+publisher:"University of Adelaide" +contributor:("Crowther, Caroline Anne")

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1. Cyna, Allan Michael. The HATCh Trial: hypnosis antenatal training for childbirth.

Degree: 2011, University of Adelaide

URL: http://hdl.handle.net/2440/69216

► The evidence appeared to suggest that the use of hypnosis in childbirth: decreases analgesia requirements during labour; decreases oxytocin requirements during labour and, increases the… (more)

▼ The evidence appeared to suggest that the use of hypnosis in childbirth: decreases analgesia requirements during labour; decreases oxytocin requirements during labour and, increases the incidence of spontaneous vaginal birth. A research gap was identified that the Hypnosis Antenatal Training for Childbirth (HATCh) Trial was designed to fill. The HATCh Trial was a comprehensive, high-quality, randomised trial that included 448 pregnant women in late pregnancy. It was designed to assess the efficacy of a short, three-session, standardised hypnosis intervention in late pregnancy. The HATCh study findings show that, unlike in all but one previous study, this hypnosis intervention in the third trimester was ineffective in reducing analgesia requirements during childbirth. The increased incidence of induction required in hypnosis groups when compared with controls was unexpected and suggests that hypnosis may have an effect in the non-pharmacological inhibition of spontaneous labour. Subgroup analysis suggested that hypnosis may reduce analgesia requirements when supplemented by yoga. The addition of the HATCh Trial results has substantially increased the heterogeneity of the systematic review. Systematic review sub-group analyses, according to the timing of the hypnosis training during pregnancy, suggest that training in the third trimester is ineffective in reducing analgesia requirements during labour and childbirth. However hypnosis training commencing early in pregnancy, either in the first or second trimester, may decrease pharmacological analgesia use during childbirth. Further research is required to investigate why hypnosis might inhibit the spontaneous onset of labour and how this effect might be negated, minimised or utilised. Further research is also required to investigate the optimal timing to commence antenatal hypnosis training, the number of sessions and the types of suggestions that might be most effective. Yoga may be a useful adjunct to the hypnosis intervention and should be researched further as a sole technique and together with antenatal hypnosis training during pregnancy. There is a clear need for high quality trials where hypnosis training occurs before the 3rd trimester. Ideally, training after the 3rd trimester should be compared with antenatal hypnosis training before the 3rd trimester. Advisors/Committee Members: Crowther, Caroline Anne (advisor), Robinson, Jeffrey Samuel (advisor), School of Paediatrics and Reproductive Health (school).

Subjects/Keywords: childbirth; hypnosis; analgesia

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APA (6^th Edition):

Cyna, A. M. (2011). The HATCh Trial: hypnosis antenatal training for childbirth. (Thesis). University of Adelaide. Retrieved from http://hdl.handle.net/2440/69216

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Cyna, Allan Michael. “The HATCh Trial: hypnosis antenatal training for childbirth.” 2011. Thesis, University of Adelaide. Accessed January 19, 2021. http://hdl.handle.net/2440/69216.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Cyna, Allan Michael. “The HATCh Trial: hypnosis antenatal training for childbirth.” 2011. Web. 19 Jan 2021.

Vancouver:

Cyna AM. The HATCh Trial: hypnosis antenatal training for childbirth. [Internet] [Thesis]. University of Adelaide; 2011. [cited 2021 Jan 19]. Available from: http://hdl.handle.net/2440/69216.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Cyna AM. The HATCh Trial: hypnosis antenatal training for childbirth. [Thesis]. University of Adelaide; 2011. Available from: http://hdl.handle.net/2440/69216

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Adelaide

2. Grivell, Rosalie Mignon. The fetal growth study : a prospective cohort study of fetal growth and body composition in overweight and obese pregnant women.

