- Maternal and Perinatal Health Interventions
- Birth, Development, and Health
- Pregnancy and preeclampsia studies
- Cervical Cancer and HPV Research
- Maternal and fetal healthcare
- Gestational Diabetes Research and Management
- Assisted Reproductive Technology and Twin Pregnancy
- Neonatal Respiratory Health Research
- Global Maternal and Child Health
- Endometriosis Research and Treatment
- Gynecological conditions and treatments
- Genital Health and Disease
- Congenital Heart Disease Studies
- Ovarian function and disorders
- Pelvic floor disorders treatments
- Endometrial and Cervical Cancer Treatments
- Uterine Myomas and Treatments
- Neonatal and fetal brain pathology
- Reproductive Health and Contraception
- Emergency and Acute Care Studies
- Cardiovascular Issues in Pregnancy
- Reproductive Health and Technologies
- Reproductive System and Pregnancy
- Preterm Birth and Chorioamnionitis
- Global Cancer Incidence and Screening
Auckland City Hospital
2013-2025
Weatherford College
2004-2024
University of Auckland
2015-2024
Financial University
2024
Auckland District Health Board
2012-2024
Women's Health Research Institute
2019
Research Network (United States)
2018
RELX Group (United States)
2018
Women's Hospital
2002-2015
University of Manchester
2012
ContextIt is unclear whether treatments for cervical intraepithelial neoplasia (CIN) increase the subsequent risk of preterm delivery. Most studies have lacked sufficient sample size, mixed heterogeneous subtypes delivery, and failed to control confounding factors.ObjectiveTo determine laser loop electrosurgical excision procedure (LEEP) delivery its subtypes.Design, Setting, ParticipantsRetrospective cohort study conducted among women evaluated at a colposcopy clinic serving Auckland, New...
Endometrial scratching (with the use of a pipelle biopsy) is technique proposed to facilitate embryo implantation and increase probability pregnancy in women undergoing vitro fertilization (IVF).We conducted pragmatic, multicenter, open-label, randomized, controlled trial. Eligible were IVF (fresh-embryo or frozen-embryo transfer), with no recent exposure disruptive intrauterine instrumentation (e.g., hysteroscopy). Participants randomly assigned 1:1 ratio either endometrial (by biopsy...
Objective To determine whether or not hysterectomy leads to an earlier onset of the menopause. Design A prospective cohort study. Setting Gynaecology service large urban hospital. Population Premenopausal women with and without hysterectomy. Methods Multivariate survival analysis techniques were used adjust for differences in initial follicle stimulating hormone (FSH) levels, body mass index, smoking unilateral oophorectomy between groups. Main outcome measures FSH levels measured five years...
Objectives Firstly, to compare pregnancy outcomes and cardiac complications in women with: 1. either mechanical or bioprosthetic valves at the mitral site; 2. treated with warfarin subcutaneous heparin. Secondly, determine aortic homograft valves. Design Historical cohort study. Setting Greenlane Hospital, Auckland, New Zealand. Population Young ( n = 255 ) who had valve replacements between 1972 1992. Seventy‐nine underwent 147 pregnancies. Main outcome measures Pregnancy loss,...
Screening for critical congenital heart disease (CHD) with prenatal ultrasound or postnatal pulse oximetry has the potential to improve outcome. To guide screening recommendations, this study aimed identify proportion and outcome of major CHD diagnosed before (early) after (late) discharge prior introduction screening.A retrospective, population-based review all in New Zealand from 2006 2010. The timing diagnosis relative intervention non-critical cases intention treat was determined, as...
Background —The type of cardiac valve replacement associated with the lowest health risks for young women who may undergo pregnancies is unknown. We investigated which was greatest patient and survival effect pregnancy on loss. Methods Results —In this retrospective study, all 12 to 35 years old underwent replacements between 1972 1992 at Greenlane Hospital were identified, follow-up available in 93%. The 232 followed up 1499 patient-years. Ten-year mechanical (n=178), bioprosthetic (n=73),...
To compare maternal and neonatal outcomes in women with gestational diabetes treated diet, metformin and/or insulin routine clinical practice a single centre.We analysed prospectively collected data from the National Women's Health database for all who delivered between January 2007 December 2009. Since June 2007, requiring medication have been given choice of either or treatment, except fetal abdominal circumference less than 10th percentile, were not offered metformin.There 1269 diabetes;...
What proportion of clinicians across Australia, New Zealand and the UK are currently offering or recommending endometrial scratching for subfertility? Eighty-three percent responding to this survey women undergoing IVF. Endometrial is being proposed as a technique increase probability implantation in While trial results provide evidence favour procedure, there remains some uncertainty about both extent any beneficial effect subgroups most likely benefit. Cross-sectional with responses from...
Can the priorities for future research in infertility be identified?The top 10 four areas of male infertility, female and unexplained medically assisted reproduction ethics, access organization care people with fertility problems were identified.Many fundamental questions regarding prevention, management consequences remain unanswered. This is a barrier to improving received by those problems.Potential collated from an initial international survey, systematic review clinical practice...
Can a core outcome set to standardize selection, collection and reporting across future infertility research be developed?A minimum data set, known as has been developed for randomized controlled trials (RCTs) systematic reviews evaluating potential treatments infertility.Complex issues, including failure consider the perspectives of people with fertility problems when selecting outcomes, variations in definitions selective outcomes on basis statistical analysis, make results difficult...
Objective To investigate associations of the Fetal Pillow® with maternal and neonatal morbidity. Design Retrospective cohort. Setting Two tertiary maternity units, New Zealand. Population or Sample Full dilatation singleton, term, cephalic caesarean section, three comparisons: at Unit A (1) before versus after introduction (1 Jaunary 2016–31 October 2021); (2) without (27 July 2017–31 (3) between B during same time period January 2019–31 2021). The is unavailable B. Methods Cases were...
Can consensus definitions for the core outcome set infertility be identified in order to recommend a standardized approach reporting?Consensus individual outcomes, contextual statements, and reporting table have been developed.Different exist outcomes infertility. This variation increases opportunities researchers engage with selective reporting, which undermines secondary research compromises clinical practice guideline development.Potential were by systematic review of definition...
Abstract Background The approach to induction of labour differs internationally, with timing amniotomy being controversial. Some institutions favour performing artificial rupture membranes prior commencement oxytocin infusion, the belief that will progress more efficiently. In other institutions, recommended is for infusion intact amniotic until person has reached active phase labour, citing risk infection early amniotomy. Current evidence inconclusive. We are a randomised controlled trial...