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
Comment by the editor: The maternal ECG in pre-eclampsia
A history of pre-eclampsia increases a woman’s risk of developing subsequent cardiovascular disease. ECG screening has been used in other contexts to predict cardiovascular risk: increased duration and dispersion of the P wave are among the changes noted. In this study, ECG recordings were made from 58 women with pre-eclampsia and 30 healthy age-matched pregnant women. P wave duration and dispersion were indeed higher in the pre-eclamptic women. The authors suggest that this could be used in targeted follow-up and counselling.
Ozgur Kirbas, Ebru Hacer Biberoglu, Ayse Kirbas, Halil Korkut Daglar, Ozge Kurmus, Dilek Uygur, Nuri Danisman
European Journal of Obstetrics & Gynecology and Reproductive Biology, pages 141 - 145
Comment by the editor: Managing maternal brain tumours in pregnancy
Brain tumours are rare in young women and histological types vary, making generalisation difficult. This study from Paris reports 23 pregnancies in 20 women with brain tumours over the period 2003–2011. In ten cases where the pregnancy was planned after counselling the outcome was good for mother and baby. However, unplanned pregnancies and tumours diagnosed during pregnancy were associated with poor perinatal outcome and maternal death. Caesarean section is not essential: all groups included vaginal births with epidural analgesia.
Impact of maternal brain tumours on perinatal and maternal management and outcome: a single referral centre retrospective study
Aude Girault, Marc Dommergues, Jacky Nizard
European Journal of Obstetrics & Gynecology and Reproductive Biology, pages 132 - 136
Comment by the editor: Does epidural analgesia influence the mode of delivery?
The phrase “cascade of intervention” is often used to describe what can happen to a woman in labour, but is it still relevant? Epidural analgesia used to be associated with an increased risk of caesarean section, but in 2011 a Cochrane review found this was no longer the case. Now a study from The Netherlands reports that the epidural rate in that country almost tripled between 2000 and 2009 while there was very little change in the rates of operative delivery. The authors conclude that epidurals are not an important cause of operative deliveries.
Epidural analgesia and operative delivery: a ten-year population-based cohort study in The Netherlands
Martine M.LH. Wassen, Chantal W.PM. Hukkelhoven, Hubertina C.J Scheepers, Luc J.M. Smits, Jan G. Nijhuis, Frans J.M.E. Roumen
European Journal of Obstetrics & Gynecology and Reproductive Biology, pages 125 - 131