Adrian R Heard

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OBJECTIVE To estimate the risks of cesarean first birth, compared with vaginal first birth, for adverse obstetric and perinatal outcomes in the second birth. METHODS Population-based retrospective cohort study of all singleton, second births in the South Australian perinatal data collection 1998 to 2003 comparing outcomes for 8,725 women who underwent a(More)
OBJECTIVE To identify risk factors for hypertension in pregnancy among South Australian women. DESIGN A population-based retrospective analysis using the South Australian perinatal data collection for 1998-2001. METHODS Three groups of women with hypertension (pre-existing hypertension, pregnancy hypertension, and superimposed pre-eclampsia) were(More)
OBJECTIVE To determine the prevalence of self-reported substance use during pregnancy in South Australia, the characteristics of substance users, their obstetric outcomes and the perinatal outcomes of their babies. METHODS Multivariable logistic regression with STATA statistical software was undertaken using the South Australian perinatal data collection(More)
BACKGROUND This article describes the incidence of total knee and hip replacement, and compares post-surgery health status outcomes in veterans and civilians. METHODS The numbers of male veterans and civilians who had a knee and/or a hip replacement in South Australia (1994-2002) were obtained. Standardized morbidity ratios, and odds ratios for age group(More)
To identify cancers which occur as second primaries following the diagnosis of cancers of other sites, as a basis for formulating causal hypotheses and planning medical surveillance. Analyses of fifteen common cancer sites were undertaken to examine the occurrence of multiple primaries. These cancers were notified to the South Australian Cancer Registry(More)
OBJECTIVES To analyse risk factors of perinatal death, with an emphasis on potentially avoidable risk factors, and differences in the frequency of suboptimal care factors between maternity units with different levels of care. METHODS Six hundred and eight pregnancies (2001-2005) in South Australia resulting in perinatal death were described and compared(More)
BACKGROUND There have been conflicting reports about pregnancy outcome in the hypertensive disorders of pregnancy. The present study was undertaken to examine outcomes using a population database. AIMS To examine for differences in a range of pregnancy outcomes between three different groups of hypertensive women and normotensive women in South Australia.(More)
OBJECTIVE The aim of this study was to assess the ability of nurse-run asthma clinics based in general practice compared with usual medical care to produce at least a moderate improvement in the quality of life of adults with asthma. METHODOLOGY A randomized controlled trial involving 80 asthma clinic and 90 usual medical care asthma participants, aged 18(More)
OBJECTIVE To compare the effects on asthma morbidity of asthma clinics based in general practice with standard general practice care. DESIGN AND SETTING A randomised controlled trial in eight general practices. Patients, general practitioners and outcomes assessors were not blinded to treatment allocation. PARTICIPANTS 195 patients with asthma aged 5-64(More)
AIMS Chronic obstructive pulmonary disease (COPD) is a common condition associated with considerable morbidity, mortality and hospital admissions. However, published COPD management guidelines have major limitations and lack practical summaries. We aimed to optimally develop, implement, and evaluate a multidisciplinary COPD inpatient management 'ACCORD'(More)