Publications by authors named "D M Geddes-Barton"

Article Synopsis
  • - The systematic review analyzed the link between socioeconomic disadvantage and risks of severe maternal morbidity (SMM) and maternal mortality (MM) in high-income countries by examining studies published from 2000 to 2023.
  • - The review included 52 studies, showing that greater neighborhood deprivation, lower income, and less education significantly increased the odds of SMM (ranging from 1.29 to 1.61) and MM (ranging from 1.61 to 2.10) compared to those with higher socioeconomic status.
  • - Findings highlight that socioeconomic disadvantage is strongly correlated with worse maternal health outcomes, indicating a pressing need for effective interventions at various societal levels to address these disparities.
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Background: In the United Kingdom, pregnant women who live in the most deprived areas have two times the risk of dying than those who live in the least deprived areas. There are even greater disparities between women from different ethnic groups. The aim of this study was to investigate the role of area-based deprivation and ethnicity in the increased risk of severe maternal morbidity (SMM), in primiparous women in England.

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Background: Women who live with disadvantages such as socioeconomic deprivation, substance misuse, poor mental health, or domestic abuse face inequalities in health before, during, and after pregnancy and for their infants through to childhood. Women do not experience these factors alone; they accumulate and interact. Therefore, there is a need for an overview of interventions that work across health and social care and target women at risk of inequalities in maternal or child health.

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Background: In response to the COVID-19 pandemic, a central London tertiary referral hospital's nurse-led Early Pregnancy & Acute Gynaecology Unit (EPAGU) suspended its walk-in service in favour of a telephone triage system with scheduled appointments.

Objective: To assess if the pandemic and this adaptation to clinical services had an impact on the presentation, management and complication rate of ectopic pregnancies.

Materials And Methods: A retrospective review was performed of ectopic pregnancies diagnosed in the EPAGU between 5th of March 2020 - 15th of July 2020 (pandemic) and 5th of March 2019 - 15th of July 2019 (pre-pandemic).

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