Publications by authors named "Hilde M Engjom"

Purpose: Pregnancies ending before gestational week 12 are common but not notified to the Medical Birth Registry of Norway. Our goal was to develop an algorithm that more completely detects and dates all possible pregnancy outcomes (i.e.

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Objective: To investigate the incidence of severe postpartum haemorrhage among nulliparous women with a spontaneous onset of labour at term from 2000 to 2020.

Design: Population-based cohort study.

Setting: National, using the Medical Birth Registry of Norway.

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Article Synopsis
  • * Findings revealed that severe perinatal outcomes were more frequent in women with moderate to severe COVID-19, particularly during the delta variant phase, and in those who were unvaccinated.
  • * The study emphasizes the need for ongoing surveillance of pregnancy outcomes in future pandemics and strongly supports the vaccination of pregnant women to safeguard both mothers and infants.
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Article Synopsis
  • The COVID-19 pandemic impacted the Nordic countries beginning in March 2020, with each country implementing public health interventions at different times and levels of severity.
  • A study analyzed data from Denmark, Finland, Norway, Iceland, and parts of Sweden to assess COVID-19-related admissions among pregnant women during 2020, focusing on those who tested positive for the virus before hospital admission.
  • Findings revealed that 0.5 out of every 1,000 mothers admitted were due to COVID-19, with notable differences in admissions across countries; Sweden had the highest rate while Iceland reported none, reflecting less stringent health measures implemented there.
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Objective: To examine the association between availability of obstetric institutions and risk of eclampsia, HELLP-syndrome, or delivery before 35 gestational weeks in preeclamptic pregnancies.

Study Design: National population-based retrospective cohort study of deliveries in Norway, 1999-2009 (n = 636738) using data from The Medical Birth Registry of Norway and Statistics Norway. Main exposures were institution availability, measured by travel time to the nearest obstetric institution, and place of delivery.

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Background: Births in midwife-led institutions may reduce the frequency of medical interventions and provide cost-effective care, while larger institutions offer medically and technically advanced obstetric care. Unplanned births outside an institution and intrapartum stillbirths have frequently been excluded in previous studies on adverse outcomes by place of birth.

Objective: The objective of the study was to assess peripartum mortality by place of birth and travel time to obstetric institutions, with the hypothesis that centralization reduces institution availability but improves mortality.

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