Australian & New Zealand Journal of Obstetrics & Gynaecology最新文献

{"title":"Risk Factors for Antepartum Haemorrhage in Women With Placenta Praevia.","authors":"A Treffers, O Reynoldson, M Beckmann","doi":"10.1111/ajo.13925","DOIUrl":"https://doi.org/10.1111/ajo.13925","url":null,"abstract":"<p><strong>Background: </strong>Placenta praevia (PP) is a significant obstetric complication associated with antepartum haemorrhage (APH) and adverse maternal and fetal outcomes. Identifying risk factors for APH in women with PP is important for guiding management decisions.</p><p><strong>Aims: </strong>This study aimed to identify risk factors associated with APH amongst women admitted to a single tertiary hospital with PP.</p><p><strong>Materials and methods: </strong>A retrospective cohort study was undertaken, utilising data from the hospital's maternity dataset (2007-2021) and included publicly funded women with PP after 24 weeks gestation. Exclusions comprised multiple pregnancies, fetal abnormalities, intra-uterine fetal death and deliveries at other hospitals. Baseline characteristics, outcomes and potential risk factors for APH were analysed through bivariate and stepwise logistic regression.</p><p><strong>Results: </strong>Of the 430 cases with PP, 112 (26%) were admitted with APH. Of these, 45 had two or more admissions with APH, constituting 40% of the APH cohort. Those requiring admission were more likely to deliver at an early gestation, and their baby required nursery admission. Factors independently associated with APH included a higher number of previous caesarean sections, parity, Caucasian ethnicity and major PP.</p><p><strong>Conclusions: </strong>Most women with PP will not require an admission with APH. In considering inpatient versus outpatient management, multiparous Caucasian women with a major PP appear more likely to be at risk of APH admission and premature delivery. These findings underscore the importance of tailoring clinical decision-making.</p>","PeriodicalId":55429,"journal":{"name":"Australian & New Zealand Journal of Obstetrics & Gynaecology","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142916557","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of the First Laparoscopy in an Adolescent and Young Adult Female Population and Its Association With Chronic Pelvic Pain: A Randomised Controlled Trial.","authors":"Kimberly Nguyen, Joyce Wu, Hayley Mallinder, Madhulikaa Sarjapuram Niranjan, Brigitte Gerstl, Jason A Abbott, Rebecca Deans","doi":"10.1111/ajo.13930","DOIUrl":"https://doi.org/10.1111/ajo.13930","url":null,"abstract":"<p><strong>Background: </strong>Chronic pelvic pain (CPP) is a common and debilitating presentation for adolescent and young adult females. Medical management is often utilised as first line therapy with surgical management considered if medical treatment has been unsuccessful. Laparoscopy in this young population remains controversial due to the high recurrence rate of pain, requirement for repeat surgeries and surgical risks. There is a need for prospective, longitudinal studies comparing medical and surgical management to guide management of young patients with CPP.</p><p><strong>Aims: </strong>To determine the effect of the first laparoscopy in an adolescent and young adult female population and assess its association with CPP.</p><p><strong>Materials and methods: </strong>Patients aged 16-25 will be recruited from the gynaecological service at the study sites. Consented participants will be randomised to the surgical or non-surgical arms. Those in the surgical arm will have a laparoscopy performed and those in the non-surgical arm will be medically managed. At recruitment and at 6 weeks, 6 months, 12 months and 24 months follow-up, patients will complete a number of validated questionnaires assessing pain and quality of life. An amendment was made to methodology to include patients who will choose their management pathway for CPP.</p><p><strong>Results: </strong>An independent t-test or Mann-Whitney U test will be used to compare the questionnaire scores between the surgical and non-surgical groups. For questionnaire scores at baseline and follow-up within the same arm, a paired t-test or Wilcoxon signed-rank test will be used. A p-value of < 0.05 will be statistically significant.