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Hypertensive disorders in pregnancy: Approach to diagnosis and management in general practice.
Aust J Gen Pract
December 2024
BMed, Obstetrics and Gynaecology Senior Health Medical Officer, Joan Kirner Women@s and Children@s Hospital, Melbourne, Vic.
Background: Hypertensive disorders in pregnancy (HDIP) are among the leading causes of maternal and perinatal morbidity and mortality and should not be reserved for specialist care and expertise.1 General practitioners (GPs) are inevitably involved in the care of women with HDIP, particularly in the preconception, early pregnancy and postpartum periods and, also, as shared maternity care providers. It is, therefore, critical that GPs can assess and manage HDIP.
View Article and Find Full Text PDFPartnering with consumers and practising clinicians to establish research priorities for public hospital maternity services.
Aust Health Rev
June 2024
Women's and Children's Services, Sunshine Coast Hospital and Health Service, Qld, Australia.
Objective An innovative approach by two Queensland health services was taken to establish a shared maternity services' research agenda by partnering with consumers and clinicians. The objective was to set the top five research priorities to ensure that the future direction of maternity research was relevant to end-user and organisational needs. Methods A modified James Lind Alliance (JLA) methodology was applied between August 2022 and February 2023 across two south-east Queensland Health Services which included five participating maternity units and involved partnership with consumers, healthcare professionals and clinician researchers.
View Article and Find Full Text PDFImplementation of integrated maternity care in the southwestern region of the Netherlands: evaluation of its effect on preterm birth, low birthweight infants and number of secondary care consultations.
BMJ Open
January 2024
Gynaecology and Obstetrics, Erasmus MC, Rotterdam, the Netherlands.
Objectives: To determine whether integrated maternity care is associated with reduced preterm births (PTB) and fewer small-for-gestational-age infants (SGA), and whether its implementation leads to a reduction of secondary care consultations.
Design: Retrospective study.
Setting: Integrated maternity care organisation in the southwestern region of the Netherlands.
Interclutch variability in egg characteristics in two species of rail: Is maternal identity encoded in eggshell patterns?
PLoS One
February 2022
Department of Biology, East Carolina University, Greenville, North Carolina, United States of America.
Maternal signatures are present in the eggs of some birds, but quantifying interclutch variability within populations remains challenging. Maternal assignment of eggs with distinctive appearances could be used to non-invasively identify renesting females, including hens returning among years, as well as to identify cases of conspecific brood parasitism. We explored whether King Rail (Rallus elegans) eggs with shared maternity could be matched based on eggshell pattern.
View Article and Find Full Text PDFBackground: Over a two-year period between 2015 and 2016, unprecedented numbers of people arrived in Greece fleeing conflict, persecution, and poverty. With new arrivals every day, there is a significant unmet need for health care provision, posing a challenge to the Greek Healthcare System. For pregnant refugees, a known vulnerable group, this has resulted in a complex partnership of shared maternity care between humanitarian organizations, the Greek national health care system, and European multi-state initiatives.
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