum women want reputable health information delivered via social networking sites Aust. N. Z. J. Obstet. Gynaecol. (IF 1.4) Pub Date : 2024-05-22 Megan L. Gow, Maddison Henderson, Amanda Henry, Lynne Roberts, Heike Roth
Novel strategies are needed to target the health of postpartum women, who face numerous competing demands. This survey study of 553 postpartum women found 90% want access to a range of health information via social networking sites from reputable professionals, with Instagram (71%) the preferred platform. Delivery of health information to postpartum women via health organisation social networking sites
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Beta‐lactam allergy risk stratification in a maternity population in Australia: Scope for allergy de‐labelling Aust. N. Z. J. Obstet. Gynaecol. (IF 1.4) Pub Date : 2024-05-09 Wirawan Jeong, Shahad Saleh, Sharon Heap, Vi Pham, Laura Leung, Sushena Krishnaswamy
BackgroundUnconfirmed beta‐lactam allergy in pregnant people has been associated with higher morbidity, unnecessary exposure to broad‐spectrum antibiotics and prolonged hospitalisation. There are no published data on beta‐lactam allergies in pregnant people in Australia.AimsThe aim was to describe patient‐reported beta‐lactam allergies and appropriateness for antibiotic allergy de‐labelling in a maternity
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Sentinel lymph node detection with indocyanine green and patent blue dye in cervical cancer: A single‐centre feasibility study Aust. N. Z. J. Obstet. Gynaecol. (IF 1.4) Pub Date : 2024-05-08 Marta Preston, Rosemary McBain, Niveditha Rajadevan, Antonia Jones, Deborah Neesham, Orla McNally
BackgroundSentinel lymph node (SLN) dissection has been established as standard of care in many tumours. Its use in early cervical cancer is an area of increasing interest and some studies suggest a high detection rate.AimTo explore feasibility of SLN dissection and establish the patient detection rate in women with early cervical cancer.Materials and MethodsAll patients with early cervical cancer
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Research priorities of endometriosis patients and supporters in Aotearoa New Zealand Aust. N. Z. J. Obstet. Gynaecol. (IF 1.4) Pub Date : 2024-05-06 Katherine Ellis, Rachael Wood
BackgroundIn New Zealand, an estimated 10% of women and people presumed female at birth have endometriosis, a disease characterised by the presence of tissue similar to the lining of the uterus, outside of the uterus.AimsThe purpose of this study was to characterise the research priorities of New Zealand endometriosis patients and their support networks in alignment with an Australian study. This will
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Investigation of the quality and health literacy demand of online information on pelvic floor exercises to reduce stress urinary incontinence Aust. N. Z. J. Obstet. Gynaecol. (IF 1.4) Pub Date : 2024-04-30 Brydie Willburger, Zhuoran Chen, Kylie J. Mansfield
BackgroundMany women are embarrassed to discuss pelvic floor exercises with health professionals during pregnancy; instead they search the internet for information on pelvic floor exercises.AimsThis project investigated the quality and health literacy demand in terms of readability, understandability and actionability of information available on the internet relating to pelvic floor exercises.Materials
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Why does hormonal contraception and menopausal hormonal treatment have such a small effect on breast cancer risk? Aust. N. Z. J. Obstet. Gynaecol. (IF 1.4) Pub Date : 2024-04-30 John A. Eden
Oestrogen is considered by many to be a major cause of breast cancer, and yet hormonal contraception and menopausal hormonal therapy have a paradoxically small effect on breast cancer risk. Also, in the oestrogen‐only arm of the Women's Health Initiative, subjects given oestrogen had a reduced risk of breast cancer compared to controls. Initiation of breast cancer likely begins early in life, in the
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Our evaluation of the paper authored by Sakas Aust. N. Z. J. Obstet. Gynaecol. (IF 1.4) Pub Date : 2024-04-29 Hossam Elzeiny
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Antenatal health and perinatal outcomes of Pacific Islander women in Australia with and without gestational diabetes: A ten‐year retrospective cohort study Aust. N. Z. J. Obstet. Gynaecol. (IF 1.4) Pub Date : 2024-04-25 Annabel S. Jones, Jessica Deitch, Christopher Yates, Peter Shane Hamblin, Glyn Teale, Dev Kevat, I‐Lynn Lee
BackgroundPacific Islander (PI) women in Australia have an increased risk of gestational diabetes (GDM); however, their perinatal outcomes are poorly understood.AimThe aim was to determine the maternal characteristics and perinatal outcomes of PI women with and without GDM compared to Australian/European (AE)–born women.MethodsA retrospective analysis of perinatal outcomes of singleton deliveries >20
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Assessing preconception health in Australia to support better outcomes in the first 2000 days – A critical need for building a core indicator framework Aust. N. Z. J. Obstet. Gynaecol. (IF 1.4) Pub Date : 2024-04-20 Asvini K. Subasinghe, Kirsten I. Black, Edwina Dorney, Jacqueline A. Boyle
