AIMS In the face of major tendency towards midwifery-led-care it was our purpose to investigate the extent of the influence of the midwife on the rates of obstetric procedures and perinatal outcome. METHODS 5384 consecutive deliveries at the Department of Obstetrics and Gynecology, University of Graz, were enrolled in the study. The following data were collected: mode of delivery, pH of umbil...

BACKGROUND This study examines the relationship among psychosocial factors, behavioral risks for abnormal cervical cytology, and abnormal cervical cytology. METHODS A self-administered questionnaire was used to measure perceived stress, discrimination, lifetime stressful events, optimism, social support, and psychological state. Women with normal Pap smears attending a primary care clinic and...

Accurate clinical assessments are essential for providing appropriate patient care. However, clinicians do not necessarily make accurate assessments, either because they are overloaded with other tasks, or because the computation of assessments is ambiguous. We used Brunswik‟s probabilistic functionalism to study how clinicians assessed the clinical state of a mannequin when they viewed recordi...

The aim of this study was to determine the incidence of nuchal cord at delivery and perinatal outcome. We conducted a retrospective descriptive study from 1992–2008 at the Yaounde General Hospital. Obstetrical and neonatal variables were compared in the loose and tight nuchal cord groups and a control group (no nuchal cord). Of 9275 deliveries recorded, 16.2% had a nuchal cord. Of these nuchal ...

OBJECTIVE To assess whether maternal multiple sclerosis (MS) is associated with adverse pregnancy outcomes by determining the clinical course of disease during pregnancy and postpartum throughout a 10-year-period in a single tertiary center. METHODS We conducted a case-control study that included pregnancies with a definitive diagnosis of MS (n=43), matched with 100 healthy pregnant women wit...

Background: To study the effect of amniotomy on the duration of labour and Apgar Score of babies in laboring multigravidae Methods: In this interventional study, 100 women with uncomplicated term pregnancy and spontaneous onset of labour were divided in two groups. Patients were in active labour with Bishop score 5-6 and intact membranes. Fifty women underwent amniotomy (groupA) while fifty wom...