Rachel E Liebling

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OBJECTIVE To assess the maternal and neonatal morbidity following operative delivery in the second stage of labour in relation to the standard of obstetric care. DESIGN Cohort study. SETTING Maternity units in two teaching hospitals in Bristol, United Kingdom. Three hundred and ninety-three women with term, singleton, cephalic pregnancies who required(More)
BACKGROUND A frequent dilemma for obstetricians is how to keep morbidity to a minimum when faced with arrested progress at full dilatation of the cervix. Our aim was to examine maternal and neonatal morbidity associated with vaginal instrumental delivery in theatre and caesarean section, at full dilatation. METHODS We did a prospective cohort study of 393(More)
OBJECTIVE To obtain the views of women on the impact of operative delivery in the second stage of labour. DESIGN Qualitative interview study. SETTING Two urban teaching hospitals in the United Kingdom. PARTICIPANTS Purposive sample of 27 women who had undergone operative delivery in the second stage of labour between January 2000 and January 2002. KEY(More)
OBJECTIVE This study was undertaken to assess symptoms of pelvic floor morbidity at 6 weeks and at 1 year after difficult instrumental vaginal delivery or cesarean section during the second stage of labor. STUDY DESIGN Prospective cohort study of 393 women with term, singleton, cephalic pregnancies who required operative delivery in surgery at full(More)
BACKGROUND Operative delivery rates are currently rising in many countries, but the effects of this factor on the initiation and duration of breastfeeding are unclear. The purpose of this study was to evaluate breastfeeding success after instrumental vaginal delivery or cesarean section at full dilatation, and to investigate whether timing of discharge(More)
OBJECTIVE The purpose of this study was to assess maternal views on the future mode of delivery after either previous instrument vaginal delivery or cesarean delivery at full dilatation. STUDY DESIGN We conducted a prospective cohort study of 393 women with term singleton cephalic pregnancies. RESULTS More than one half of the cohort intended to have a(More)
OBJECTIVES To determine rates of fetal anaemia and pregnancy outcome in susceptible pregnant women infected with human parvovirus B19 infection in a tertiary fetal medicine department over a 7-year period. Additional features enabling identification of fetuses that progress to severe anaemia were also investigated. METHODS Forty-seven susceptible,(More)
In 1985, Mardini and Nyhan described three patients from consanguineous families with unilateral complete/partial lung agenesis, congenital cardiac defects, and ipsilateral thumb anomalies. Although there have been many reports of lung agenesis with other malformations, especially hemifacial microsomia and radial ray anomalies, very few demonstrate this(More)
BACKGROUND This study, conducted in the tertiary Foetal Medicine Unit at St Michael's Hospital, Bristol, was designed to obtain information regarding neonatal outcomes of pregnancies affected by haemolytic disease of the foetus and newborn and managed by intrauterine transfusion, and to determine whether a change in intrauterine transfusion protocol in 2004(More)