Objective To compare clinical outcomes from outpatient with inpatient cervical prostaglandin E2 ripening for low risk labour induction. Design Randomised controlled trial. Setting Two tertiary hospitals in A delaide, ustralia. Population Women uncomplicated term pregnancies, scheduled induction of reasons post‐dates or social reasons. Methods Eight hundred and twenty‐seven women were randomised at decision to an group. All had CTG monitoring before after vaginal P g E 2 administration. The...

One in four Australian births are induced. If cervical ripening using a prostaglandin is required, pre-labour overnight hospitalisation and separation from family support companions necessary. Recent evidence shows that balloon catheter just as effective prostaglandins, but does not cause uterine stimulation. For women with low risk pregnancies, this offers the possibility of undergoing process their own home. We conducted pilot randomised trial to assess outcomes, clinical pathways...

Abstract Background Induction of labor, an increasingly common intervention, is often preceded by the application agent to “prime” or “ripen” cervix. We conducted a randomized controlled trial compare clinical, economic, and psychosocial outcomes inpatient outpatient cervical priming before induction labor. In this paper we present outcomes. Methods Women participating in two Australian metropolitan teaching hospitals completed questionnaires measure anxiety depression at enrollment, examine...

In many countries a high proportion of births begin as induced labours. Induction can be lengthy if cervical priming is required prior to induction. This usually occurs an inpatient, however, alternative allow women go home after satisfactory fetal monitoring. The aim this study was assess the preferences for induction labour in outpatient or inpatient setting.A discrete choice experiment (DCE) conducted alongside randomised trial and (the OPRA trial) two maternity hospitals South Australia....

Nurses and midwives are central to the implementation delivery of quality care through evidence-based practice (EBP). However, EBP in nursing midwifery is under-researched with few examples systematic sustained change. The Registered Association Ontario's Best-Practice Spotlight Organization (BPSO) Program was adopted South Australia as a framework systematically implement two diverse complex healthcare settings.The study post-implementation, mixed-method evaluation conducted at settings...

To compare the costs of inpatient (usual care) with outpatient (intervention) care for cervical priming induction labour in women healthy, low-risk pregnancies who are being induced prolonged or social reasons.Data from a randomised controlled trial at two hospitals South Australia were matched hospital financial data. A cost analysis comparing to those was performed, an additional focusing on received intervention.Overall, 48% into did not receive intervention. Women had overall saving $319...

Objectives To identify characteristics of women seeking termination pregnancy, their reasons for having a termination, and whether they intended to submit Medicare claim the procedure. Design Survey by self-administered questionnaire. Subjects setting All who attended 11 private clinics in ew South Wales (NSW) over six-week period 1992. Results 2249 completed questionnaires were received (94% response rate). Terminations frequent at all ages, but 20s accounted more than half terminations...

Abstract Background The sustainability of Australian rural maternity services is under threat due to current workforce shortages. In July 2019, a new midwifery caseload model care was implemented in South Australia provide continuity and promote sustainable the area. unique as it brings together five birthing sites connecting midwives, doctors, nurses community teams. A critical precursor successful implementation requires those working be ready adopt change. We surveyed clinicians at...

Adjuvant care for colorectal cancer (CRC) has increased over the past 3 decades in South Australia (SA) accordance with national treatment guidelines. This study explores (1) receipt of adjuvant therapy CRC SA as related to guideline recommendations, a focus on stage C colon and B rectal cancer; (2) timing these therapies relation surgery; (3) comparative survival outcomes.Data from Clinical Cancer Registry 4 tertiary referral hospitals 2000 2010 were examined. Patterns compared guidelines...

This paper reviews the data available in New South Wales on teenage fertility rates and pregnancy outcomes. Teenage births comprise six per cent of all Wales, but they constitute a significant public health problem because are associated with elevated adverse outcomes, which include low birthweight, perinatal death pre-eclampsia. Risk is concentrated females under 18 years age. Pregnancy outcomes for aged to 19 similar those women 20 24 years. have remained stable since mid-1980s, following...

Abstract: The aim of this study was to evaluate the effectiveness invitations for mammographic screening. Women aged 45 69 who had not attended screening at mobile Breast X‐Ray Programme Central Sydney Area Health Service were randomly selected from 1989 electoral listing. In geographical area in which conducted (Drummoyne local government area), 36 per cent women before intervention, indicating that aimed reluctant participant. allocated a control group did receive ( n = 80), and an...

The ongoing closure of regional maternity services in Australia has significant consequences for women and communities. In South Australia, a midwifery model care servicing five birthing sites was piloted with the aim bringing sustainable to area. An independent evaluation undertaken. This paper reports on women's experiences birth outcomes.To evaluate effectiveness, acceptability, continuity outcomes utilising new care.An anonymous questionnaire incorporating validated surveys key questions...

Background : The purpose of this study was to examine existing data on women diagnosed with breast cancer in New South Wales 1991 and 1992 describe surgical treatments received an inpatient basis. Methods Analyses were based the linkage two databases: Central Cancer Registry Health Department's Inpatient Statistics Collection. Data limited who resident treated Wales. Main analyses restricted definitive procedures. Results Thirty‐six per cent surgically for had breast‐conserving therapy. This...

Summary: The New South Wales perinatal data collection was used to examine the association between low birth‐weight and some of its potential risk factors. study population comprised all recorded singleton births residents NSW in 1987. Low infants were categorized as either small for gestational age (SGA) or preterm (less than 37 weeks). Risk factors analyzed separately these categories. examined primarily demographic reproductive history variables. Univariate analysis multivariate logistic...

To determine the incidence, multiplicity, geographical variability and service trends of keratinocyte cancers (KC) in South Australia (SA).Medicare data with a unique identifier were used to assess number people treated over years 2010-2014. A maximum one KC claim per year was incidence. Age-standardised rates estimated as activity trends.There 497,581 services 204,183 SA residents for KC, solar keratoses, locally aggressive skin tumours or suspicious lesions. Of these, n=159,137 (77,502...

1. Sandall J, Soltani H, Gates S, Shennan A, Devane D. Midwife-led continuity models versus other of care for childbearing women. Cochrane Database Syst Rev. 2016;4:CD004667. doi:10.1002/14651858.CD004667.pub5 CrossRef Google Scholar

Age standardised skin cancers (melanoma and non-melanoma) continue to increase in Australia, although they are stabilising for those under age 40. People living regional, rural remote Australia have higher rates of cancer challenges accessing care. Better targeting protection measures improved opportunistic screening been promoted as ways improve care these populations increased use information technology upskilling primary health nurses. The Australian Government supports that Optimal...