Publications by authors named "Elina Karalis"

Objectives: Our aim was to demonstrate the influence of increased number of low-risk deliveries on obstetric and neonatal outcome.

Study Design: The study hospital was Kätilöopisto Maternity Hospital in Helsinki. Simultaneously, we studied all three delivery units in the Helsinki region in the population-based analysis.

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Article Synopsis
  • - The study analyzed the relationship between the time of birth and negative outcomes in newborns using data from 263,901 singleton term births in Finland from 2005 to 2009, excluding cases like multiple pregnancies and preterm births.
  • - Key findings revealed that births occurring outside of office hours had a higher risk of low Apgar scores and low umbilical artery pH, with instrumental vaginal deliveries showing a significantly increased risk of mortality.
  • - The research concluded that babies born during non-office hours face greater risks of adverse outcomes, suggesting the need for further studies to explore these patterns in more detail among different hospital settings and delivery methods.
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Article Synopsis
  • The study evaluated how the size of delivery units and on-call staffing affect low-risk delivery outcomes in Finland between 2005-2009.
  • Significant findings included that intrapartum mortality was higher when physicians were on-call from home and in smaller non-university hospitals.
  • Although early neonatal mortality appeared to be higher in smaller units, results were not statistically significant, indicating a need for further research on hospital characteristics and their influence on delivery outcomes.
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