</p>","PeriodicalId":55429,"journal":{"name":"Australian & New Zealand Journal of Obstetrics & Gynaecology","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142911232","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How We Really WHO: Assessing Completeness, Team Engagement, Distractions and Authority Gradient During 'Time Out' Component of WHO Safer Surgery Checklist.","authors":"Wai Yoong, Suzanne Reilly, Hashviniya Sekar, Frishta Abdul Ali, Tasnim Khonkon, Fan Zhang, Kiran Suleman, Maud Nauta","doi":"10.1111/ajo.13924","DOIUrl":"https://doi.org/10.1111/ajo.13924","url":null,"abstract":"<p><strong>Background: </strong>Anecdotal experience suggests that WHO Safer Surgery Checklist has become a 'tickbox' exercise, resulting in variable team engagement and efficacy.</p><p><strong>Aims: </strong>To observe the quality and completeness of 'Time Out', together with the level of team engagement during obstetrics and gynaecology procedures.</p><p><strong>Materials and methods: </strong>Observational study where the following data were collected during 'Time Out': % of the 19 items correctly responded to after 'challenge'. Type and duration of distractions. Level of team engagement. Authority gradient and likelihood of speaking up (Visual Analogue Score).</p><p><strong>Results: </strong>Data from 70 obstetrics and gynaecology cases were collected over 8 weeks. 'Time Out' was clearly announced in 91.4% and was performed in all cases but not all items were communicated in the correct 'challenge and response' manner. Mean percentage of questions appropriately 'challenged' and 'responded' to was 92% ± 6.86%. Mean duration of 'Time Out' was 92.01 ± 86.9 s and observed distractions were auditory (61%), visual (26%), irrelevant chatter (22.5%) and theatre traffic (13%). In 92.8%, at least two team members were not engaged and were performing non-essential tasks. The likelihood of a team member being able to 'speak up' was 8.78/10 (±0.71) and this appeared independent of whether it was led by nurses, doctors, operating department practitioners or healthcare support workers.</p><p><strong>Conclusion: </strong>Although performed in all cases, 'Time Out' is often not clearly announced or completed in the correct 'challenge and response' manner. It is plagued by avoidable distractions and suboptimal team engagement. Greater awareness is crucial to ensure more complete team involvement.</p>","PeriodicalId":55429,"journal":{"name":"Australian & New Zealand Journal of Obstetrics & Gynaecology","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142911234","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reply to: Tolerance, Decision-Making Processes and Medication Trials in Pregnancy.","authors":"Eva Quattrini, Demelza J Ireland, Jeffrey A Keelan","doi":"10.1111/ajo.13927","DOIUrl":"https://doi.org/10.1111/ajo.13927","url":null,"abstract":"","PeriodicalId":55429,"journal":{"name":"Australian & New Zealand Journal of Obstetrics & Gynaecology","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142911238","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editor-In-Chief's Introduction to ANZJOG 64(6)","authors":"Scott W. White","doi":"10.1111/ajo.13923","DOIUrl":"10.1111/ajo.13923","url":null,"abstract":"&lt;p&gt;Welcome to the final issue of &lt;i&gt;ANZJOG&lt;/i&gt; for 2024.&lt;/p&gt;&lt;p&gt;This has been another busy year for the &lt;i&gt;Journal&lt;/i&gt; with a significant increase in the number of submissions. While this is welcome, it does come with increased burden upon the voluntary workforce that maintains the academic rigour of the publication, specifically the Associate Editors and Peer Reviewers. These generally thankless roles are vital to the ongoing viability of a local scientific journal for our field, and I am immensely grateful to those clinicians and academics who make these contributions—&lt;i&gt;ANZJOG&lt;/i&gt; would literally not exist without you. I wish to acknowledge the dedication and support of the Editorial Board who give so generously of their time and expertise. Thank you.&lt;/p&gt;&lt;p&gt;&lt;i&gt;ANZJOG&lt;/i&gt; is proud to provide a forum for the dissemination of locally relevant obstetrics and gynaecology research. It is through the support of authors choosing &lt;i&gt;ANZJOG&lt;/i&gt; as the home for their work that allows the &lt;i&gt;Journal&lt;/i&gt; to continue and to grow. Ultimately, this can only advance the science behind the work that us clinicians do, to the benefit of the communities that we serve. Without authors submitting their high-quality manuscripts, this would not be possible. I am aware that journal submissions and the peer review process can be at times tedious, frustrating and delayed. RANZCOG are please to have reappointed Wiley as the publisher for &lt;i&gt;ANZJOG&lt;/i&gt;, and I am excited to be able to work with Wiley in implementing several new initiatives in the coming year, which promise to improve the author and reader experience of the &lt;i&gt;Journal&lt;/i&gt;.