Mechthild M Gross

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The study aimed to assess the time of labour onset and its symptoms as perceived by women in labour and midwives, and the relationship between these and first stage duration. A longitudinal cohort study of women with a singleton pregnancy in cephalic presentation was performed in 41 maternity units. The sample comprised 1,170 women, 611 nulliparae (np) and(More)
UNLABELLED BACKGROUND Early skin-to-skin contact (SSC) after birth is recommended as part of the United Nations Children's Fund (UNICEF) baby friendly health initiative to promote optimum breastfeeding. This paper reports rates of breastfeeding initiation and duration in a low resource environment, where early SSC is not practised, and explores views of(More)
BACKGROUND The diagnosis of labor onset has been described as one of the most important judgments in maternity care. There is compelling evidence that the duration of both latent and active phase labor are clinically important and require consistent approaches to measurement. In order to measure the duration of labor phases systematically, we need standard(More)
OBJECTIVE To assess the frequency of additional care, and parents' perceptions of quality, respectful care, in pregnancies subsequent to stillbirth. DESIGN Multi-language web-based survey. SETTING International. POPULATION A total of 2716 parents, from 40 high- and middle-income countries. METHODS Data were obtained from a broader survey of parents'(More)
BACKGROUND Pregnancies are an issue difficult to manage in recipients of solid organ grafts. Whereas most studies report on individual women who have received transplants, we retrospectively studied all gestations of women with liver (LT) or kidney transplants (KT) from October 1988 to August 2010 at one major transplantation center in Germany and compared(More)
To model the timing and sequence of intrapartum interventions and to estimate the association with labor length and delivery mode. A longitudinal multi-center cohort study included data from 3,955 low-risk women who gave birth in hospitals in Lower Saxony, Germany. We analyzed three intrapartum interventions: amniotomy, oxytocin augmentation and epidural(More)
OBJECTIVE To describe the timing and frequency of interventions during labour, and in addition to compare the timings of the interventions against the partogram action lines. DESIGN Longitudinal prospective and retrospective cohort study. SETTING 47 Hospitals in Lower Saxony, Germany. PARTICIPANTS 3963 Births of nulliparae and multiparae with(More)
The objective was to study the association of different timings of intrapartum interventions with labour duration and mode of birth. A longitudinal cohort study of 2,090 nulliparae and 1,873 multiparae with a singleton in cephalic presentation was conducted. We assessed the association between, on the one hand, the timing of augmentation with oxytocin,(More)
BACKGROUND Despite extensive research on the onset of labor, almost no data are available on women's perception of labor onset. We undertook a study to assess how women experience spontaneous onset of term labor. METHODS A semistructured questionnaire was given to 235 women admitted in spontaneous labor at term. Women noted when labor had started, whether(More)
BACKGROUND Labor experiences involve many dimensions that change during labor but are rarely measured contemporaneously and longitudinally. We examined pain and "fitness" aspects of women's labor experience and assessed the acceptability to participants. METHODS Thirty nulliparas and 20 multiparas in term labor indicated pain and fitness every 45 minutes(More)