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BACKGROUND Much postpartum physical and psychological morbidity is not addressed by present care, which tends to focus on routine examinations. We undertook a cluster randomised controlled trial to assess community postnatal care that has been redesigned to identify and manage individual needs. METHODS We randomly allocated 36 general practice clusters(More)
OBJECTIVES To assess the effect of nurse assessment with reinforcement of pelvic floor muscle training exercises and bladder training compared with standard management among women with persistent incontinence three months postnatally. DESIGN Randomised controlled trial with nine months' follow up. SETTING Community intervention in three centres(More)
OBJECTIVE To examine the effectiveness of aspirin in preventing perinatal death and preeclampsia in women with predisposing historical risk factors, such as previous history of preeclampsia, chronic hypertension, diabetes, and renal disease. DATA SOURCES Searches were conductes in Medline, Embase, Cochrane Library, National Research Register, SCISEARCH,(More)
Materno-foetal complications have an increased prevalence in pregnancies complicated by diabetes. Ethnicity and cultural background may further affect these outcomes. In this study, we compared labour and foetal outcomes in Afro-Caribbean and Caucasian women with diabetes in pregnancy, using the Birmingham computerised database of diabetes in pregnancy. A(More)
OBJECTIVE To determine the effectiveness of aspirin to prevent preeclampsia in women identified as high risk for preeclampsia by an abnormal second-trimester uterine artery Doppler examination. DATA SOURCES Searches were conducted in MEDLINE, Embase, the Cochrane Controlled Trials Register, and Science Citation Index for randomized trials published from(More)
AIM Twelve years' outcome analysis of pregnancies in women with Type 2 diabetes in a multiethnic geographically defined area. METHODS Information about 182 women delivered between 1990 and 2002 was ascertained from a regional computerized database. The main outcome measures were rates of miscarriage, stillbirth, neonatal/postnatal deaths, congenital(More)
A systematic review of the literature identified nine randomised trials that evaluated the effects of progestational agents in the prevention of preterm delivery. These studies were of variable quality. Meta-analyses showed reductions in delivery rates before 37 weeks (OR 0.42, 95% CI 0.31-0.57) and 34 weeks (OR 0.51, 95% CI 0.34-0.77) as well as in(More)
OBJECTIVE To determine whether obstetric and maternal factors relate to faecal incontinence at three months postpartum. SETTING Maternity units in Aberdeen (Scotland), Birmingham (England) and Dunedin (New Zealand). POPULATION All women who delivered during one year in the three maternity units. METHODS Postal questionnaire at three months postpartum,(More)
OBJECTIVE To explore the effectiveness of nifedipine compared with atosiban for tocolysis in preterm labour. DESIGN A systematic review of randomised controlled trials with meta-analysis using adjusted indirect comparison. POPULATION Six hundred and seventy-nine women recruited in nine randomised trials evaluating the effectiveness of nifedipine versus(More)