Publications by authors named "Noel W M Shek"

Article Synopsis
  • The study aimed to assess the impact of the absence of continuous companion support during labor on pregnancy and neonatal outcomes during the COVID-19 pandemic in Hong Kong.
  • Data were collected from 446 women with support in 2019 and 340 women without support in 2020, revealing key differences in labor experiences and infant health.
  • Results showed that women without support had higher rates of labor augmentation, increased likelihood of lower Apgar scores for infants, and lower rates of immediate breastfeeding compared to those with companion support.
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Objective: To evaluate the psychometric properties of the traditional Chinese version of the Childbirth Experience Questionnaire (CEQ 2.0) and assess the childbirth experiences of Chinese women.

Methods: A cross-sectional survey was conducted in Hong Kong from July 2020 to February 2021.

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Objective: To explore factors associated with depression and COVID-19 related fear among pregnant women and new mothers.

Design: A cross-sectional survey was conducted in China from July 2020 to July 2021.

Sample: A total of 3027 pregnant and new mothers were recruited.

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Introduction: The COVID-19 pandemic has caused unprecedented disruptions around the world. Adding to the existing stress surrounding pregnancy and childbirth, the threat of infection and social isolation policies may negatively impact pregnant women and new mothers. Literature on the effect of COVID-19 on fear during pregnancy and childbirth experience is limited.

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Aim: This study reviewed the experience of a tertiary paediatric surgery and obstetric centre on prenatal counselling of congenital surgical anomalies and to explore the role of paediatric surgeons on perinatal outcomes of antenatally detected anomalies.

Methods: A retrospective analysis of all antenatal consultations and subsequent medical records after birth were performed between 2009 and 2018. Data including timing of consultations, gestations at birth, birthweight, impact on obstetrics management, neonatal mortality and need of surgery were included.

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Background: There are five reported cases of fetal meconium peritonitis developing after episodes of maternal hepatitis. These cases demonstrate a potential association between severe maternal liver injury and subsequent fetal meconium peritonitis.

Case: A 26-year-old primigravid woman developed acute liver failure 4 days after unilateral oophorectomy for ovarian torsion at 24 weeks of gestation.

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Single-twin demise can pose substantial risks for the surviving co-twin, including increased risk of fetal loss, preterm delivery, neurovascular injury, and end-organ damage. In this chapter, we summarise recently published research on the causes of single twin demise, the pathophysiology of injury to the surviving co-twin, and the evidence for current management strategies. The gestation at which single intrauterine fetal demise occurs, and the chorionicity of the multiple pregnancies, are the two most important factors when considering the risks to the surviving twin.

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Objectives: To study whether lifestyle intervention can reduce the development of type II diabetes mellitus (DM) and metabolic syndrome (MS) among Chinese women who had gestational diabetes mellitus (GDM).

Methods: A prospective randomized controlled interventional trial of 450 women who had GDM and impaired glucose tolerance (IGT) postpartum. Advice on diet and exercise was given to the intervention group and reinforced in each follow-up visit.

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Objective: To study fetal acid-base status and its implications under different modes of anaesthesia for caesarean sections.

Methods: A prospective cohort study was conducted of 196 consecutive women with singleton non-anomalous fetuses who underwent either elective or emergency caesarean section after 36 completed weeks. Immediately after the baby was delivered, blood was drawn from the umbilical vein and one of the umbilical arteries and sent in ice for acid-base analysis.

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