&lt;/p&gt;&lt;p&gt;This issue features an editorial by Kirsten Connan [&lt;span&gt;1&lt;/span&gt;] discussing the progress in gender-equitable representation in obstetrics and gynaecology leadership in Australia and Aotearoa New Zealand. Contrasting the findings of her earlier work [&lt;span&gt;2&lt;/span&gt;] with that of Holmes, Ibiebele, and Nippita [&lt;span&gt;3&lt;/span&gt;] more recently, Connan describes the commendable improvements in gender equity in RANZCOG and clinical departmental leadership positions over a relatively short period of time. This change goes beyond the ‘pipeline’ effect of an increasingly female RANZCOG Fellowship and reflects the deliberate efforts of senior College representatives and staff in identifying and removing barriers to gender equity in college bodies. RANZCOG has dual roles in representing it members as a member-based organisation and also in advocating for the community which we serve, unique among all medical colleges in being heavily gender-specific, making gender diversity particularly relevant. Connan also highlights the other important diversity considerations, which are also worthy of addressing, particularly those such as First Nations, Māori, migrant, other culturally and linguistically diverse communities, and the LGBTQIA+ community, as these groups often face disproportionately poor health outcomes in our field. RANZCOG's progress so fa","PeriodicalId":55429,"journal":{"name":"Australian & New Zealand Journal of Obstetrics & Gynaecology","volume":"64 6","pages":"537-539"},"PeriodicalIF":1.4,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajo.13923","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142911240","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Does Antenatal Expressing Affect Onset of Lactogenesis for Women With Diabetes? Results From a Randomised Controlled Trial and Cohort Study.","authors":"Anita M Moorhead, Della A Forster, Susan Donath, Jessica De Bortoli, Lisa H Amir","doi":"10.1111/ajo.13929","DOIUrl":"https://doi.org/10.1111/ajo.13929","url":null,"abstract":"<p><strong>Background: </strong>Previously it was recognised onset of Lactogenesis II was delayed in women with Type I diabetes compared to women without diabetes, but the effect of gestational diabetes was unclear. Some clinicians suggest pregnant women with diabetes express breastmilk in late pregnancy to hasten onset of Lactogenesis II.</p><p><strong>Aims: </strong>To confirm if Lactogenesis II occurs later in women with diabetes in pregnancy, and test if advice to express antenatally hastens Lactogenesis II.</p><p><strong>Materials and methods: </strong>Data from the DAME (Diabetes Antenatal Milk Expression) randomised controlled trial collected at recruitment and 2 weeks postpartum were compared with a concurrent purposively recruited cohort of women without diabetes in pregnancy. Timing of lactogenesis and adjusted percentage differences were calculated. Study sample was women from both studies with complete data for included measures to assess onset of Lactogenesis II (maternal perception).</p><p><strong>Results: </strong>Delayed onset of lactation (≥ 72 h postpartum) was similar in DAME trial arms: standard care 58.6% (143/244); antenatal expressing 55.8% (148/265) but lower in comparison cohort 46.9% (90/192). Percentage difference between groups (adjusted for parity, delivery mode, BMI and gestation): DAME standard arm and comparison cohort 12.3% (95% CI 2.6%-22.0%; p = 0.01) DAME intervention arm and comparison cohort 8.3% (95% CI -1.2%-17.8%; p = 0.09) DAME standard care and intervention 4.0% (95% CI -4.5%-12.5%; p = 0.35).</p><p><strong>Conclusions: </strong>Lactogenesis II occurs later for women with diabetes in pregnancy than women without diabetes. Our findings do not provide evidence that antenatal expressing hastens onset of lactation in women with diabetes in pregnancy.</p><p><strong>Trial registration: </strong>ClinicalTrials.gov identifier: ACTRN12611000217909.</p>","PeriodicalId":55429,"journal":{"name":"Australian & New Zealand Journal of Obstetrics & Gynaecology","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142911230","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Maternity Care Informed Consent Practices and Perspectives: A Qualitative Study at a Tertiary Maternity Unit.","authors":"Sally Ely, Susanne Langer, Hans Peter Dietz, Ka Lai Shek","doi":"10.1111/ajo.13932","DOIUrl":"https://doi.org/10.1111/ajo.13932","url":null,"abstract":"<p><strong>Background: </strong>Although consent has long been accepted as necessary in maternity care, the concept of informed consent for planned vaginal birth has polarised maternity politics. The publication of the NSW Consent Manual outlines new standards of informed consent, signalling the need for examination of current maternity consent practices.