Degree: 2012, University of Adelaide

URL: http://hdl.handle.net/2440/83522

► Background Maternal overweight and obesity pose significant risks both for the woman and her infant, including high infant birthweight. Gestational weight gain may also be… (more)

▼ Background Maternal overweight and obesity pose significant risks both for the woman and her infant, including high infant birthweight. Gestational weight gain may also be an important factor in determining pregnancy outcomes. The effect of high maternal BMI and gestational weight gain on fetal growth and fetal body composition with reference to population standards has not been well described to date. Aims The aim of The Fetal Growth Study was to describe fetal growth and body composition prospectively in a large group of overweight and obese women during pregnancy and to examine the influence of maternal BMI and gestational weight gain on these measures. Methods Fetal biometric growth measures (biparietal diameter, head circumference, abdominal circumference, femur length and estimated fetal weight) and fetal body composition (mid thigh lean and fat mass, abdominal fat mass and subscapular fat mass) were assessed prospectively using ultrasound at 28 and 36 weeks’ gestation. Important maternal and fetal outcomes were collected including gestational weight gain and infant birthweight. Results The findings of The Fetal Growth Study indicate that maternal overweight and obesity is significantly associated with increased fetal growth, an effect that is evident from 20 weeks’ gestation when compared with published normal values. Additionally, when compared with population standards, the relative contributions of head and abdominal growth change throughout pregnancy with abdominal growth dominating in the second trimester and head growth in the third trimester. Both maternal BMI category and gestational weight gain contribute to increased measures of fetal growth, predominantly through a modification of abdominal and overall growth. Gestational weight gain above current recommendations was associated with further increases in abdominal and overall growth. Maternal overweight and obesity is associated with a significant increase in fetal measures of both lean and fat mass. At 28 and 36 weeks, AC and EFW growth were associated with birthweight above 4500g, whilst HC was associated with birthweight above 4000g but not 4500g. Furthermore, EFW, head and abdominal growth were associated with mode of birth, with measures above the 90th percentile increasing the likelihood of caesarean section for women. The only predictor of clinical outcomes with a moderately useful positive likelihood ratio was fetal AC above the 90th percentile at 28 weeks (LR+ 6.56 for birthweight above 4500g, LR- 0.37). Conclusions Maternal overweight or obesity and gestational weight gain above recommended ranges influence fetal growth and fetal body composition from mid pregnancy. Gestational weight gain above current recommended ranges is associated with a further increase in measures of fetal growth and fetal fat mass. In women who are overweight or obese, growth above the 90th percentile in the third trimester is associated with high infant birthweight and an increased likelihood of caesarean section. Further research from ongoing prospective… Advisors/Committee Members: Dodd, Jodie Michele (advisor), Crowther, Caroline Anne (advisor), School of Paediatrics and Reproductive Health (school).

Subjects/Keywords: pregnancy; fetal growth; overweight; obesity

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APA (6^th Edition):

Grivell, R. M. (2012). The fetal growth study : a prospective cohort study of fetal growth and body composition in overweight and obese pregnant women. (Thesis). University of Adelaide. Retrieved from http://hdl.handle.net/2440/83522

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Grivell, Rosalie Mignon. “The fetal growth study : a prospective cohort study of fetal growth and body composition in overweight and obese pregnant women.” 2012. Thesis, University of Adelaide. Accessed January 19, 2021. http://hdl.handle.net/2440/83522.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Grivell, Rosalie Mignon. “The fetal growth study : a prospective cohort study of fetal growth and body composition in overweight and obese pregnant women.” 2012. Web. 19 Jan 2021.

Vancouver:

Grivell RM. The fetal growth study : a prospective cohort study of fetal growth and body composition in overweight and obese pregnant women. [Internet] [Thesis]. University of Adelaide; 2012. [cited 2021 Jan 19]. Available from: http://hdl.handle.net/2440/83522.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Grivell RM. The fetal growth study : a prospective cohort study of fetal growth and body composition in overweight and obese pregnant women. [Thesis]. University of Adelaide; 2012. Available from: http://hdl.handle.net/2440/83522

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Adelaide

3. Middleton, Philippa Fairfax. Maternal and perinatal research conducted in Australia: generation, synthesis, translation, implementation and impact.

