A5032966280- Prenatal Screening and Diagnostics
- Cardiovascular Issues in Pregnancy
- Pregnancy and preeclampsia studies
- Nerve Injury and Rehabilitation
- Body Contouring and Surgery
- Research in Social Sciences
- Gestational Diabetes Research and Management
- Nursing Roles and Practices
- Cardiac, Anesthesia and Surgical Outcomes
- Bariatric Surgery and Outcomes
- HIV/AIDS Research and Interventions
- Assisted Reproductive Technology and Twin Pregnancy
- Fetal and Pediatric Neurological Disorders
- Cardiac Arrest and Resuscitation
- Dermatologic Treatments and Research
- Congenital Heart Disease Studies
- Neonatal and fetal brain pathology
- Breast Implant and Reconstruction
- Congenital Anomalies and Fetal Surgery
- Cancer Risks and Factors
- Maternal and Perinatal Health Interventions
- Enhanced Recovery After Surgery
- Neonatal Respiratory Health Research
- Mechanical Circulatory Support Devices
- Ethics in Clinical Research
Helsinki University Hospital
2011-2024
University of Helsinki
2016-2024
Hospital District of Helsinki and Uusimaa
2023-2024
John Wiley & Sons (United Kingdom)
2016
Abstract Purpose Overweight and obesity are major risk factors for perinatal morbidity mortality, the need bariatric surgery (BS) among fertile-aged women is increasing. This study evaluates outcome of post-BS pregnancies deliveries. Methods All 20–45-year-old patients delivering between 2004 2016 in Finland were included. Patients with previous BS identified from hospital discharge register, medical birth register was queried data on pregnancies, deliveries, outcomes. The matched using...
Brachial plexus birth injury is the most common causing permanent disability in Finland. This study aimed to assess risk factors of a brachial and calculate incidence.
To study the impact of shoulder dystocia (SD) simulation training on management SD and incidence permanent brachial plexus birth injury (BPBI).Retrospective observational study.Helsinki University Women's Hospital, Finland.Deliveries with SD.Multi-professional, regular systematic for obstetric emergencies began in 2015, was one main themes. A conducted to assess changes BPBI. The period from 2010 2019; years 2010-2014 were considered pre-training 2015-2019 post-training period.The primary...
Objective The aim of the study was to analyze risk adverse pregnancy outcome in three subgroups with extremely low maternal pregnancy-associated plasma protein-A (PAPP-A), that is, <0.3 multiples median (MoM) at first trimester screening. Method A cohort 961 pregnancies PAPP-A levels < 0.3 MoM combined screening followed up during period January 2009 December 2012. incidences outcomes determined 0.1 MoM, 0.2 and respectively. Results risks aneuploidy spontaneous abortion increased decreasing...
The purpose of this study was to evaluate pregnancies with isolated short fetal femur and humerus on second-trimester sonography. Short long bones are known be associated aneuploidy structural anomalies. In study, we wanted show the risk adverse pregnancy outcomes in euploid nonanomalous pregnancies.Singleton were included. Pregnancies normal bone lengths age-matched mothers selected as controls.The group included 30 humerus, control 60 pregnancies. overall odds ratio for an outcome 24.9....
Abstract Introduction Shoulder dystocia has remained an unpredictable and feared emergency in obstetrics. Some risk factors have been identified but nevertheless there is a lack of evaluation tools clinical practice. The aim this study was to evaluate the incidence shoulder Finnish population develop score tool. Material methods This retrospective, population‐based included all deliveries Finland between 2004 2017 (n = 800 484). annual numbers diagnoses were gathered from nationwide Medical...
Vaginal delivery has been recommended for more than ten years women living with HIV (WLWH) good virological control. However, in Europe most WLWH still deliver by cesarean section (CS). Our aim was to assess the rate of vaginal and indications CS over 20 a setting low overall rate.This retrospective study all delivering Finland 1993-2013. We identified combining national health registers extracted data from patient files.The comprised 212 290 deliveries. Over 35% delivered several children...
Abstract Purpose Shoulder dystocia is an obstetric emergency with severe complications. Our objective was to evaluate the major pitfalls in diagnostics of shoulder dystocia, diagnostic descriptions documented medical records, use maneuvers, and their correlations Erb’s Klumpke’s palsy ICD-10 code 066.0. Methods A retrospective, register-based case–control study included all deliveries ( n = 181 352) Hospital District Helsinki Uusimaa (HUS) area 2006–2015. Potential cases 1708) were...