</p><p><strong>Aims: </strong>To examine informed consent and disclosure of material risks in birth in a prospective qualitative study of midwives and obstetricians.</p><p><strong>Materials and methods: </strong>Qualitative study using semi-structured interviews to examine practices and perspectives of obstetricians and midwives.</p><p><strong>Results: </strong>Twenty-two telephone interviews were concluded. Five sub-themes were identified: (1) non-compliance with the NSW Consent Manual, (2) risk communication/informed consent in maternity care, (3) consent practices in instrumental birth, (4) who should deliver risk information and when (5) barriers to change in consent practice (obstetricians only).</p><p><strong>Conclusions: </strong>One hundred per cent of participants (18 obstetricians, 4 midwives) described risk communication/informed consent practices that were non-complaint with the standards set out in the 2020 NSW Consent Manual. Eighty-three per cent (15/18) of obstetricians reported that current hospital-wide maternity care practices in risk communication/informed consent are inadequate. Sixty-one per cent (11/18) of obstetricians specifically singled out informed consent practices regarding instrumental birth to be inadequate. Ninety-four per cent (17/18) of obstetricians believe that maternity care consent practices need to be improved. The results of this study indicate that material risks of vaginal birth, caesarean section and instrumental birth, are not routinely disclosed during antenatal courses. Urgent resources and structural change are required to uphold women's legal right to bodily autonomy.</p>","PeriodicalId":55429,"journal":{"name":"Australian & New Zealand Journal of Obstetrics & Gynaecology","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142911236","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Breaking down barriers: A qualitative study of the influence of clinical space design on teamwork.","authors":"Kara Jane Allen, Lauren De Luca, Eve Purdy, Nova Barrios, Spencer Purdy, Rebecca A Szabo","doi":"10.1111/ajo.13917","DOIUrl":"https://doi.org/10.1111/ajo.13917","url":null,"abstract":"<p><strong>Background: </strong>Delivery of safe maternity care requires not only individual competence but collective team work, influenced by knowledge, team culture and physical working spaces. The ideal layout for a birthing unit is not known, but deliberate changes to the built environment can influence patient care.</p><p><strong>Aims: </strong>To explore the impact of creation of an open 'hub' on maternity team culture in a tertiary birthing unit and how physical changes to the environment shape values and practice.</p><p><strong>Materials and methods: </strong>Semi-structured interviews of members of the interprofessional team in a tertiary birth suite were performed and analysed using thematic analysis.</p><p><strong>Results: </strong>Seventeen healthcare workers participated in interviews. Themes included: (i) enhanced psychological safety; (ii) impacts on teamwork; (iii) unintended consequences; and (iv) future directions for team cohesion and collaboration.</p><p><strong>Conclusions: </strong>Changes to the built environment can impact team work. This qualitative study identified benefits and unintended consequences to removing a wall, creating a maternity hub. Individuals, departmental leadership, and hospital executives should consider how changes to the built environment can be an effective and efficient way to shape teamwork and organisational culture.</p>","PeriodicalId":55429,"journal":{"name":"Australian & New Zealand Journal of Obstetrics & Gynaecology","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142883695","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editor-in-Chief's introduction to ANZJOG 64 (5)","authors":"Scott W. White","doi":"10.1111/ajo.13909","DOIUrl":"10.1111/ajo.13909","url":null,"abstract":"&lt;p&gt;Welcome to the October issue of the &lt;i&gt;Australian and New Zealand Journal of Obstetrics and Gynaecology&lt;/i&gt;.