{"title":"Static Posters","authors":"","doi":"10.1111/ajo.13066","DOIUrl":"https://doi.org/10.1111/ajo.13066","url":null,"abstract":"","PeriodicalId":8599,"journal":{"name":"Australian and New Zealand Journal of Obstetrics and Gynaecology","volume":"10 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81281649","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}
{"title":"Sleep in multiple pregnancy: Obstructive sleep apnoea and beyond","authors":"Y. Bin, J. Ford, P. Cistulli","doi":"10.1111/ajo.12985","DOIUrl":"https://doi.org/10.1111/ajo.12985","url":null,"abstract":"Dear Editor, We read with great interest a most engaging and pragmatic clinical guideline for decreased fetal movements (DFM).1 Between 30– 55% of women who experience a stillbirth retrospectively noted DFM in the preceding week.2 This presumed negative clinical incident has long been perceived as opportunity for intervention. The AFFIRM study, recently published (November, 2018), was to be the first randomised trial involving 409 175 pregnancies that used a similar intervention package as in Norway (subjective perception of DFM by a patient in a contemporaneous setting) and was expected to deliver a 30% reduction in the rate of stillbirths.2 The results of the AFFIRM study have been disappointing to the supporters of intervention for reduced fetal movements. There was no statistically significant reduction in the stillbirth rate but rather an increase in induction and caesarean section rates, and average neonatal length of stay in neonatal intensive care.2 Also, in the intervention group there was a higher rate of post neonatal deaths. In our exuberance to prevent stillbirths, have we violated the principle of nonmaleficence? Alternatively, as suggested by Walker and Thornton, it might be safer to retain our current approach but rather place limits on awareness campaigns to gestations greater than 37 weeks.3 Reflecting upon the negative or null findings of the AFFIRM study, should the local guideline have an immediate addendum to clarify that there is no robust scientific approach to reduced fetal movements while awaiting further evidence?","PeriodicalId":8599,"journal":{"name":"Australian and New Zealand Journal of Obstetrics and Gynaecology","volume":"23 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86006746","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}
{"title":"Reduced fetal movements – First do no harm","authors":"A. Saunders, C. Griffin","doi":"10.1111/ajo.12976","DOIUrl":"https://doi.org/10.1111/ajo.12976","url":null,"abstract":"Dear Editor, We read with great interest a most engaging and pragmatic clinical guideline for decreased fetal movements (DFM).1 Between 30– 55% of women who experience a stillbirth retrospectively noted DFM in the preceding week.2 This presumed negative clinical incident has long been perceived as opportunity for intervention. The AFFIRM study, recently published (November, 2018), was to be the first randomised trial involving 409 175 pregnancies that used a similar intervention package as in Norway (subjective perception of DFM by a patient in a contemporaneous setting) and was expected to deliver a 30% reduction in the rate of stillbirths.2 The results of the AFFIRM study have been disappointing to the supporters of intervention for reduced fetal movements. There was no statistically significant reduction in the stillbirth rate but rather an increase in induction and caesarean section rates, and average neonatal length of stay in neonatal intensive care.2 Also, in the intervention group there was a higher rate of post neonatal deaths. In our exuberance to prevent stillbirths, have we violated the principle of nonmaleficence? Alternatively, as suggested by Walker and Thornton, it might be safer to retain our current approach but rather place limits on awareness campaigns to gestations greater than 37 weeks.3 Reflecting upon the negative or null findings of the AFFIRM study, should the local guideline have an immediate addendum to clarify that there is no robust scientific approach to reduced fetal movements while awaiting further evidence?","PeriodicalId":8599,"journal":{"name":"Australian and New Zealand Journal of Obstetrics and Gynaecology","volume":"62 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85294294","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}
{"title":"Journal Editorial Board","authors":"","doi":"10.1111/ajo.12860","DOIUrl":"https://doi.org/10.1111/ajo.12860","url":null,"abstract":"","PeriodicalId":8599,"journal":{"name":"Australian and New Zealand Journal of Obstetrics and Gynaecology","volume":"26 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74342138","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}
