Objective To test the hypothesis that suboptimal factors in perinatal care services resulting deaths were more common among immigrant mothers from Horn of Africa, when compared with Swedish mothers. Design A audit, comparing cases children African immigrants residing Sweden, a stratified sample native women. Population and setting Sixty‐three east women delivered hospitals 1990–1996, 126 Time death type hospital stratified. Main outcome measures Suboptimal services, categorised as maternal,...

Background. The aim of the study was to investigate whether maternal country origin affected risk for perinatal mortality and determine its relationship factors. Methods. A 15,639 deliveries in Malmö, Sweden. Data regarding demographic factors, life‐style together with data pertaining outcome obtained from Malmö database Swedish Medical Birth Register. Results. Perinatal increased among infants women Foreign as compared those delivered by (OR 1.5, CI 1.0–2.2). Even after adjustments...

To explore the attitudes, strategies and habits of Somalian immigrant women related to pregnancy childbirth, in order gain an understanding as how cultural factors might affect perinatal outcome.Interpreter assisted qualitative depth interviews around topics such attitudes regarding childbirth.Fifteen from community a city Sweden, between ages 20 55 years with delivery experience Somalia Sweden.The describe themselves perceived their experiences childbirth migrant situation. Many voluntarily...

Eighteen pregnancies with nonimmune hydrops fetalis were referred for fetal echocardiography to rule out congenital heart disease. In 14 of these cases, pulsating blood velocities recorded in the umbilical vein, which a normal population had nonpulsatile velocity pattern. The four cases without pulsations vein found have intrauterine viral infections. last 10 examined, venous reflect abnormal central during atrial systole suggesting increased pressure. Right ventricular shortening fraction...

Objective To compare umbilical and uterine artery Doppler in predicting outcome of pregnancies suspected fetal growth restriction (FGR). Design A prospective study included 353 singleton complicated by an FGR fetus. Setting University Hospital setting. Sample Pregnancies diagnosed ultrasound biometry during a 5‐year period. Main measure Perinatal relation to Doppler. Methods The women underwent examination the arteries. Results from uterine, but not artery, were blind woman managing...

Abstract Umbilical and arcuate artery blood flow velocity waveforms (FVW) were recorded in 125 normal singleton pregnancies from 20 to 42 weeks of gestation. The FVW analysed for pulsatility index (PI), peak systolic velocity/minimum diastolic ratio (S/D ratio), rising slope (RS) descending (DS). Both the umbilical arteries, values all variables declined with advancing gestation, indicating decreasing placental vascular resistance. PI was unaffected by fetal heart rate, but negatively...

Anal sphincter rupture is a serious complication of vaginal delivery and almost half the affected women have persistent defecatory symptoms despite adequate primary repair. During past decade, incidence anal ruptures has been increasing in Sweden currently estimated to occur 2.5% deliveries. The aim study was report frequency two university hospitals Scandinavian countries, Malmö Turku Finland, analyze potential determinants.Retrospective analysis population 30,933 deliveries (26,541...

Studies on blood flow velocity in the fetal middle cerebral artery have revealed signs of brain sparing chronic hypoxia. These can disappear terminal case, but whether this applies to whole or only parts it is unknown.Velocity waveforms cerebral, anterior and posterior arteries were recorded 221 pregnancies complicated by pregnancy-induced hypertension. The presence (pulsatility index < 2 standard deviations) was noted correlated outcome pregnancy, including emergency operative intervention...

Abstract Objective To determine if power Doppler ultrasound examination of the endometrium can contribute to a correct diagnosis endometrial malignancy in women with postmenopausal bleeding and ≥ 5 mm. Methods Eighty‐three mm underwent gray‐scale using predetermined, standardized settings. Suspicion at (endometrial morphology) was noted, color content estimated subjectively score). Computer analysis most vascularized area done off‐line manner. Stepwise multivariate logistic regression...

Abstract High perinatal mortality has been reported in association with the finding of absent end‐diastolic flow velocities umbilical artery. The fetus is known to centralize its circulation during hypoxemia and abnormal venous blood have cases heart failure imminent asphyxia. aim this study was evaluate recorded Doppler ultrasound vein, inferior vena cava middle cerebral artery as predictors survival 17 fetuses or reversed There were five deaths, all having cord pulsations. An increased...

Background. Previously, we have found uterine artery blood veloeimetry performed with Doppler ultrasound without vessel visualization to be a poor predictor of perinatal outcome. The aim this study was ascertain whether the combination color imaging method would improve its predictive value. Methods. In cross‐sectional 110 uncomplicated pregnancies, velocity recorded bilaterally from 18 42 weeks gestation obtain reference values for pulsatility index (PI). Using imaging, main located as it...

In 139 pregnancies in which intrauterine growth retardation (IUGR) was suspected at routine ultrasound screening 32 weeks of gestation, blood velocity the fetal aorta and umbilical artery recorded by a pulsed Doppler every second week until delivery. The maximum flow waveforms (FVWs) were analyzed for pulsatility index (PI) class (BFC). both vessels, an abnormal PI (> mean + 2 SD normal population) BFC final antenatal examination significantly associated with occurrence IUGR (birthweight ≤ -...

Background Infant or maternal injury during vaginal delivery is a constant threat to all involved, but difficult predict. Objective To estimate the risk of birth injuries in an institution favouring trial when there was doubt best mode delivery. Design A retrospective cohort study. Setting University Hospital. Population Singleton 14,359 deliveries cephalic presentation 5½ years. Methods The total caesarean section rate this period 9%. likelihood evaluated by logistic regression analysis...

To evaluate if maternal glucose level and growth of the fetus were related to placental vascular impedance in pregnancy complicated by gestational diabetes mellitus.A retrospective study 146 diabetic women which 117 needed insulin therapy. Glycosylated hemoglobin (HbA1c) was evaluated as well umbilical uterine artery Doppler velocimetry. The results adverse outcome including newborn birthweight.Abnormal blood flow velocity seen 5% cases abnormal 16%. Uterine significantly lower macrosomic...

Fetal ultrasound studies were performed on 24 fetuses with non‐immune hydrops to evaluate echocardiographic and cardiovascular Doppler parameters that may be useful in assessing hemodynamics predicting outcome. Of all analyzed, only the presence of abnormal pulsations umbilical vein ( p &lt; 0.001) was found significantly different between 11 survivors 13 non‐survivors. In a smaller subset 12 fetuses, whom inferior vena caval waveforms recorded, n = 6) had lower percentage retrograde flow...

Abstract Objective To investigate whether venous Doppler velocimetric signs of cardiac decompensation might predict fetal demise in severely compromised fetuses. Material and methods This was a prospective study involving 154 growth‐restricted fetuses, 37 which were found to have reversed flow the umbilical artery (BFC III). velocimetry right hepatic vein ductus venosus investigated serially presence pulsations also registered. Only final examination prior birth or accepted for analysis...