Tidsskrift for Den Norske Laegeforening最新文献_第3页

Modern obstetrics - a balancing act. 现代产科——一种平衡行为。

IF 1.2

Tidsskrift for Den Norske Laegeforening Pub Date : 2025-05-22 Print Date: 2025-06-03 DOI: 10.4045/tidsskr.25.0321

Cathrine Ebbing

引用次数: 0

Mode of delivery after induction of labour in pregnant women with pre-pregnancy overweight and obesity. 孕前超重和肥胖孕妇引产后的分娩方式。

IF 1.2

Tidsskrift for Den Norske Laegeforening Pub Date : 2025-05-21 Print Date: 2025-06-03 DOI: 10.4045/tidsskr.24.0643

Åshild Bjørnerem, Caroline Renland Kolstad, Tonje Agnete Gravvold Helmersen, Trond Melbye Michelsen, Ingvil Krarup Sørbye

{"title":"Mode of delivery after induction of labour in pregnant women with pre-pregnancy overweight and obesity.","authors":"Åshild Bjørnerem, Caroline Renland Kolstad, Tonje Agnete Gravvold Helmersen, Trond Melbye Michelsen, Ingvil Krarup Sørbye","doi":"10.4045/tidsskr.24.0643","DOIUrl":"https://doi.org/10.4045/tidsskr.24.0643","url":null,"abstract":"Background: The proportion of pregnant women with overweight or obesity whose labour is induced is increasing. The aim of this study was to examine the relationship between pre-pregnancy body mass index (BMI) and mode of delivery among pregnant women whose labour was induced.Material and method: The study included women with singleton pregnancies, a fetus in cephalic presentation and a liveborn child, whose labour was induced at the University Hospital of North Norway, Tromsø in the period 2016-18. The mode of delivery was compared for women with a pre-pregnancy BMI < 25 kg/m2, overweight (BMI 25.0-29.9 kg/m2) and obesity (BMI ≥ 30 kg/m2).Results: In the study, we included 807 women whose labour was induced. Of these, 402 had a pre-pregnancy BMI < 25 kg/m2, 202 had overweight and 203 had obesity. Of these, 306 (76.1 %), 149 (73.8 %) and 140 (69.0 %) had a spontaneous birth, while 60 (14.9 %), 40 (19.8 %) and 44 (21.7 %) had a caesarean section. As pre-pregnancy BMI increased, the proportion of spontaneous births decreased (p = 0.06), while the proportion delivered by caesarean section increased (p = 0.03). Women with obesity whose labour was induced were at a higher risk of caesarean section (odds ratio 1.6 (95 % confidence interval 1.0-2.4)) compared to those with a BMI < 25 kg/m2. After adjusting for age, height, prolonged rupture of membranes, parity and previous mode of delivery, the odds ratio remained virtually unchanged, but was no longer statistically significant (odds ratio 1.5 (95 % CI 0.9-2.4)).Interpretation: Pre-pregnancy obesity was linked to a higher risk of caesarean section following induced labour, but the risk was more significantly influenced by being primiparous or multiparous without a prior vaginal delivery than by obesity itself.","PeriodicalId":23123,"journal":{"name":"Tidsskrift for Den Norske Laegeforening","volume":"145 7","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235303","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Correction: Emotions and childbirth. 纠正：情绪和分娩。

IF 1.2

Tidsskrift for Den Norske Laegeforening Pub Date : 2025-05-19 Print Date: 2025-05-20 DOI: 10.4045/tidsskr.25.0336

Ragnhild Ørstavik

引用次数: 0

Breech deliveries at Hammerfest maternity ward from 2004-2023 - a retrospective study. 2004-2023年Hammerfest产科病房臀位分娩的回顾性研究。

IF 1.2

Tidsskrift for Den Norske Laegeforening Pub Date : 2025-05-19 Print Date: 2025-06-03 DOI: 10.4045/tidsskr.24.0527

Emma Dalgård, Amanda Darell, Ole Jakob Nakling, Torben Wisborg, Marit Vidringstad

