Traumatic brain injuries (TBI) are a considerable health burden on adolescents and young adults. This study aims to assess the influence of compromising behavior, poor perceived health, school success, low family socioeconomic background during adolescence subsequent TBI in large cohort Finnish with an average 25-year follow-up. Baseline Adolescent Health Lifestyle survey data gathered biennially (1981-1997) was linked diagnosis from Care Register for Care. A structural equation modeling...

Fear of childbirth (FOC) is a common obstetrical challenge that affects the health women. The epidemiology FOC has not been studied in Finland for last decade. aim this study was to analyze and risk factors evaluate association between rate elective cesarean section (CS) as an intended mode delivery. Data from National Medical Birth Register were used determine main 2004 2018. Nulliparous multiparous women analyzed separately. Logistic regression model FOC. Multivariable logistic assess...

Abstract Background Fear of childbirth can develop due to the concerns or adverse maternal foetal outcomes experienced in a previous pregnancy. The aim this study was examine main risk factors associated with development fear during subsequent pregnancies and deliveries. Methods In case–control study, data from National Medical Birth Register were used evaluate events that potential for pregnancies. first second women registered our period (2004–2018) included. exposure variable delivery...

The association between fear of childbirth (FOC) and subsequent birth rate is not well studied. aim this study to evaluate the rate, risk for second pregnancy ending in delivery among women with FOC compared without their first pregnancy.

The aim of this study was to investigate the association between previous induced abortion or miscarriage and development gestational diabetes mellitus (GDM) using high-quality register data.In retrospective nationwide register-based cohort study, data from national medical birth (MBR) were used evaluate a history GDM. We included all first pregnancies ending in delivery which oral glucose tolerance test performed 2004 2018. A logistic regression model assess GDM pregnancy delivery. Adjusted...

To calculate the rates of labor analgesia among women with fear childbirth (FOC) in multiparous and nulliparous women, because FOC might be associated higher analgesia.In this retrospective register-based cohort study, data from National Medical Birth Register was used to evaluate usage pregnancies FOC, when compared those without. The methods were stratified into neuraxial analgesia, pudendal, paracervical, nitrous oxide, other medical, non-medical, no analgesia.A total 19 285 diagnosed...

It is not well studied how fear of childbirth (FOC) influences the interpregnancy interval (IPI). Thus, we aimed to analyze association between FOC and length IPI. All women having their first second pregnancies during study period (2004-2018) were gathered from Finnish Medical Birth Register. A logistic regression model was used assess subsequent The IPI assessed separately for with in pregnancy, who developed pregnancy. IPIs a lower quartal considered short IPIs, upper as long IPIs....

To date, only a few small studies have assessed the effects of major orthopedic traumas on subsequent birth rate in fertile-aged woman. We incidences traumatic brain injury (TBI) and fractures spine, pelvis, hip or thigh evaluated their association with woman.In this retrospective register-based nationwide cohort study, data all (15-44 years age) women who sustained TBI fracture between 1998 2013 were retrieved from Care Register for Health Care. A total 22,780 included group, 3627 spine...

Only a few small studies have assessed the effects of pelvic fractures on pregnancies, deliveries, and rates cesarean sections. We aimed to evaluate effect subsequent pregnancy delivery in Finland.In this retrospective register-based nationwide cohort study, data all fertile-aged (aged 15-49) women with fracture during our study period (1998-2018) were retrieved from Care Register for Health Care. The subsequently combined National Medical Birth Register. Women before compared no-fracture...

Objectives Few studies have assessed pregnancies and deliveries after traumatic brain injury (TBI). We report the incidence of TBIs TBI-related surgeries in fertile-aged females investigate subsequent pregnancy outcomes.Methods All (15–49) women with TBI diagnosis during our study period (1998–2018) were retrieved from Care Register for Health combined data National Medical Birth Register. categorized into three subgroups based on length hospitalization need neurosurgery. Logistic regression...

Epidemiological studies assessing the effects of previous cesarean section (CS) on subsequent delivery mode using large nationwide study populations. This aims to calculate incidence rates trial labors after (TOLACs) and evaluate annual vaginal births (VBAC) during last decades in Finland.Data from National Medical Birth Register (MBR) were used VABC Finnish population (1998-2018). All nulliparous women having their first second pregnancy our period, with identified both these pregnancies...

Abstract Background The effect of major trauma on subsequent fertility is poorly described. If women have lower after trauma, they would a risk anti‐D mediated hemolytic disease the fetus and newborn in future pregnancy following transfusion RhD‐positive blood to RhD‐negative during their resuscitation. Study Design Methods Data was obtained from Care Register for Health Care, National Medical Birth Register, open access data Statistic Finland evaluate (traumatic brain injuries, spine,...

Importance: Ceiling effect may lead to misleading conclusions when using patient-reported outcome measure (PROM) scores as an outcome.Objective: The aim of this study was investigate the potential source ceiling related errors in randomized controlled trials (RCTs) reporting no differences between groups.Design: A review RCTs published top 10 orthopedic journals conducted, focusing on studies that reported significant outcomes two groups.All PROM and used parametric statistical approach were...

Abstract Purpose Labor pain can be treated by medical and non-medical analgesia. Smoking during pregnancy has been shown to increase the incidence of several complications may influence analgesic effectiveness. Previous studies have linked socioeconomic status use epidurals for labor We aimed determine whether smoking analgesia in Finland. Methods From January 1, 2004 December 31, 2018, we collected data from national Finnish Medical Birth Register on status, analgesia, pregnancy. These...

Purpose Even though the risks and advantages of repeat Cesarean sections (CSs) vaginal births after cesarean section (VBACs) are well studied, there is a scarcity information on effects previous CS maternal fetal outcomes during subsequent deliveries. The aim this study to evaluate delivery mode in trial labor (TOLAC).Methods In nationwide retrospective cohort study, data from National Medical Birth Register (MBR) were used TOLACs. TOLACs compared successful delivery. A multivariable...

The association between multiple pregnancies and the risk of gestational diabetes mellitus (GDM) has been moderately studied. aim this study is to evaluate whether women with are at a higher developing GDM using nationwide high-quality registers.In retrospective cohort study, data from National Medical Birth Register (MBR) was used odds as result pregnancies. We included all tested recorded in MBR 2004 2018. A total 397,810 were study. Logistic regression model assess for among pregnancies,...

The literature on the incidence of traumatic brain injury (TBI) during pregnancy is lacking. Furthermore, only studies with small sample size have analyzed impact TBI to maternal and fetal outcomes. Thus, we aim report TBIs study outcomes using nationwide high-quality registers.This retrospective register-based matched cohort utilized two national registers. All fertile-aged (15-49 years) women a hospitalization period were retrieved Care Register for Health Care. Data then linked data from...

There are only few studies on the effects of pelvic or hip fractures subsequent delivery outcomes. The aim for this study is to evaluate in a nationwide sample whether rate elective CS and emergency would decrease during time after maternal fracture.In registry-based study, data all women aged 15-49 years with leading hospitalization were retrieved from Care Register Health 1998-2018. Wrist used as control group. linked National Birth Register, where each first pregnancy 14-year follow-up...

Previous results on the association between interpregnancy interval (IPI) and gestational diabetes mellitus (GDM) have been contradictory. Hence, aim of this study was to examine IPI GDM using high-quality nationwide register data.