We analyzed the frequency and possible causes of false-negative (Fn) screening results in first-trimester combined Down syndrome Finland. During study period (May 1, 2002, to December 31, 2008), 76,949 voluntary women with singleton pregnancies participated screening. Maternal age at screening, week gestation, levels pregnancy-associated plasma protein-A (PAPP-A), free β-human chorionic gonadotropin (fβ-hCG), nuchal translucency (NT) measurement were compared statistically between...
To study women's apprehensions, understanding and experiences of counselling concerning a screen-positive result in screening for fetal chromosomal defects.A questionnaire including different steps the prenatal process was carried out Helsinki University Hospital. Women's immediately after during further examinations Fetal Medicine Unit (FMU) were analyzed.143 women filled questionnaire. Less than half considered primary to be explicit (43.9%) sufficient (43.1%). In FMU, 88.3% 89.8%...
Abstract HIV-positive children are still born in Europe despite low mother-to-child transmission (MTCT) rates. We aimed to clarify the remaining barriers prevention of MTCT. By combining national registers, we identified all women living with HIV delivering at least one child during 1983–2013. Of 212 after diagnosis, 46% were diagnosed pregnancy. In multivariate analysis, age >30 years ( P = 0.001), sexual 0.012), outside metropolitan area 0.001) and Eastern European origin 0.043) risk...
Objective. To evaluate the performance of first-trimester combined screening in 5-year periods according to maternal age a low-risk population. Design. A prospective study. Setting: Multicenter study Finland. Population: total 76 949 voluntary women with singleton pregnancies participated public healthcare between 1 May 2002 and 31 December 2008. Methods. The serum samples were analyzed using PerkinElmer AutoDELFIA® time-resolved fluoroimmunoassay kit for measurement pregnancy-associated...
<title>Abstract</title> Purpose To compare the results of maternal age- and fetal nuchal translucency (NT)-based trisomy 21 screening combined first trimester (FTS) in 661 twin pregnancies. Methods During study period, for pregnancies was based on age NT. FTS risk value calculated, but not used counseling. The information regarding chorionicity considered calculation value. were retrospectively compared to those Results Six cases identified four sensitivity NT-based 75%. Among all...
Peripartum asphyxia is one of the main causes neonatal morbidity and mortality. In moderate severe cases asphyxia, a condition called hypoxic-ischemic encephalopathy (HIE) associated permanent neurological morbidities may follow. Due to multifactorial etiology it be difficult prevent, but in term neonates, therapeutic cooling can used prevent or reduce brain damage. The aim this study was assess significance different antenatal delivery related risk factors for HIE need hypothermia.
1. Knight M, Bunch K, Felker A, et al. Saving Lives, Improving Mothers' Care Core Report: Lessons learned to inform maternity care from the UK and Ireland Confidential Enquiries into Maternal Deaths Morbidity 2019-21. Healthcare Quality Improvement Partnership National Perinatal Epidemiology Unit, University of Oxford; 2023. Accessed December 20, https://www.npeu.ox.ac.uk/asse... Google Scholar
<title>Abstract</title> <bold>Background</bold> An increasing number of childbearing-agedwomen have undergone bariatric surgery (BS). Although pregnancy outcomes generally improve after BS, concern remains over the impact rapid weight loss and catabolic state that occurs soon BS. At least a 12-monthsurgery-to-conception time (SCT) is recommended, though reasoning behind this has been questioned. This retrospective study was conducted to compare post-BS pregnancies with SCTs less (Group 1) or...
Cesarean section is the most common surgery performed on women. The enhanced recovery recommendations are early urinary catheter removal and mobilization, as essential elements of post-operative care. This study aimed to analyze association between these whether limiting treatment duration affects timing mobilization.
<title>Abstract</title> <bold>Purpose:</bold> Cesarean section is the most common surgery performed on women. According to enhanced recovery recommendation, early urinary catheter removal and mobilization are essential elements of postoperative care. The issue therapy length still controversial but known improve overall recovery. This study aimed analyze possible interaction these whether use itself affects time mobilization. <bold>Methods:</bold> retrospective case-control consisted cases...
Abstract Background An increasing number of childbearing-aged women have undergone bariatric surgery (BS). Although pregnancy outcomes generally improve after BS, concern remains over the impact rapid weight loss and catabolic state that occurs soon BS. At least a 12-month surgery-to-conception time (SCT) is recommended, though reasoning behind this has been questioned. This retrospective study was conducted to compare post-BS pregnancies with SCTs less (Group 1) or more 2) than 12 months....