Degree: 2015, University of Adelaide

URL: http://hdl.handle.net/2440/96822

► Background: There is an increasing expectation by governments and communities that health research will lead to health and health system improvements, yet developing the necessary… (more)

▼ Background: There is an increasing expectation by governments and communities that health research will lead to health and health system improvements, yet developing the necessary science behind translation and implementation of research findings into policy and practice has been neglected and underfunded. Aims: • to investigate the contribution made by Australian randomised controlled trials and Cochrane systematic reviews in maternal and perinatal health to improvements in the health and wellbeing of women, babies and their families in Australia and internationally; • to evaluate different ways of assessing impact and to identify the most effective methods for informing future strategies to improve generation, synthesis, translation and implementation of research into health impact. Methods: I used mixed methods (bibliometric and social media analyses; survey of triallists (quantitative and qualitative); case studies; systematic reviews of observational studies; systematic reviews of interventions; an overview; cohort studies; a randomised controlled trial; clinical practice guidelines; and implementation studies). I used behaviour change theory to explore uptake and implementation of research and developed a research, translation and impact cycle to chart the flow from knowledge to impact. For the cohort of Australian maternal and perinatal randomised controlled trials, I compiled a database of all known trials published between 1986 and 2014. For the survey of triallists I developed a questionnaire using the Behaviour Change Wheel to assess perceptions related to capability, opportunity and motivation and the influences of these on uptake and implementation. Results: In a cohort of over 500 Australian maternal and perinatal randomised trials, multi-centre design, National Health and Medical Research Council or equivalent funding, and larger sample sizes were associated with higher citation rates, increased inclusion in syntheses and policy documents. More recent trials (published from 2011-2014) also showed improvements compared with trials from 1986-2010. In the survey of triallists, fellow health professionals were thought to be aware of trial findings only 50% of the time, but skill deficits were not major barriers to implementation. When trial results were widely known, confidence in the findings was sometimes low. Trials with null results were difficult to interpret and there was some lack of clarity about who should be responsible for translation and implementation. Emerging citation and social media systems such as Altmetric could increase visibility of research and change some of the ways that impact is currently measured. In three case studies addressing different stages of translation, I have demonstrated how integrating a research, translation and impact cycle with behaviour change theory can explain, predict and shape practice and policy change. These case studies were: closing an important research gap (reminder systems for women with previous gestational diabetes); initiatives to highlight the… Advisors/Committee Members: Crowther, Caroline Anne (advisor), Green, Sally (advisor), School of Paediatrics and Reproductive Health (school).

Subjects/Keywords: maternal and child health; perinatal epidemiology research impact; research translation; research implementation

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APA (6^th Edition):

Middleton, P. F. (2015). Maternal and perinatal research conducted in Australia: generation, synthesis, translation, implementation and impact. (Thesis). University of Adelaide. Retrieved from http://hdl.handle.net/2440/96822

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Middleton, Philippa Fairfax. “Maternal and perinatal research conducted in Australia: generation, synthesis, translation, implementation and impact.” 2015. Thesis, University of Adelaide. Accessed January 19, 2021. http://hdl.handle.net/2440/96822.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Middleton, Philippa Fairfax. “Maternal and perinatal research conducted in Australia: generation, synthesis, translation, implementation and impact.” 2015. Web. 19 Jan 2021.

Vancouver:

Middleton PF. Maternal and perinatal research conducted in Australia: generation, synthesis, translation, implementation and impact. [Internet] [Thesis]. University of Adelaide; 2015. [cited 2021 Jan 19]. Available from: http://hdl.handle.net/2440/96822.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Middleton PF. Maternal and perinatal research conducted in Australia: generation, synthesis, translation, implementation and impact. [Thesis]. University of Adelaide; 2015. Available from: http://hdl.handle.net/2440/96822

