Analysis of the recorded stillbirths at Commonwealth Health Center (CHC) in the CNMI are reported here, together with maternal age, gravidity, parity and ethnicity, prenatal care adequacy, gestational age, birthweight, delivery type and location, and presence of known complicating factors. This report spans an 11 year period from the opening of CHC in 1986 through 1996. Comparison is made to prior reports of aggregate birth trends and prenatal care usage in the CNMI. Ethnicity-specific rates are calculated and compared, and etiologies of CNMI stillbirths are discussed.
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Aust N Z J Obstet Gynaecol
December 2024
Telethon Kids Institute, Perth, Western Australia, Australia.
Background: Assisted reproductive technology (ART) pregnancies are at greater risk of birth defects than non-ART pregnancies. Teratogenic medication exposure is a potential cause of birth defects that has not been compared between ART and non-ART pregnancies.
Aims: To determine whether the prevalence of exposure to teratogenic medicines during pregnancy varies by conception method (ART and three non-ART groups: ovulation induction (OI), subfertile untreated, and fertile naturally conceiving).
Paediatr Perinat Epidemiol
November 2024
Medical School, Division of Obstetrics and Gynaecology, University of Western Australia, King Edward Memorial Hospital, Perth, Western Australia, Australia.
Background: To minimise the risk of perinatal mortality, clinicians and expectant mothers must understand the risks and benefits associated with continuing the pregnancy.
Objectives: Report the gestation-specific risk of perinatal mortality at term.
Methods: Population-based cohort study using linked health data to identify all singleton births at gestations 37-41 weeks, in Western Australia (WA) from 2009 to 2019.
Vaccines (Basel)
July 2024
Institut National de Recherche Biomédicale, Kinshasa P.O. Box 1192, Democratic Republic of the Congo.
Background: Balanced energy protein (BEP) supplementation in pregnant women in low-and middle-income countries may reduce the risk of stillbirth and low birth weight.
Objectives: The objective of this study was to assess the adherence to and acceptability of a corn-soy blend (CSB) BEP product among pregnant women in rural Ethiopia.
Methods: This formative study was conducted from October to November 2018 among pregnant women in the rural Amhara region of Ethiopia prior to initiation of a clinical effectiveness study (ISRCTN: 15116516).
J Assist Reprod Genet
April 2024
Quality Use of Medicines and Pharmacy Research Centre, University of South Australia, Adelaide, Australia.
Purpose: To identify and characterise appropriate comparison groups for population studies of health outcomes in ART-conceived births: ovulation induction (OI), subfertile untreated and fertile natural conceptions. Our secondary objective was to examine whether known risks of pregnancy complications and adverse birth outcomes in ART births are elevated in comparison with subfertile (untreated and OI) conception groups.
Methods: We linked State and Commonwealth datasets to identify all live and stillbirths (≥ 20 weeks) in Western Australia from 2003 to 2014 by method of conception.
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