Małgorzata H. Hall

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The objective of the study described is to assess the feasibility and effectiveness of using a criterion-based clinical audit to measure and improve the quality of obstetric care at the district hospital level in developing countries. The focus is on the management of five life-threatening obstetric complications--hemorrhage, eclampsia, genital tract(More)
OBJECTIVE To determine how diet of the mother in pregnancy influences the blood pressure of the offspring in adult life. DESIGN A follow up study of men and women born during 1948-1954 whose mothers had taken part in a survey of diet in late pregnancy. SETTING Aberdeen, Scotland. POPULATION Two hundred and fifty-three men and women born in Aberdeen(More)
A cohort of 22,948 women from a stable homogeneous population who gave birth for the first time between 1964 and 1983 were followed up prospectively. Analysis by mode of delivery showed that of those delivered by caesarean section 23.2% fewer had another pregnancy than those who had a spontaneous vaginal delivery. Women delivered by forceps were in an(More)
Improving the quality of obstetric care is an urgent priority in developing countries, where maternal mortality remains high. The feasibility of criterion-based clinical audit of the assessment and management of five major obstetric complications is being studied in Ghana and Jamaica. In order to establish case definitions and clinical audit criteria, a(More)
A patient-administered questionnaire for menorrhagia based on the type of questions asked when taking a gynaecological history was developed and tested using the following steps: literature reviews, devising the questions, testing responses for internal consistency and test-retest reliability and validating the questionnaire by comparing patient's scores(More)
OBJECTIVE To determine how diets of women in pregnancy influence the glucose-insulin metabolism of their offspring in adult life. DESIGN A follow up study of men and women born during 1948-1954 whose mothers had taken part in a survey of diet in late pregnancy. SETTING Aberdeen, Scotland. POPULATION One hundred and sixty-eight men and women born in(More)
OBJECTIVE To assess the validity and reliability of a measure of sexual function for premenopausal women. DESIGN A self-administered sexual function questionnaire, derived from the Sabbatsberg Sexual Self-Rating Scale, and other health measures were given to women who were randomly sampled from the community health index. SUBJECTS One hundred and(More)
OBJECTIVE To perform a rigorous comparative evaluation of stepwise and couple approaches to antenatal carrier screening for cystic fibrosis. DESIGN Pragmatic randomised trial. SETTING Hospital antenatal clinic serving a regional population. SUBJECTS 2002 women (couples) attending for booking antenatal visit at less than 17 weeks' gestation with no(More)
OBJECTIVE To assess the degree and nature of women's involvement in the decision to deliver by caesarean section, and women's satisfaction with this involvement. DESIGN Observational study. SETTING The maternity unit in a large teaching hospital. SAMPLE One hundred and sixty-six women undergoing caesarean section. METHODS Interviews with the women(More)