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Adelaide

4. Lassi, Zohra Sultan. Health care seeking for maternal and newborn health.

Degree: 2015, University of Adelaide

URL: http://hdl.handle.net/2440/111939

► Background: Complications during pregnancy and childbirth can lead to emergency situations which are critical to address promptly in order to avoid birth-related deaths of mothers… (more)

▼ Background: Complications during pregnancy and childbirth can lead to emergency situations which are critical to address promptly in order to avoid birth-related deaths of mothers and newborns. Aims: 1. To identify effective interventions for improving neonatal and child survival. 2. To identify strategies for improving maternal and newborn health care seeking in low- and middle-income countries. 3. To understand the maternal and neonatal health care seeking pathways in rural communities of Pakistan. 4. To assess the effectiveness of the Emergency Obstetric and Neonatal Care (EmONC) package on health care seeking behaviour in rural communities of Pakistan. Methods: To evaluate the above aims, the following methodologies were employed: 1. An overview of systematic reviews on World Health Organization list of essential interventions. 2. A systematic review of quantitative and qualitative studies. 3. A qualitative assessment of the perceptions of health care seeking. 4. A cluster randomised controlled trial to evaluate the impact of the EmONC package. Results: 1. The overview identified six effective and 11 promising interventions for improving fetal, neonatal and child survival. The effective interventions include corticosteroids for at-risk pregnant women, breastfeeding, cord care, kangaroo care, treated bednets for children, and vitamin A for infants from six months. 2. The meta-analysis of 29 RCTs, with a range of different community-based interventions provided through community mobilization and home visitation, indicated significant improvement in health care seeking for neonatal illnesses (RR 1.47; 95% CI 1.24-1.75), whereas, no impact was seen on health care seeking for maternal illnesses (RR 1.06; 95% CI 0.92-1.22). The review of 151 observational and qualitative studies identified several social, cultural and health services related factors that contribute to delays in health care seeking. 3. Factors which lead to delays in health care seeking include lack of women’s autonomy to decide to seek care, lack of money, workload at home, and the attitude of staff at health facilities. 4. The EmONC package showed no impact on health care seeking for maternal and newborn illnesses. However, improvements were seen in uptake of beneficial aspects of maternal and newborn care including receiving antenatal care (RR 1.06; 95% CI 1.04-1.08), use of clean delivery kits (RR 1.49; 95% CI 1.45-1.54), skilled birth attendance (RR 1.07; 95% CI 1.04-1.10), and newborn care practices including application of chlorhexidine to the umbilical cord and emollient use. Conclusion: While comprehensive adoption of the effective and promising interventions can improve neonatal and child survival around the world; community-based intervention strategies such as home visitation and counselling can help improve the awareness and accessibility of those interventions. In Pakistan, strategies are not only required to prevent the delay in health care seeking, which include reinforcement of health supplies and improvement in practices of health care… Advisors/Committee Members: Middleton, Philippa Fairfax (advisor), Crowther, Caroline Anne (advisor), Bhutta, Zulfiqar (advisor), School of Medicine (school).

Subjects/Keywords: EMoNC; health care seeking; maternal health; neonatal health; developing countries; low and middle income countries; Pakistan; Research by Publication

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APA (6^th Edition):

Lassi, Z. S. (2015). Health care seeking for maternal and newborn health. (Thesis). University of Adelaide. Retrieved from http://hdl.handle.net/2440/111939

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Lassi, Zohra Sultan. “Health care seeking for maternal and newborn health.” 2015. Thesis, University of Adelaide. Accessed January 19, 2021. http://hdl.handle.net/2440/111939.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Lassi, Zohra Sultan. “Health care seeking for maternal and newborn health.” 2015. Web. 19 Jan 2021.

