Free access to the latest research
Welcome to the Obstetrics Resource Centre, with free access to the latest research in the field.
All content is independently selected by the Editors, Professor James O. Drife from Leeds, UK, and Professor Jim Thornton from Nottingham. The Obstetrics Resource Centre provides you with original articles, reviews, selected must-reads, lectures and a congress planner.
Selected EJOG Papers
Editor’s comment: Prof. James Drife: Can we prevent anal sphincter injury?
Third- and fourth-degree perineal tears cause long-term problems in 30-50% of cases. Some risk factors, like forceps delivery and occipito-posterior position, are well recognised but there is little consensus on others, or on methods of prevention. This ten-year retrospective study compared 1286 women with obstetric anal sphincter injury (OASI) with 1286 age-matched controls. Primiparity, episiotomy, gestational age, fetal weight and Asian ethnicity were all strongly associated with OASI, but BMI>30 had a protective effect.
Habiba Kapaya, Sharifah Hashim, Swati Jha
European Journal of Obstetrics & Gynecology and Reproductive Biology, pages 9 - 12
Editor’s comment: Prof. James Drife: Appropriately grown males still have problems
Male babies are more likely than females to be associated with pre-eclampsia or placental abruption, and boys born preterm have worse neurological outcomes than girls. This study investigated whether there are similar gender differences in outcome among normally grown babies. It looked at 9232 appropriately grown singletons born at term to primigravidae in a tertiary hospital in Australia. Boys were indeed more likely to require operative delivery, to have lower Apgar scores and to require neonatal resuscitation and nursery admission.
Liam Dunn, Tomas Prior, Ristan Greer, Sailesh Kumar
European Journal of Obstetrics & Gynecology and Reproductive Biology, pages 19 - 22
Editor’s comment: Prof. James Drife: Women’s quality of life after complicated pregnancy
After childbirth, a woman’s quality of life (QoL) is influenced by many factors, including her income, social support network and the size of her family. Health-related (HR) QoL can also be affected by obstetric complications. This study used data from three randomised trials in The Netherlands: each studied a different pregnancy complication but all assessed HRQoL at six weeks postpartum. A major adverse effect on physical QoL was found only after caesarean section, but no profound impacts on the mental component score were detected.
Determinants of health-related quality of life in the postpartum period after obstetric complications
Babette W. Prick, Denise Bijlenga, A.J. Gerard Jansen, Kim E. Boers, Sicco A. Scherjon, Corine M. Koopmans, Marielle G. van Pampus, Marie-Louise Essink-Bot, Dick J. van Rhenen, Ben W. Mol, Johannes J. Duvekot
European Journal of Obstetrics & Gynecology and Reproductive Biology, pages 88 - 95
Editor’s comment: Prof. James Drife: How risky is repetitive fetal scalp blood sampling?
Fetal scalp blood sampling (FBS) is performed when concerns are raised by fetal heart rate monitoring. NICE guidance in the UK recommends a obtaining a consultant opinion if FBS is done more than twice. In this Swedish study of 2134 FBSs in 1070 labours, there were no differences in fetal outcome between labours with 1-2 and those with >3 FBSs, though the risk of caesarean section was doubled in the latter group. The authors emphasise that >50% of women with repetitive FBS will be delivered vaginally, and 1/3 of these spontaneously.
Malin Holzmann, Stina Wretler, Sven Cnattingius, Lennart Nordström
European Journal of Obstetrics & Gynecology and Reproductive Biology, pages 97 - 102
Editor’s comment: Prof. James Drife: Predicting de novo postpartum pre-eclampsia
There have been surprisingly few studies of normal blood pressure (BP) during labour. In this French study, automated BP measurements were made on 1435 women who entered labour with no history of previous hypertensive disorder. Labour increased the mean systolic BP from 119 to 135 mmHg and the mean diastolic from 74 to 81 mmHg. Just under 1% of the women developed de novo early postpartum preeclampsia, which was mild in all cases, and was associated with a systolic BP >150 mmHg or a diastolic >91 mmHg.
Blood pressure changes during the first stage of labor and for the prediction of early postpartum preeclampsia: a prospective study
Jonathan Cohen, Daniel Vaiman, Baha M. Sibai, Bassam Haddad
European Journal of Obstetrics & Gynecology and Reproductive Biology, pages 103 - 107
Editor’s comment: Prof. James Drife: The significance of the isolated single umbilical artery
Single umbilical artery (SUA) is found in 0.2-2.0% of all pregnancies. It is associated with fetal abnormalities and with growth restriction and perinatal mortality. This study from Vienna, having excluded chromosomal and structural abnormalities, compared 136 singleton pregnancies with SUA with 500 pregnancies with a normal 3-vessel cord. Fetuses with SUA had a lower birthweight and were delivered at an earlier gestational age. SUA was associated with an 11-fold increased risk of IUGR and a 5-fold increase in very preterm delivery.
Mariella Mailath-Pokorny, Katharina Worda, Maximilian Schmid, Stephan Polterauer, Dieter Bettelheim
European Journal of Obstetrics & Gynecology and Reproductive Biology, pages 80 - 83