&lt;/p&gt;&lt;p&gt;This issue begins with an editorial by Joseph &lt;i&gt;et al&lt;/i&gt; proposing whether the frequent delay between symptom onset and endometriosis diagnosis, referred to by Ellis and Wood as ‘a decade to wait’,&lt;span&gt;&lt;sup&gt;1&lt;/sup&gt;&lt;/span&gt; may be ‘worth waiting for’.&lt;span&gt;&lt;sup&gt;2&lt;/sup&gt;&lt;/span&gt; The authors argue that any plan to reduce this delay requires justification that it would improve clinical outcomes, and that a lesion-based or disease-based approach to the management of pelvic pain is not necessarily superior to empiric symptom-based medical management which can be initiated without invasive diagnostic procedures. Further, they express concern about the inequity of access to particular pharmacotherapies, with both Australian and New Zealand funding bodies limiting subsidised treatments to women with proven endometriosis and not others with either unconfirmed or endometriosis-negative persistent pelvic pain. Finally, they argue that efforts to reduce the diagnostic delay may lead to further surgical intervention given that younger age at first surgery is the strongest predictor for repeat endometriosis surgery and that this may have a compound resource burden.&lt;/p&gt;&lt;p&gt;Unsurprisingly for this controversial topic, this editorial provoked comment from other clinicians, also with substantial expertise in the management of endometriosis. Mallinder &lt;i&gt;et al&lt;/i&gt; argue against the assumptions made by Joseph &lt;i&gt;et al&lt;/i&gt;, suggesting that endometriosis is an inhomogeneous condition, that it has clinical relevance beyond pelvic pain, that deep vs superficial endometriosis have importantly different natural histories that respond differently to surgical treatment, and that medications subsidies for endometriosis and persistent pelvic pain are appropriate given the evidence base for their use.&lt;span&gt;&lt;sup&gt;3&lt;/sup&gt;&lt;/span&gt;&lt;/p&gt;&lt;p&gt;Endometriosis and persistent pelvic pain are common conditions with substantial impact on quality of life and large socioeconomic burden. The Australian Government-funded RANZCOG Endometriosis Guideline is currently being revised and will be published in 2025, aiming to improve the evidence-based management of this condition and to identify gaps in knowledge which should be the target of future research. Persistent pelvic pain, either in association with or in the absence of endometriosis lesions, also requires clear evidence-based management guidelines which are currently lacking.&lt;/p&gt;&lt;p&gt;This issue of &lt;i&gt;ANZJOG&lt;/i&gt; provides more useful clinical guidance. For clinicians managing the challenging entity of recurrent miscarriage, Suker &lt;i&gt;et al&lt;/i&gt; present the Australian Recurrent Pregnancy Loss Clinical Management Guideline 2024.&lt;span&gt;&lt;sup&gt;4, 5&lt;/sup&gt;&lt;/span&gt; These guidelines will be valuable to those who work in this field where there has been much debate about the significance of associated immune and thrombotic disorders and a large numb","PeriodicalId":55429,"journal":{"name":"Australian & New Zealand Journal of Obstetrics & Gynaecology","volume":"64 5","pages":"421-422"},"PeriodicalIF":1.4,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajo.13909","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142866475","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Problematic Periods Costing Young Women-The Impact of Menstrual Symptoms on Work and Study.","authors":"Amelia K Mardon, Sarah White, Danielle Howe, Michelle O'Shea, Allie Eathorne, Mark Gannott, Ally Schott, Mike Armour","doi":"10.1111/ajo.13926","DOIUrl":"https://doi.org/10.1111/ajo.13926","url":null,"abstract":"<p><p>Menstrual disorders are common, but their economic and social impact is still underreported. This study used a cross-sectional design to investigate menstrual symptom prevalence, impacts and economic burden in Australian women of reproductive age. One thousand two hundred thirty-eight responses were analysed (median age 33 years). Most respondents (77%) reported having bothersome menstrual symptoms, and almost half (44%) reported missed days of work or study because of their symptoms. Those aged 18-24 years were more likely to report bothersome menstrual symptoms, and time away from work and study, than those aged 35-44 years. The economic burden due to menstrual symptoms was approximately AUD $14.2 billion per year.</p>","PeriodicalId":55429,"journal":{"name":"Australian & New Zealand Journal of Obstetrics & Gynaecology","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142857128","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}