In 2021, the Preconception Health Network Australia co‐developed preconception health core indicators identified as critical to ensuring optimal maternal and child outcomes following conception. We conducted an audit of perinatal databases across each state and territory to identify whether preconception core indicator data were available. Seven health domains co‐developed by the Preconception Health
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The first International Association of Diabetes and Pregnancy Study Groups summit on the diagnosis of gestational diabetes in early pregnancy: TOBOGM Summit Report. Aust. N. Z. J. Obstet. Gynaecol. (IF 1.4) Pub Date : 2024-04-18 Arianne Sweeting,Freya MacMillan,David Simmons,
The first International Association of Diabetes and Pregnancy Study Groups Summit on the diagnosis of gestational diabetes in early pregnancy (Treatment of Booking Gestational Diabetes Mellitus (TOBOGM) Summit) was held on the 17 November 2022 in Sydney, Australia. It sought to use the TOBOGM trial findings to scope the issues involved with early screening, to inform future discussions over possible
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Obstetrician views on Fetal Pillow® device use and research in Aotearoa New Zealand: A cross‐sectional survey Aust. N. Z. J. Obstet. Gynaecol. (IF 1.4) Pub Date : 2024-04-18 Lynn Sadler, Robin Cronin, Erena Browne, Amanda Harvey, Meghan G Hill
BackgroundThere is anecdotal evidence of Fetal Pillow® use, but no formal local information on clinician practices and perspectives.AimsTo assess obstetrician use of the Fetal Pillow®, knowledge of relevant research, and interest in a proposed randomised controlled trial in Aotearoa New Zealand.Materials and MethodsAnonymous cross‐sectional survey of practising obstetricians and obstetric trainees
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Percutaneous tibial nerve stimulation for the overactive bladder: A single‐arm trial Aust. N. Z. J. Obstet. Gynaecol. (IF 1.4) Pub Date : 2024-04-18 Hnin Yee Kyaw, Hannah G. Krause, Judith T.W. Goh
AimsWe hypothesise that PTNS is a safe and effective treatment for OAB. Overactive bladder (OAB) is estimated to affect 11.8% of women worldwide, causing diminished quality of life. Lifestyle modifications, muscarinic receptor antagonist and beta‐adrenoreceptor agonist remain the mainstay of treatment but are limited by their efficacy and adverse effects. Access to third‐line therapies of intravesical
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Authors response to Letter to the Editor regarding ‘Perinatal outcomes after regional analgesia during labour’ Aust. N. Z. J. Obstet. Gynaecol. (IF 1.4) Pub Date : 2024-04-17 Janna Lawson, Roshan Selvaratnam
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Reply to perinatal outcomes after regional analgesia during labour Aust. N. Z. J. Obstet. Gynaecol. (IF 1.4) Pub Date : 2024-04-17 Kara Thompson, Nisha Khot
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Editor-in-chief's introduction to ANZJOG 64(2) Aust. N. Z. J. Obstet. Gynaecol. (IF 1.4) Pub Date : 2024-04-10 Scott W. WHITE
Welcome to the April 2024 issue of ANZJOG. Thank you to the many contributors to ANZJOG who have submitted manuscripts and contributed to the peer review process as this maintains the journal as a source of robust clinical science for clinicians and researchers in Australia and New Zealand and further afield. This issue begins with two stimulating articles about severe maternal morbidity. Most of us
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Improvements from a small‐group multidisciplinary pain self‐management intervention for women living with pelvic pain maintained at 12 months Aust. N. Z. J. Obstet. Gynaecol. (IF 1.4) Pub Date : 2024-04-06 Karen Joseph, Jessica Mills
BackgroundA small‐group multidisciplinary pain self‐management program for women living with pelvic pain, with or without endometriosis, was developed to address identified unmet treatment needs. Following completion, over 80% of participants demonstrated clinically significant improvement across a number of domains. There was no clinically significant deterioration on any measure and benefits continued
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Extending the new era of genomic testing into pregnancy management: A proposed model for Australian prenatal services Aust. N. Z. J. Obstet. Gynaecol. (IF 1.4) Pub Date : 2024-04-05 Alice Rogers, Lucas De Jong, Wendy Waters, Lesley H. Rawlings, Keryn Simons, Song Gao, Julien Soubrier, Rosalie Kenyon, Ming Lin, Rob King, David M. Lawrence, Peter Muller, Shannon Leblanc, Lesley McGregor, Suzanne C. E. H. Sallevelt, Jan Liebelt, Tristan S. E. Hardy, Janice M. Fletcher, Hamish S. Scott, Abhi Kulkarni, Christopher P. Barnett, Karin S. Kassahn
BackgroundTrio exome sequencing can be used to investigate congenital abnormalities identified on pregnancy ultrasound, but its use in an Australian context has not been assessed.AimsAssess clinical outcomes and changes in management after expedited genomic testing in the prenatal period to guide the development of a model for widespread implementation.Materials and methodsForty‐three prospective referrals