Anne Roggensack

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OBJECTIVE To design Canadian guidelines advising obstetric care providers of the maternal, fetal, and neonatal implications of aerobic and strength-conditioning exercises in pregnancy. OUTCOMES Knowledge of the impact of exercise on maternal, fetal, and neonatal morbidity, and of the maternal measures of fitness. EVIDENCE MEDLINE search from 1966 to(More)
OBJECTIVE To review the evidence and provide recommendations for the counselling and management of obese parturients. OUTCOMES OUTCOMES evaluated include the impact of maternal obesity on the provision of antenatal and intrapartum care, maternal morbidity and mortality, and perinatal morbidity and mortality. EVIDENCE Literature was retrieved through(More)
OBJECTIVES To describe the etiology of vasa previa and the risk factors and associated condition, to identify the various clinical presentations of vasa previa, to describe the ultrasound tools used in its diagnosis, and to describe the management of vasa previa. OUTCOMES Reduction of perinatal mortality, short-term neonatal morbidity, long-term infant(More)
OBJECTIVE To determine if the addition of uterine artery (UA) Doppler pulsatility index (PI) at 18 and 22 weeks of gestation improves the predictive accuracy of low first trimester pregnancy associated plasma protein A (PAPP-A) in the detection of adverse obstetrical outcomes. METHODS This was a prospective interventional study. All women undergoing first(More)
OBJECTIVE To provide clinician direction that is based on the best evidence available on suctioning at the perineum for infants born with meconium stained amniotic fluid. EVIDENCE The Medline database was searched for articles published in English from 2000 to 2008 on the topic of management of meconium at birth. VALUES The recommendation was made(More)
OBJECTIVE Physical trauma affects 1 in 12 pregnant women and has a major impact on maternal mortality and morbidity and on pregnancy outcome. A multidisciplinary approach is warranted to optimize outcome for both the mother and her fetus. The aim of this document is to provide the obstetric care provider with an evidence-based systematic approach to the(More)
OBJECTIF La présente Directive passe en revue les données probantes liées au diagnostic et à la prise en charge obstétricale du diabète durant la grossesse. ISSUES Les issues évaluées étaient les issues maternelles à court et à long terme, dont la prééclampsie, la césarienne, le diabète éventuel et d'autres complications cardiovasculaires et les issues(More)
The transport of pregnant women at high risk for problems to a facility that can provide the required obstetric and neonatal care is recognized as an essential component of modern perinatal care. Outcomes for the newborn are improved if women are transported antenatally, especially for those preterm infants who are born at less than 30 weeks’ gestation.1(More)
Spontaneous septostomy in a monochorionic diamniotic twin pregnancy is a rare phenomenon. We present a case of monochorionic diamniotic twin pregnancy with an intact dividing membrane seen in the 1st half of the pregnancy. At 26 weeks, when she was assessed for preterm contractions, the dividing membrane was not documented, which suggested spontaneous(More)
OBJECTIVE To provide evidence-based guidelines for the management of pregnancy at 41+0 to 42+0 weeks. OUTCOMES Reduction of perinatal mortality associated with Caesarean section at 41+0 to 42+0 weeks of pregnancy. EVIDENCE The Medline database, the Cochrane Library, and the American College of Obstetricians and Gynecologists and the Royal College of(More)