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Association Between COVID-19 Pandemic Phases and the Risk of Maternal Intensive Care Unit Admission: A Retrospective Analysis of 215,363 Victorian Hospital Admissions.
Aust N Z J Obstet Gynaecol
January 2025
Department of Obstetrics, Gynaecology and Newborn Health, Melbourne Medical School, The University of Melbourne, Melbourne, Victoria, Australia.
Background: There are no published Australian population-based data on serious COVID-19-associated maternal morbidity before and after widespread vaccination.
Aims: To compare COVID-19 infection rates, intensive care unit (ICU) admissions, and length of stay in hospitalised pregnant patients before and after achieving 70% state-wide maternal COVID-19 vaccination coverage.
Material And Methods: Population-based retrospective cohort study involving all hospital-admitted episodes for pregnant patients over 15-years-old with COVID-19 in Victoria from 1 March 2020 to 31 March 2022.
Risk Factors for Antepartum Haemorrhage in Women With Placenta Praevia.
Aust N Z J Obstet Gynaecol
January 2025
Obstetrics and Gynaecology, Mater Mothers Hospital, Brisbane, Queensland, Australia.
Background: Placenta praevia (PP) is a significant obstetric complication associated with antepartum haemorrhage (APH) and adverse maternal and fetal outcomes. Identifying risk factors for APH in women with PP is important for guiding management decisions.
Aims: This study aimed to identify risk factors associated with APH amongst women admitted to a single tertiary hospital with PP.
Management of detected syphilis in pregnancy adheres to guideline recommendations, but the crisis of congenital syphilis persists.
Aust N Z J Obstet Gynaecol
November 2024
Infection Management and Prevention Service, Queensland Children's Hospital, Brisbane, Queensland, Australia.
Background: Infectious syphilis among women of reproductive age continues to rise in many countries including Australia, with a resultant increase in congenital syphilis. In response, new guidelines for management of syphilis in pregnancy were published in Queensland, Australia in 2018.
Aims: This study evaluates the management of women diagnosed with syphilis in pregnancy in South-East Queensland (SEQ) after release of this guideline.
Do vaginal swabs alter empirical clinical management in obstetrics and gynaecology: A retrospective case-series and activity-based costing of the vaginal swab.
Aust N Z J Obstet Gynaecol
October 2024
Department of Obstetrics & Gynaecology, Mercy Hospital for Women, Melbourne, Victoria, Australia.
Article Synopsis
- Vaginal swab microbiological testing is frequently used in obstetrics and gynecology, but its effectiveness and cost-effectiveness in changing treatment plans are not clearly defined.
- A study analyzed 660 vaginal swabs from a women's emergency department to evaluate how they influenced clinical management and their associated costs.
- The findings revealed that only 9.8% of swabs led to a change in management, primarily involving the initiation of antibiotics, with an estimated cost of $29.71 AUD per swab.
Borderline tumours of the ovary: A 37-year experience at a tertiary referral centre.
Aust N Z J Obstet Gynaecol
October 2024
Department of Oncology and Dysplasia, Royal Women's Hospital, Melbourne, Victoria, Australia.
Introduction: Borderline ovarian tumours (BOT) are a common epithelial ovarian tumours. Typically diagnosed at an early stage with a good prognosis, many BOT are treated conservatively. Recurrence is common.
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