{"title":"A Reply to: Sleep in multiple pregnancy: Obstructive sleep apnoea and beyond","authors":"M. Rees","doi":"10.1111/ajo.13007","DOIUrl":"https://doi.org/10.1111/ajo.13007","url":null,"abstract":"We thank the authors for their recent letter and agree with the observation of a striking disparity between recognition of OSA in pregnancy by hospital coding data (0.08%) in contrast with a rate of 8.3% in prospectively screened nulliparous singleton pregnancy at 21-33 weeks of gestation [1] This emphasises that OSA is likely to be greatly underestimated in usual clinical practice in Australia. We anticipate that rates are also likely to be significantly higher in women with twin or multiple pregnancy than identified by hospital coding data. The relationship between OSA and adverse pregnancy outcomes makes this a problem worthy of further study.","PeriodicalId":8599,"journal":{"name":"Australian and New Zealand Journal of Obstetrics and Gynaecology","volume":"10 33 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80651396","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}
Raelia Lew, J. Foo, Ben Kroon, C. Boothroyd, M. Chapman
{"title":"ANZSREI consensus statement on elective oocyte cryopreservation","authors":"Raelia Lew, J. Foo, Ben Kroon, C. Boothroyd, M. Chapman","doi":"10.1111/ajo.13028","DOIUrl":"https://doi.org/10.1111/ajo.13028","url":null,"abstract":"One in six Australian women and couples suffer infertility. A rising proportion relates to advanced maternal age, associated with poorer oocyte quality and in vitro fertilisation (IVF) outcomes. Internationally, oocyte cryopreservation technology applied to oocytes vitrified before 35 years provides similar live‐birth statistics compared to IVF treatment using fresh oocytes. Oocyte cryopreservation is accessible in Australasian settings and elective uptake is increasing. For women accessing treatment, oocyte cryopreservation may expand future family building options.","PeriodicalId":8599,"journal":{"name":"Australian and New Zealand Journal of Obstetrics and Gynaecology","volume":"14 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82374389","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}
{"title":"Men's lived experiences of perinatal loss: A review of the literature","authors":"Van Nguyen, M. Temple-Smith, J. Bilardi","doi":"10.1111/ajo.13041","DOIUrl":"https://doi.org/10.1111/ajo.13041","url":null,"abstract":"Perinatal loss is often considered an emotionally and physically traumatic event for expectant parents. While there is strong evidence of its impact on women, limited research has independently explored men's lived experiences.","PeriodicalId":8599,"journal":{"name":"Australian and New Zealand Journal of Obstetrics and Gynaecology","volume":"53 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91428802","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}
{"title":"Journal Editorial Board","authors":"","doi":"10.1111/ajo.12858","DOIUrl":"https://doi.org/10.1111/ajo.12858","url":null,"abstract":"","PeriodicalId":8599,"journal":{"name":"Australian and New Zealand Journal of Obstetrics and Gynaecology","volume":"102 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79076580","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}
{"title":"Response to letter re: Consent for vaginal delivery","authors":"Rodney W Petersen","doi":"10.1111/ajo.13033","DOIUrl":"https://doi.org/10.1111/ajo.13033","url":null,"abstract":"Dear Editor, I commend the Journal for promoting a discussion on informed consent for vaginal birth, by publishing the two opinion pieces in the December 2018 issue of ANZJOG. The contrasting views of the authors are mirrored by very different styles of presentation. A/Professor Petersen offers an historical and philosophical argument about the selective advantages of natural childbirth.1 It is both off‐target and biologically incorrect. The obvious mistake occurs in the first sentence. I doubt that A/Professor Petersen could provide any evidence that the process of natural childbirth has materially changed over the course of human evolution. After all, it is one of the selection pressures that evolution applies to produce change. Human anatomy may have evolved. Human culture may have evolved. But the evolutionary function of this selection pressure remains the same as it ever was: to cull mothers and babies. Professor Dietz's main research interest is in uro‐gynaecology, he has little direct involvement in operative obstetrics. However as a scientific observer, he provides a pragmatic and elegant summary of the dilemma facing practising obstetricians.2","PeriodicalId":8599,"journal":{"name":"Australian and New Zealand Journal of Obstetrics and Gynaecology","volume":"17 3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89385171","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}
{"title":"Informed consent for vaginal birth","authors":"G. Blanchette","doi":"10.1111/ajo.13037","DOIUrl":"https://doi.org/10.1111/ajo.13037","url":null,"abstract":"","PeriodicalId":8599,"journal":{"name":"Australian and New Zealand Journal of Obstetrics and Gynaecology","volume":"27 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85222404","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}