A5042030035- Sexual Assault and Victimization Studies
- Pelvic floor disorders treatments
- Maternal and Perinatal Health Interventions
- Neonatal and Maternal Infections
- Maternal and fetal healthcare
- Streptococcal Infections and Treatments
- Intimate Partner and Family Violence
- Anorectal Disease Treatments and Outcomes
- Nursing Roles and Practices
- Pelvic and Acetabular Injuries
- Child Abuse and Trauma
- Reproductive Health and Contraception
- Hernia repair and management
- Preterm Birth and Chorioamnionitis
- Urinary Tract Infections Management
- Syphilis Diagnosis and Treatment
- Prenatal Substance Exposure Effects
- Emergency and Acute Care Studies
- Sepsis Diagnosis and Treatment
- Reproductive tract infections research
- Criminal Justice and Corrections Analysis
- Endometriosis Research and Treatment
- Pneumonia and Respiratory Infections
- Global Maternal and Child Health
- Assisted Reproductive Technology and Twin Pregnancy
Rotunda Hospital
2016-2025
Royal College of Surgeons in Ireland
2022-2025
University College Dublin
2003-2024
National Maternity Hospital
2003-2012
Coombe Women & Infants University Hospital
2006-2012
Trinity College Dublin
2012
Objective Mediolateral episiotomy is associated with lower rates of significant perineal tears than midline episiotomy. However, the relationship between precise angle from and risk third‐degree tear has not been established. This study quantifies this relationship. Design Case–control study. Setting National Maternity Hospital, Dublin, Ireland. Sample One hundred primiparous women who had undergone right mediolateral 3 months previously. Methods Two groups were compared. Cases sustained...
<b>Objectives</b> To determine the effects of adding an oxytocin infusion to bolus on blood loss at elective caesarean section. <b>Design</b> Double blind, placebo controlled, randomised trial, conducted from February 2008 June 2010. <b>Setting</b> Five maternity hospitals in Republic Ireland. <b>Participants</b> 2069 women booked for section term with a singleton pregnancy. We excluded placenta praevia, thrombocytopenia, coagulopathies, previous major obstetric haemorrhage (>1000 mL), or...
Public health experts agree that pregnant women who fall into priority groups may be offered a Coronavirus Disease 2019 (COVID-19) vaccine. However, little is known about attitudes of toward COVID-19 vaccination. We surveyed 300 during the roll out Pfizer-BioNTech vaccine in Ireland. Women rated likelihood receipt pregnancy, on 1–10 scale (1 = very unlikely, 10 likely). One hundred and thirteen (38%) responded with score ≥8, while similar proportion (36%) selected ≤2. Safety their unborn...
BACKGROUNDUterine lymphoid cell repertoires are specialized in order to meet the twin demands of successful pregnancy and local immunosurveillance. The possibility that some these populations might differentiate locally from progenitor cells has been proposed.
ABSTRACT Aims Methadone use in pregnancy has been associated with adverse perinatal outcomes and neonatal abstinence syndrome (NAS). This study aimed to examine NAS relation (i) concomitant drug (ii) methadone dose. Design Prospective cohort study. Setting Two tertiary care maternity hospitals. Participants A total of 117 pregnant women on maintenance treatment recruited between July 2009 2010. Measurements Information was recorded the Addiction Severity Index. Perinatal included pre‐term...
The association of fetal sex with pregnancy induced hypertension and pre-eclampsia, the interaction between risk factors for growth restriction, increased likelihood second stage arrest male have all been studied. 1-3However, a Medline search (1966 to August 2002) using terms gender, sex, labour, delivery, childbirth found no studies on effect itself labour outcomes events.We set out determine birth weight, duration mode outcome.
Objective. Antenatal perineal massage has been shown to reduce the incidence of tears in primiparous women. The aim this study was determine whether impacts on primary prevention symptomatic disruption fecal continence mechanism.Methods. An observational recruited two cohorts first, group (MG) chose perform daily from 34 weeks gestation, and second, control (CG) asked avoid massage. Perineal injury postnatal pain were documented all women invited attend at three months postpartum for...
Objective To compare two postpartum laxative regimens in women who have undergone primary repair of obstetric anal sphincter injury. Design Randomised controlled trial. Setting National Maternity Hospital, Dublin. Population A total 147 had sustained injury at vaginal birth. Methods Women were randomised to receive either lactulose alone thrice daily for the first three days followed by sufficient maintain a soft stool over following 10 (lactulose group, n = 77) or regimen combined with...
Problem Cycle‐dependent fluctuations in natural killer (NK) cell populations endometrium and circulation may differ, contributing to unexplained infertility. Method of study NK phenotypes were determined by flow cytometry endometrial biopsies matched blood samples. Results While circulating T remained constant throughout the menstrual cycle fertile infertile women, cells women increased during secretory phase. However, expression CD94, CD158b (secretory phase), CD158a (proliferative phase)...
This pilot study assessed the diagnostic accuracy and potential impact of a rapid PCR-based screening test for detection group B Streptococcus (GBS) at onset labour purpose optimising intrapartum antibiotic prophylaxis (IAP). Vaginal rectal swabs from convenience sample 158 women were analysed by conventional broth-enriched culture PCR test. Overall, GBS carriage was 18.98% 19.62% PCR. had sensitivity 93.1%, specificity 96.67% area under curve (AUC) 0.95. Only 19.3% GBS-positive received...
Maternal sepsis is a significant problem in obstetrics, with almost one four maternal deaths related to severe sepsis. We carried out retrospective review of clinically bacteraemia obstetric patients attending Rotunda Hospital over 14 years. From 2001 2014, there were 252 positive blood culture episodes patients. There 112,361 live births>500 g during the study period giving an overall rate 2.24 per 1000 g. The median years was 2.12 g, interquartile range 1.74-2.43 no discernable increasing...
Pyelonephritis affects 1-2% of pregnant women, and is associated with significant maternal fetal morbidity. Antenatal pyelonephritis has been PPROM (preterm premature rupture membranes), preterm labour, low birth weight (LBW) prematurity. A three-year retrospective dual-centre cohort study antenatal cases was conducted in two neighbouring Irish maternity hospitals - the Rotunda Hospital (RH) National Maternity (NMH). Patient demographics, clinical presentation, investigations, management...
Sexual violence is a crime that affects people of all genders. While focus frequently on female survivors, it crucial to acknowledge males also experience sexual and ensure gender-sensitive services are available survivors. Understanding the prevalence of, factors associated with, against critical first step in addressing this issue. We aim address lack data relation males.
Bacteraemia in pregnancy and the post-partum period can lead to maternal newborn morbidly. The purpose of this study was use machine learning tools identify if bacteraemia pregnant or women could be predicted by full blood count (FBC) parameters other than white cell count.The performed on 129 with a positive culture (BC) for clinically significant organism, who had FBC taken at same time. They were matched controls negative BC time as FBC. data split training (70%) test (30%) set. Machine...
Group B Streptococcus (GBS) vaccines, designed to be given pregnant women, are in clinical trials. There is an opportunity conduct preparatory research now understand the drivers of and barriers GBS vaccine acceptance. This will enable targeted interventions so that delays uptake might avoided. A multicenter, mixed-methodology, cross-sectional study evaluated acceptability a hypothetical among women two countries with differing health systems. Pregnant Philadelphia, US, Dublin, Ireland,...