{"title":"Breech deliveries at Hammerfest maternity ward from 2004-2023 - a retrospective study.","authors":"Emma Dalgård, Amanda Darell, Ole Jakob Nakling, Torben Wisborg, Marit Vidringstad","doi":"10.4045/tidsskr.24.0527","DOIUrl":"https://doi.org/10.4045/tidsskr.24.0527","url":null,"abstract":"Background: Breech presentation occurs in 3-4 % of pregnancies at term and is associated with a higher incidence of neonatal mortality and morbidity. We aimed to examine the mode of delivery and outcomes for breech deliveries at Hammerfest Hospital's maternity ward in the period 2004-2023.Material and method: We conducted a retrospective review of the hospital's electronic birth database and paper-based birth records for women with a singleton breech presentation, delivered from gestational week 35 onwards.Results: A total of 151 out of 272 (56 %) women in labour with a singleton breech presentation were selected for a planned vaginal delivery in accordance with the national obstetric guidelines. Of these 151 planned vaginal deliveries, 94 (62 %) resulted in an emergency caesarean section. An Apgar score < 7 at 5 minutes was observed in 1 (2 %) newborn after vaginal delivery, in 5 (5 %) after emergency caesarean section and in 1 (1 %) after elective caesarean section. There were no incidences of severe neonatal morbidity or mortality.Interpretation: Twenty years of data from Hammerfest's maternity ward support the practice of selecting women for planned vaginal breech delivery. However, due to limitations in the dataset, the findings should be interpreted with caution.","PeriodicalId":23123,"journal":{"name":"Tidsskrift for Den Norske Laegeforening","volume":"145 7","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235293","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Breech deliveries at units other than women's clinics. 在妇女诊所以外的单位进行臀位分娩。

IF 1.2

Tidsskrift for Den Norske Laegeforening Pub Date : 2025-05-19 Print Date: 2025-06-03 DOI: 10.4045/tidsskr.25.0206

Ingvild Vistad

引用次数: 0

Taushetspliktens skjøre balanse ved journaldeling.

IF 1.2

Tidsskrift for Den Norske Laegeforening Pub Date : 2025-05-15 Print Date: 2025-06-03 DOI: 10.4045/tidsskr.25.0275

Bjarne Austad

引用次数: 0

Xenotransplantasjon.

IF 1.2

Tidsskrift for Den Norske Laegeforening Pub Date : 2025-05-15 Print Date: 2025-06-03 DOI: 10.4045/tidsskr.25.0200

Oscar Kolsrud, Arnt Fiane, Morten Hagness

引用次数: 0

Attitudes to assisted dying among doctors in Norway. 挪威医生对协助死亡的态度。

IF 1.2

Tidsskrift for Den Norske Laegeforening Pub Date : 2025-05-13 Print Date: 2025-06-03 DOI: 10.4045/tidsskr.25.0053

Morten Magelssen, Berit H Bringedal, Karin Isaksson Rø, Helene Seljenes Dalum

{"title":"Attitudes to assisted dying among doctors in Norway.","authors":"Morten Magelssen, Berit H Bringedal, Karin Isaksson Rø, Helene Seljenes Dalum","doi":"10.4045/tidsskr.25.0053","DOIUrl":"https://doi.org/10.4045/tidsskr.25.0053","url":null,"abstract":"Background: Assisted dying (euthanasia and assisted suicide) is illegal in Norway. The views of doctors in Norway on assisted dying were last examined in 2016. We have now conducted a new survey to map doctors' attitudes to assisted dying.Material and method: Survey of a sample of practising doctors. The doctors were asked to take a stance on six statements about the legalisation of assisted dying and three statements about their willingness to carry out or aid assisted dying, as well as their views on the right to decline.Results: The response rate was 2010/2534 (79.3 %), and responses from 2004 doctors under 70 years of age were included. A total of 723 (36.1 %) doctors strongly disagreed with the statement 'physician-assisted suicide should be allowed for patients with a terminal illness and short life expectancy', while 232 (11.6 %) strongly agreed. Older respondents were more likely to oppose legalisation. A total of 410 (20.5 %) doctors were willing to aid physician-assisted suicide, and 1796 (89.6 %) wanted the right to conscientiously object to assisted dying in the event of legalisation.Interpretation: A large proportion of doctors in Norway are opposed to legalising assisted dying. However, there seems to be a shift towards decreasing opposition to legalisation since 2016.","PeriodicalId":23123,"journal":{"name":"Tidsskrift for Den Norske Laegeforening","volume":"145 7","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235277","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Dialogue rather than debate on assisted dying. 关于协助死亡的对话而不是辩论。

IF 1.2

Tidsskrift for Den Norske Laegeforening Pub Date : 2025-05-13 Print Date: 2025-06-03 DOI: 10.4045/tidsskr.25.0300

Ingrid Miljeteig

引用次数: 0

Emotions and childbirth. 情绪和分娩。

IF 1.2

Tidsskrift for Den Norske Laegeforening Pub Date : 2025-05-12 Print Date: 2025-05-13 DOI: 10.4045/tidsskr.25.0298

Ragnhild Ørstavik

引用次数: 0