To examine the prevalence across 25 years of overweight and obesity among nulliparous Australian women during early pregnancy; to estimate proportions adverse perinatal outcomes attributable in this population.Cohort study; retrospective analysis electronic maternity data. Setting, participants: 42 582 with singleton pregnancies giving birth at Royal Prince Alfred Hospital, an urban teaching hospital Sydney, January 1990 - December 2014.Maternal body mass index (BMI), socio-demographic...

Excess gestational weight gain (GWG) leads to adverse short- and long-term consequences for women their offspring. Evidence suggests that excess GWG in early pregnancy may be particularly detrimental, contributing the intergenerational cycle of obesity. The primary outcome was investigate prevalence predictors pregnancy, if understand risks themselves offspring stratified by maternal body mass index (BMI).This a secondary analysis (n = 2131) cross-sectional study 2338) conducted over 6...

Limited awareness about the importance of preconception health is a recognised barrier to preparing for pregnancy.

Abstract Background The scope of practice the contemporary midwife encompasses a range sexual and reproductive healthcare, including care throughout pregnancy. Midwives are experts in pregnancy care, but many do not provide for women with unexpected (acute) complications early (< 20 weeks) Australia. Women experiencing acute < weeks usually attend an emergency department rather than maternity unit. These settings typically employ midwives may meet women’s need timely informed physical...

Modern contraceptive use effectively prevents unwanted pregnancies, promoting maternal and child health improving the socio-economic well-being of women their families. Women's autonomy has been shown to increase uptake modern contraception use. This research aimed investigate relationship between measures women's among partnered in Zambia.This cross-sectional survey study used data from census, 2018 Zambia Demographic Health Survey. We measured using three indices: participation...

We sought to explore and describe midwives' attitudes practices relating their provision of postpartum contraception counselling.

Background Short interpregnancy intervals (IPIs) are associated with adverse obstetric outcomes. However, few studies have explored women’s understanding of ideal IPIs or investigated knowledge the consequences short IPIs. Methods We performed a prospective questionnaire-based study at two hospitals in Sydney, Australia. recruited women attending antenatal clinics and collected demographic data, actual IPI, contraceptive use, education provided on birth-spacing contraception following...

Background A relationship between maternal weight and unintended pregnancy has previously been reported. Researchers have found women who are overweight obese less likely to use contraception, more unplanned pregnancies, thus limiting their ability optimise health before conception. Aims This study sought examine the intention body mass index ( BMI ) amongst attending a service managing early complications. Materials Methods The cross‐sectional descriptive n = 550) was conducted from...

Detection and treatment of genital chlamydia trachomatis infections in pregnancy have been shown to reduce the risk premature rupture membranes, post-partum endometritis newborn conjunctivitis pneumonitis. Identification factors associated with chlamydial infection could be used develop criteria for routine screening some pregnant women. No national strategy exists around Chlamydia infection.We undertook a review medical records all young women (aged 20 years or younger) attending RPA Women...

There is little documented evidence regarding the practice of midwives providing care for women with acute concerns in early pregnancy (< 20 weeks) Australia.

Introduction Despite the knowledge of pregnancy risks attributable to inadequate birth spacing, over one-third pregnancies occur within 18 months a preceding birth. In this qualitative study we sought interview women with short interpregnancy interval (sIPI) explore their contraception and spacing experience counselling on these themes. Methods We conducted in-depth interviews sIPI (live-birth less than prior conception current pregnancy) at Royal Prince Alfred Hospital Canterbury in Sydney,...

Background The interconception period provides an opportunity to address women’s health risks and optimise birth spacing before the next pregnancy. This scoping review aimed identify models of care (ICC) delivered at well-child visits (WCVs) around world, impacts ICC delivered, what feasibility applicability these were. Methods global included clinical studies that were identified using medical subject headings (MeSH) keyword combinations. Studies if they met criteria: studies; examined a...

Abstract Objective To determine the completion rate for London Measure of Unplanned Pregnancy (LMUP), a psychometrically validated measure woman's intention with regard to current or recent pregnancy, during booking visits at two metropolitan antenatal care clinics; identify socio‐demographic characteristics associated unplanned pregnancy. Design, setting, participants Retrospective cohort study; analysis LMUP data women attending consultations as public patients in Sydney Local Health...

This study aimed to determine factors associated with length of stay (LOS) for women presenting early pregnancy complications a public hospital ED. In particular, we sought investigate the impact involvement Clinical Midwife Consultant (CMC), specialising in care, had on ED LOS.We undertook retrospective cohort less than 20 weeks pregnant who presented between August 2008 and December 2010 Royal Prince Alfred Hospital Sydney, Australia were then discharged. The main outcome measured was LOS....

Women are susceptible to unintended, rapid repeat pregnancies in the first 12 months postpartum. Access postpartum contraception, specifically long-acting reversible enables better planning of pregnancy timing and spacing allows optimisation health before next conception. Clinical Practice Guidelines (CPG), implementation policies, supported by consumer input, can improve such access. We searched publicly available Australian New Zealand guidelines policy documents addressing contraception....

Background Pregnancy planning and preconception care benefit women, their children, future generations. The London Measure of Unplanned (LMUP) is a tool that can be used in antenatal to identify women with unintended pregnancies who require improved access such services. This was recently implemented into routine two maternity centres New South Wales, Australia. study explores midwives’ attitudes the LMUP 12 months after it introduced booking visit understanding its application scope...

Background: The Aboriginal and Torres Strait Islander community have been very successful in preparing responding to the COVID-19 pandemic.There is scope for First Nations health principles provide a more effective pandemic response other priority communities Victoria, including refugees culturally linguistically diverse (CALD) communities.Objectives: We aimed establish unique model of Case, Contact Outbreak Management (CCOM) dedicated communities, based on community-controlled...

Pregnancy-associated plasma protein A (PAPP-A) is a biochemical marker currently used as part of combined first trimester screening. low PAPP-A at 11−13 weeks' gestation predictive miscarriage and late adverse pregnancy outcomes. We aimed to determine whether measured 5−11 weeks would be early loss. Women attending our assessment service 5-11 with symptoms were asked participate. Those sonographic evidence failed excluded. Maternal serum was quantified levels analysed in relation outcome. 94...