Pregnancy-specific anxiety is a key predictor of unfavorable labour outcomes; very few studies have explored pregnancy-specific anxiety as opposed to general anxiety. To determine the prevalence of pregnancy-specific anxiety across the three trimesters of pregnancy and postnatal period and to relate anxiety with labour outcomes. With ethical approval, a prospective cohort study was conducted am...

Health worker migration theories have tended to focus on labour market conditions as principal push or pull factors. The role of education systems in producing internationally oriented health workers has been less explored. In place of the traditional conceptual approaches to understanding health worker, especially nurse, migration, I advocate global political economy (GPE) as a perspective tha...

The purpose of this review was to look at the evidence available for the use of atosiban as a tocolytic in cases of threatened preterm labour. A Royal College of Obstetricians and Gynaecologists Green Top Guideline concluded that there was no clear evidence to show a benefit to tocolysis in reducing perinatal and neonatal morbidity and mortality. Using a systematic literature search, we summari...

Of the numerous expressions of future demographic trends in Britain, none is more starkly realistic than the calculation of the Royal Commission on Population (1949) that: "The cost to the Exchequer of retirement pensions, making no allowance for any future fall in mortality, is estimated (at pension rates current in 1948) to increase from £238 millions in 1948 to £501 millions in 1978". An ext...

An increase in the myometrial expression of the prostaglandin (PG) receptors, and especially the PGF(2alpha) receptor (FP), may be an important component of the process initiating preterm labour. In this review of the literature and presentation of new possibilities, evidence will be discussed that demonstrates an increase in mouse uterine FP mRNA occurs at preterm birth whereas uterine PGF(2al...

Despite popular belief, exercise while pregnant does not initiate labor, or preterm labor. Exercise is associated with delivering closer to the due date. Further, maternal exercise is associated with either no change, or shorter labor and delivery overall. Women who exercised had less complications during labor and delivery than those who did not exercise. More importantly, measures of the fetu...

EVERY year, the Society for Obstetric Anesthesia and Perinatology celebrates the life and legacy of Gerard Ostheimer, M.D., an obstetric anesthesiologist renowned for his wisdom, his passion for life, and his generosity to the society and the specialty. The celebration takes the form of an eponymous lecture given at the Society for Obstetric Anesthesia and Perinatology Annual Meeting with the p...

The aim of this study was to evaluate the effect of traditional treatment (prednisone and aspirin) and comprehensive treatment [prednisone, aspirin, low molecular weight heparin (LMWH) and IVIg] on the pregnancy outcome, obstetric complications and fetal outcome in women with antiphospholipid syndrome (APS). In the present trial, we observed and evaluated 129 women with APS. Eighty-seven patien...

Combined spinal epidural (CSE) can provide excellent labor analgesia. Subdural block is also a potential but rare complication of attempted epidural placement during a CSE procedure, which may present as a block that is usually patchy in nature, with a component of sensory and/or motor deficit and a variable duration of action. In addition, a conversion disorder or a functional neurological dis...

AIM Pregnancy is an anatomical and physiological altered state and the presence of various urological problems not only aggravates the disease itself, but also results in unfavourable pregnancy outcome. Aim is to highlight obstetric outcome in pregnant women with urological problems. MATERIALS AND METHODS Longitudinal prospective cohort study conducted in tertiary care hospital, IPGME and R, ...