Vancouver:

Lassi ZS. Health care seeking for maternal and newborn health. [Internet] [Thesis]. University of Adelaide; 2015. [cited 2021 Jan 19]. Available from: http://hdl.handle.net/2440/111939.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Lassi ZS. Health care seeking for maternal and newborn health. [Thesis]. University of Adelaide; 2015. Available from: http://hdl.handle.net/2440/111939

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Adelaide

5. Sui, Zhixian. Physical activity during pregnancy among women who are overweight or obese.

Degree: 2013, University of Adelaide

URL: http://hdl.handle.net/2440/85981

► Background: Being overweight or obese during pregnancy and having excessive gestational weight gain increase the risk of many adverse maternal and neonatal health outcomes. Exercise… (more)

▼ Background: Being overweight or obese during pregnancy and having excessive gestational weight gain increase the risk of many adverse maternal and neonatal health outcomes. Exercise is beneficial during pregnancy. However, physical activity pattern during pregnancy, the effect of exercise on maternal and neonatal health outcomes, and women’s perception of making healthy change remains unclear. Aims: The aims of this thesis were, for women who are overweight or obese during pregnancy, to • Describe physical activity patterns during pregnancy; • Evaluate available evidence about antenatal exercise interventions; • Test the effects of an antenatal exercise intervention in a randomised controlled trial; and • Explore women’s perceptions of making healthy changes during pregnancy. Methods: To evaluate the above aims, the following methodology was employed: • A nested prospective cohort study to evaluate physical activity; • A systematic review and meta analysis using standard Cochrane methodology; •A randomised controlled trial of an antenatal walking intervention and incorporation of the findings into a meta-analyses of previous literature; and • A mixed-methods investigation of women’s perception of making healthy change during pregnancy. Results: • In women who were overweight or obese, physical activity declined significantly between early pregnancy and 36 weeks’ gestation, before increasing after birth. Physical activity at four months post-partum remained lower than that in early pregnancy. Women with higher BMI had a greater decline in physical activity over pregnancy. There was no significant effect of a simple supervised antenatal walking group on gestational weight gain and other clinical maternal and neonatal health outcomes, as confirmed by a meta-analysis of previous trials, despite better physical fitness and activity level represented by higher commuting and leisure activity in late pregnancy. • A large proportion of women do not consider excessive gestational weight gain to be a concern, with limited awareness of neonatal complications. Women’s barriers to making healthy behaviour changes were highly individualised with limited perception of benefits. Furthermore, women were not confident in their ability to make changes. Conclusions: While providing a walking group is associated with some increase in self reported physical activity, further studies should identify effective strategies to facilitate an increase in leisure activity during pregnancy, overcome perceived barriers, and educate women about both the neonatal health consequences of maternal obesity and health benefits associated with exercise. Advisors/Committee Members: Dodd, Jodie Michele (advisor), Turnbull, Deborah Anne (advisor), Crowther, Caroline Anne (advisor), School of Paediatrics and Reproductive Health (school).

Subjects/Keywords: pregnancy; overweight; obesity; exercise

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APA (6^th Edition):

Sui, Z. (2013). Physical activity during pregnancy among women who are overweight or obese. (Thesis). University of Adelaide. Retrieved from http://hdl.handle.net/2440/85981

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Sui, Zhixian. “Physical activity during pregnancy among women who are overweight or obese.” 2013. Thesis, University of Adelaide. Accessed January 19, 2021. http://hdl.handle.net/2440/85981.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Sui, Zhixian. “Physical activity during pregnancy among women who are overweight or obese.” 2013. Web. 19 Jan 2021.

Vancouver:

Sui Z. Physical activity during pregnancy among women who are overweight or obese. [Internet] [Thesis]. University of Adelaide; 2013. [cited 2021 Jan 19]. Available from: http://hdl.handle.net/2440/85981.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Sui Z. Physical activity during pregnancy among women who are overweight or obese. [Thesis]. University of Adelaide; 2013. Available from: http://hdl.handle.net/2440/85981

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

6. Van Ryswyk, Emer. Improving postpartum healthcare and health outcomes of women with a history of gestational diabetes mellitus.

