STUDY OBJECTIVE To examine the effect of socioeconomic status on pregnancy outcome in an urbanised area in a rapidly developing country. METHODS A cohort of 1797 pregnant women who attended antenatal care clinics at the two 700 bed hospitals in Hatyai city was recruited from September 1994 to November 1995. The pregnant women were followed up from the 17th week of gestation until delivery. Th...

Both patients and professionals generally believe that the easier obstetrical experience of the multipara also characterizes her subjective experiences. Among 249 women, we found that the multiparas had more physical discomfort, but fewer worries, during pregnancy, and that they worried about labor more, but prepared for birth less, than did the primiparas. Although the multiparas had obstetric...

This article describes three paradigms of health care that heavily influence contemporary childbirth, most particularly in the west, but increasingly around the world: the technocratic, humanistic, and holistic models of medicine. These models differ fundamentally in their definitions of the body and its relationship to the mind, and thus in the health care approaches they charter. The technocr...

Background: Gynaecological patients are evaluated using a few scales that not population-targeted, so targeted tool was required, particularly for the Indian population where these problems prevalent. Methods: A short interview done after top-down survey. Then, from results of pilot study, some items were retained deletion others. Results: Using Cronbach's alpha, reliability coefficient 0.907 o...

BACKGROUND The aim of this study was to evaluate the impact of telehealth on 1) the diagnosis, and management in obstetrics and cardiology, 2) health care costs from patients' perspectives, 3) attendance at health centres located in remote areas of Mali. METHODS The impact of telehealth on health care utilization, quality, and costs was assessed using a five-point Likert-scale based questionn...

PURPOSE Obstetric practice among family physicians has declined in recent years. This study compared the practice patterns of family physicians and obstetrician-gynecologists with and without obstetric practices to provide objective information on one potential reason for this decline--the impact of obstetrics on physician lifestyle. METHODS In 2004, we surveyed all obstetrician-gynecologists...

Objective: To explore the feasibility of a novel method for capturing adverse and potential adverse events within an urban teaching hospital obstetrics/gynecology (OB/GYN) service. Methods: At morning rounds during two 6-week periods, OB/GYN resident physicians were asked to complete incident reporting cards identifying obstacles to care, injuries or extended hospitalizations, and problems affe...

Providing health care for a woman with a surrogate pregnancy involves unique challenges. Although the ethical debate surrounding surrogacy continues, Canada has banned commercial, but not altruistic, surrogacy. In the event of a custody dispute between a surrogate mother and the individual(s) intending to parent the child, it is unclear how Canadian courts would rule. The prenatal health care p...

OBJECTIVE The purpose of our study was to examine the effects of socioeconomic status, acculturative stress, discrimination, and marginalization as predictors of depression in pregnant Hispanic women. DESIGN A prospective observational design was used. SETTING Central and Gulf coast areas of Texas in obstetrical offices. PARTICIPANTS A convenience sample of 515 pregnant, low income, low m...

J.E. den Hartog1,5, C.M.J.G. Lardenoije1, J.L. Severens2,3, J.A. Land1,4, J.L.H. Evers1 and A.G.H. Kessels2 Research Institute Growth and Development (GROW), Department of Obstetrics and Gynaecology, Maastricht University Medical Centre, PO Box 5800, 6202 AZ Maastricht, The Netherlands; Department of Clinical Epidemiology and Medical Technology Assessment (KEMTA), Maastricht University Medical ...