A5058689832- Maternal and Perinatal Health Interventions
- Maternal and fetal healthcare
- Reproductive Health and Contraception
- Pregnancy-related medical research
- Pelvic floor disorders treatments
- Maternal Mental Health During Pregnancy and Postpartum
- Hospital Admissions and Outcomes
- Gestational Diabetes Research and Management
- Assisted Reproductive Technology and Twin Pregnancy
- Global Maternal and Child Health
- Socioeconomic and Demographic Analysis
- Cardiac, Anesthesia and Surgical Outcomes
- Pediatric Pain Management Techniques
- COVID-19 Impact on Reproduction
Karolinska Institutet
2014-2024
Stockholm South General Hospital
2017-2024
To assess the effect of lateral episiotomy, compared with no on obstetric anal sphincter injury in nulliparous women requiring vacuum extraction.
Background Obesity is increasing in Sweden and also of huge global concern. increases the risk complications during pregnancy need for induction labor. Induction labor number delivery, leading to women with more negative birth experience. This study investigated how maternal body mass index (BMI) antenatal care enrollment affects outcomes (proportion cesarean section at labor). Method was a retrospective cohort 3772 mixed parity Soderhospital, Stockholm, 2009–2010 2012–2013. The inclusion...
Abstract Introduction The Stockholm region was the first area in Sweden to be hit by pandemic caused severe acute respiratory syndrome coronavirus 2 (SARS‐CoV‐2). national guidelines on care of women with a positive test for SARS‐CoV‐2 (detection polymerase chain reaction [PCR]) recommend individualized antenatal care, mode delivery based obstetric considerations, and no routine separation mother newborn. Breastfeeding is encouraged, although there specific recommendation regarding wearing...
Explore contraceptive use, unmet need of and attitudes towards use in Sweden. Secondly, to investigate knowledge contraceptives, prevalence outcomes unintended pregnancies.Internet based e-survey Swedish women aged 16-49. The contained 49 questions with both spontaneous multi-choice character on demographics, contraception, importance monthly bleeding, experience pregnancy. was closed when reaching the estimated sample size 1000 respondents.A total 1016 participated, whereof 62.4% used 31.8%...
Abstract Introduction The appropriate mode of delivery for breech babies is a topic ongoing debate. After the publication Term Breech Trial in 2000, proportion delivered vaginally Sweden rapidly dropped to 7% from 26%. In 2015, international guidelines changed once again recommend offering vaginal deliveries select cases. 2017, Swedish hospital established dedicated Team provide safe according new guidelines. aim this study compare neonatal morbidity group planned cesarean with treated...
Uterine rupture is a well-known but unusual complication in vaginal deliveries with Cesarean section the history. The risk of uterine at least two-fold when labor induced. In Sweden, women are allowed to deliver vaginally after one previous section, regardless if starts spontaneously or aim study compare proportion ruptures between three methods (balloon catheter, Minprostin® and Cytotec®) for induction an unfavorable cervix section.Retrospective cohort all four largest clinics Stockholm...
Introduction. One great challenge in obstetric care is labor inductions. Misoprostol has advantages being cheap and stable at room temperature available resource-poor settings. Material Methods. Retrospective cohort study of 4002 singleton pregnancies with a gestational age ≥34 w Sodersjukhuset, Stockholm, during 2009-2010 2012-2013. Previously used methods induction were compared misoprostol given as solution to drink, every second hour. Main outcome follows: Cesarean Section (CS) rate,...
(Abstracted from BMJ 2024;385:e079014 Obstetric anal sphincter injury (OASI) is a serious complication to vaginal birth, with the primary risk factors being primiparity and instrumental birth. Rates of OASI vary across countries, affecting up 4% primiparous women for spontaneous births 6% 24% in United States, Canada, Europe.
To compare the World Health Organization (WHO) recommended orally administrated dosage of misoprostol (25 μg) with a vaginal slow-release (7 μg/hour) insert regarding time from induction to delivery and safety method.Open label, Randomised controlled trial (RCT).Delivery ward at secondary referral hospital in Stockholm, Sweden, 1 October 2016 21 February 2018.One hundred ninety-six primiparous women singletons cephalic presentation ≥37 weeks gestation Bishop score ≤4.Women were randomised an...
Objective: To evaluate the frequency of uterine rupture following induction labor in women with a previous cesarean section. Misoprostol was compared to other methods induction.
Abstract Background Although labor induction is a commonly used procedure in obstetrical care, there are limited data on its psycho-emotional effects the woman. This study analysed expectations and experiences of women different routes induction. The study’s primary aim was to compare women’s delivery experience if induced by orally administrated misoprostol (OMS) compared with vaginal insert (MVI). Secondly, an evaluation general satisfaction made, factors associated negative experience....
ABSTRACT Objective To assess if off‐label oral solution of misoprostol compared with licensed tablet approved for induction labour (IOL) is as efficient in resulting vaginal delivery within 24 h, using a non‐inferiority design. Design Prospective, randomised, non‐inferiority, open‐label, blinded endpoint trial. Setting Two tertiary level hospitals, Stockholm, Sweden, January 2022 to May 2023. Population In all, 874 women, without previous caesarean section, an unripe cervix and singleton,...
Cesarean sections are increasing worldwide and associated with altered risks of complications for both mother child. Vaginal birth after cesarean section is lower maternal neonatal morbidity than in repeat section. Only a few studies have considered the indication previous to be importance outcome subsequent labor. The aim this study was evaluate whether affects outcomes at delivery women induction
Obesity is a globally growing problem. Labor dystocia associated with obstetric complications, especially among obese pregnant women. Previous studies have shown an association between the level of lactate produced by uterine myocytes during contractions and in amniotic fluid (AFL). A relationship high AFL labor has also been demonstrated. However, it still unknown whether observation applies to all women dystocia, regardless body mass index (BMI). Aims: This study investigated there was any...
The pain threshold in humans rises during late pregnancy, and the woman becomes less sensitive to stress. aim of this study was investigate whether monitoring sympathetic nervous system response stimuli by skin conductance activity might be a useful predictor spontaneous onset labour post-term pregnancies.A prospective observational study. Fifty-two healthy pregnant women were consecutively asked for inclusion at their pregnancy examination. Initially, Ctg (cardiotocography) registration...
Abstract Background: Although the induction of labour is a commonly used procedure in obstetrical care, there are limited data on its psycho-emotional effects woman. This study analysed expectations and experiences women included randomised controlled trial comparing different routes induction. The primary aim this questionnaire-based was to evaluate women’s general satisfaction with induced labours identify factors associated negative experience. secondary compare orally administrated...