Degree: 2015, University of Adelaide

URL: http://hdl.handle.net/2440/97876

► Background Women who have had gestational diabetes mellitus (GDM) are at increased risk of type 2 diabetes (T2DM), and are recommended to have T2DM screening… (more)

▼ Background Women who have had gestational diabetes mellitus (GDM) are at increased risk of type 2 diabetes (T2DM), and are recommended to have T2DM screening in the postpartum period, although this screening is often not undertaken. This thesis examines how postpartum care for women with GDM may be improved. Methods Two systematic reviews of qualitative/survey studies examine: (1) Clinicians’ views and knowledge relating to provision of healthcare in the postpartum period for GDM. (2) Women’s views and knowledge relating to healthcare seeking after GDM. A randomised controlled trial and two nested studies assess: (1) Postpartum SMS reminders to women who have experienced GDM to test for T2DM: The DIAMIND Trial (2) Predictors of postpartum diabetes screening in the DIAMIND Trial (3) Barriers and facilitators to postpartum diabetes testing. Results The systematic review on clinician’s views included 13 studies (4435 clinicians). Key themes included adequacy of knowledge of risk of T2DM, and differing perceptions of the value of postpartum screening. Women faced obstacles to accessing healthcare, and a need for improved GDM education. Studies reported shortfalls in systems to ensure communication of the GDM diagnosis and postpartum screening. The systematic review on women’s views included 42 studies (7949 women). Non-judgemental, well-coordinated care was preferable. Perception of T2DM risk increased with time from their GDM diagnosis, family history of T2DM and other risk factors for GDM. Children’s needs took priority over their own healthcare. A need for a more pro-active approach to postpartum care was identified. The DIAMIND Trial found that SMS reminders did not increase attendance for an oral glucose tolerance test (OGTT) within six months postpartum, with 104 (77.6% of 134) women attending in the six week group and 103 (76.8% of 134) women attending in the control group (RR 1.01, 95% CI 0.89-1.15). Women were more likely to complete OGTTs if they were of Asian ethnicity (P =0.007), had a bachelor’s degree (P = 0.036), and if they did not smoke prior to pregnancy (P = 0.045). Women were less likely to attend if they had gained excessive weight during their pregnancy (P = 0.004) or were Caucasian (P = 0.001). 208 women (75%) returned their questionnaires. Preferred reminder types were SMS (67%), email (17%), postal (12%) and voice call (1%). Common barriers to postpartum glucose testing included: not having enough time (73%), inadequate or non-availability of childcare (30%), and a need to focus on the health of the baby (30%). The most common facilitator for postpartum testing was having a shorter test (33%). Conclusions Postpartum care for women with GDM could be improved through systematic communication of the diagnosis, clear responsibilities for postpartum care, better GDM education and minimisation of healthcare cost barriers. Non-judgemental, holistic and pro-active care is preferable. An OGTT postpartum attendance “ceiling effect” may explain the non-increase in attendance in the six week SMS reminder… Advisors/Committee Members: Crowther, Caroline Anne (advisor), Middleton, Philippa Fairfax (advisor), Hague, William (advisor), School of Paediatrics and Reproductive Health (school).

Subjects/Keywords: gestational diabetes; type 2 diabetes screening; postpartum care; randomised controlled trial; systematic review

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APA (6^th Edition):

Van Ryswyk, E. (2015). Improving postpartum healthcare and health outcomes of women with a history of gestational diabetes mellitus. (Thesis). University of Adelaide. Retrieved from http://hdl.handle.net/2440/97876

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Van Ryswyk, Emer. “Improving postpartum healthcare and health outcomes of women with a history of gestational diabetes mellitus.” 2015. Thesis, University of Adelaide. Accessed January 19, 2021. http://hdl.handle.net/2440/97876.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Van Ryswyk, Emer. “Improving postpartum healthcare and health outcomes of women with a history of gestational diabetes mellitus.” 2015. Web. 19 Jan 2021.

