Susan M Perlen

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BACKGROUND Tobacco smoking remains one of the few preventable factors associated with complications in pregnancy, and has serious long-term implications for women and babies. Smoking in pregnancy is decreasing in high-income countries, but is strongly associated with poverty and is increasing in low- to middle-income countries. OBJECTIVES To assess the(More)
Access to treatment for postnatal anxiety and depression is dependant on women seeking help for psychological symptoms. The aim of this paper was to investigate what women themselves say about seeking help for emotional difficulties after childbirth. The Maternal Health Study is a prospective pregnancy cohort study investigating the physical and(More)
BACKGROUND Much is known about severe maternal morbidity during pregnancy, but there has been little attention paid to the impact of pregnancy itself on women's general health and well-being. AIM To investigate women's general health and well-being in early pregnancy and examine the relationship between maternal age and women's physical and mental health.(More)
OBJECTIVE to investigate the relationship between maternal physical health problems and depressive symptoms in the first year after childbirth. DESIGN prospective pregnancy cohort study. SETTING Melbourne, Victoria, Australia. POPULATION 1507 nulliparous women. METHODS women were recruited from six public hospitals between six and 24 weeks(More)
OBJECTIVE To investigate the extent to which primary-care practitioners routinely inquire about postpartum urinary and faecal incontinence, and assess the proportion of women who disclose symptoms. DESIGN Prospective pregnancy cohort study of nulliparous women. SETTING Melbourne, Australia. SAMPLE A total of 1507 nulliparous women recruited in early(More)
OBJECTIVE to investigate the relationship between physical health problems and depressive symptoms in early pregnancy. DESIGN baseline questionnaire, prospective pregnancy cohort study. SETTING six metropolitan public maternity hospitals in Victoria, Australia. PARTICIPANTS 1507 nulliparous women recruited in early pregnancy. FINDINGS nine per cent(More)
BACKGROUND Research examining long-term health outcomes for women after childbirth has been limited. The objective of this study was to investigate the natural history of common morbidities in the 18 months after the birth of a first child, and to explore the hypothesis that women who have a cesarean section for a first birth experience less overall(More)
BACKGROUND Antenatal smoking cessation guidelines have been available in Victoria, Australia, for the past decade. The objective of this study was to assess to what extent introduction of smoking cessation guidelines in pregnancy changed practice in Victorian public hospitals. METHODS Two population-based postal surveys of women giving birth in the state(More)
BACKGROUND Tobacco smoking is a leading cause of disease and premature mortality among Aboriginal and Torres Strait Islander (Indigenous) Australians. While the daily smoking prevalence among Indigenous Australians has declined significantly from 49% in 2001, it remains about three times higher than that of non-Indigenous Australians (39 and 14%,(More)
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