Vancouver:

Van Ryswyk E. Improving postpartum healthcare and health outcomes of women with a history of gestational diabetes mellitus. [Internet] [Thesis]. University of Adelaide; 2015. [cited 2021 Jan 19]. Available from: http://hdl.handle.net/2440/97876.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Van Ryswyk E. Improving postpartum healthcare and health outcomes of women with a history of gestational diabetes mellitus. [Thesis]. University of Adelaide; 2015. Available from: http://hdl.handle.net/2440/97876

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

University of Adelaide

7. Dodd, Jodie Michele. Misoprostol for the induction of labour at term.

Degree: 2005, University of Adelaide

URL: http://hdl.handle.net/2440/37708

► Background: The aims of this randomised, double blind, placebo controlled trial were to compare vaginal PGE2 gel with oral misoprostol in the induction of labour… (more)

▼ Background: The aims of this randomised, double blind, placebo controlled trial were to compare vaginal PGE2 gel with oral misoprostol in the induction of labour at term. Methods: Women randomised to the oral misoprostol group received 20mcg oral misoprostol solution at two hourly intervals and placebo vaginal gel, and those in the vaginal prostaglandin group received vaginal PGE2 gel at six hourly intervals and oral placebo solution. The primary outcome measures were vaginal birth not achieved in 24 hours, uterine hyperstimulation with associated fetal heart rate changes, and caesarean section. Women were asked about their preferences for care, and a cost comparison was performed for the two methods of induction of labour. A nested randomised trial compared health outcomes for the woman and her infant related to morning or evening admission for commencing induction of labour. Results: A total of 741 women were randomised, 365 to the misoprostol group and 376 to the vaginal PGE2 group. There were no differences between women in the oral misoprostol group and women in the vaginal PGE2 group, for the outcomes vaginal birth not achieved in 24 hours (Misoprostol 168/365 (46.0%) versus PGE2 155/376 (41.2%); RR 1.12 95% CI 0.95-1.32; p=0.134), caesarean section (Misoprostol 83/365 (22.7%) versus PGE2 100/376 (26.6%); RR 0.82 95% CI 0.64- 1.06; p=0.127), or uterine hyperstimulation with fetal heart rate changes (Misoprostol 3/365 (0.8%) versus PGE2 6/376 1.6%); RR 0.55 95% CI 0.14-2.21; p=0.401). Women in the misoprostol group were more likely to indicate that they 'liked everything' associated with their labour and birth experience compared with women in the vaginal PGE2 group (Misoprostol 126/362 (34.8%) versus PGE2 103/373 (27.6%); RR 1.26; 95% CI 1.02-1.57; p=0.036). There were no differences in the primary outcomes when considering morning or evening admission to commence induction. The use of misoprostol was associated with a saving of $110.83 per woman induced. Conclusions: The use of oral misoprostol in induction of labour does not lead to poorer health outcomes for women or their infants, women express greater satisfaction with their labour and birth experience, and with misoprostol induction there is a cost saving to the institution. Advisors/Committee Members: Robinson, Jeffrey Samuel (advisor), Crowther, Caroline Anne (advisor), Department of Obstetrics and Gynaecology (school).

Subjects/Keywords: labor; labour; induced; induction; obstetrics; misoprostol; prostaglandins

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APA (6^th Edition):

Dodd, J. M. (2005). Misoprostol for the induction of labour at term. (Thesis). University of Adelaide. Retrieved from http://hdl.handle.net/2440/37708

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16^th Edition):

Dodd, Jodie Michele. “Misoprostol for the induction of labour at term.” 2005. Thesis, University of Adelaide. Accessed January 19, 2021. http://hdl.handle.net/2440/37708.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7^th Edition):

Dodd, Jodie Michele. “Misoprostol for the induction of labour at term.” 2005. Web. 19 Jan 2021.

Vancouver:

Dodd JM. Misoprostol for the induction of labour at term. [Internet] [Thesis]. University of Adelaide; 2005. [cited 2021 Jan 19]. Available from: http://hdl.handle.net/2440/37708.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Dodd JM. Misoprostol for the induction of labour at term. [Thesis]. University of Adelaide; 2005. Available from: http://hdl.handle.net/2440/37708

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

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Open Access Theses and Dissertations