Put your weight behind it—Effect of body mass index on the active second stage of labour: A retrospective cohort study

Objective: To explore the duration of the active phase of the second stage of labour in relation to maternal pre-pregnant body mass index (BMI). Design: Retrospective cohort study. Setting: Labour wards of three Norwegian university hospitals, 2012–2019. Population: Nulliparous and parous women without previous caesarean section with a live singleton fetus in cephalic presentation and spontaneous onset of labour, corresponding to the Ten Group Classification System (TGCS) group 1 and 3. Methods: Women were stratified to BMI groups according to WHO classification, and estimated median duration of the active phase of the second stage of labour was calculated using survival analyses. Caesarean sections and operative vaginal deliveries during the active phase were censored. Main outcome measures: Estimated median duration of the active phase of second stage of labour. Results: In all, 47 942 women were included in the survival analyses. Increasing BMI was associated with shorter estimated median duration of the active second stage in both TGCS groups. In TGCS group 1, the estimated median durations (interquartile range) were 44 (26–75), 43 (25–71), 39 (22–70), 33 (18–63), 34 (19–54) and 29 (16–56) minutes in BMI groups 1–6, respectively. In TGCS group 3, the corresponding values were 11 (6–19), 10 (6–17), 10 (6–16), 9 (5–15), 8 (5–13) and 7 (4–11) minutes. Increasing BMI remained associated with shorter estimated median duration in analyses stratified by oxytocin augmentation and epidural analgesia. Conclusion: Increasing BMI was associated with shorter estimated median duration of the active second stage of labour.publishedVersio

The space density and X-ray luminosity function of non-magnetic cataclysmic variables

We combine two complete, X-ray flux-limited surveys, the ROSAT Bright Survey (RBS) and the ROSAT North Ecliptic Pole (NEP) survey, to measure the space density (\rho) and X-ray luminosity function (\Phi) of non-magnetic CVs. The combined survey has a flux limit of F_X \ga 1.1 \times 10^{-12} erg cm^{-2}s^{-1} over most of its solid angle of just over 2\pi, but is as deep as \simeq 10^{-14} erg cm^{-2}s^{-1} over a small area. The CV sample that we construct from these two surveys contains 20 non-magnetic systems. We carefully include all sources of statistical error in calculating \rho and \Phi by using Monte Carlo simulations; the most important uncertainty proves to be the often large errors in distances estimates. If we assume that the 20 CVs in the combined RBS and NEP survey sample are representative of the intrinsic population, the space density of non-magnetic CVs is 4^{+6}_{-2} \times 10^{-6} pc^{-3}. We discuss the difficulty in measuring \Phi in some detail---in order to account for biases in the measurement, we have to adopt a functional form for \Phi. Assuming that the X-ray luminosity function of non-magnetic CVs is a truncated power law, we constrain the power law index to -0.80 \pm 0.05. It seems likely that the two surveys have failed to detect a large, faint population of short-period CVs, and that the true space density may well be a factor of 2 or 3 larger than what we have measured; this is possible, even if we only allow for undetected CVs to have X-ray luminosities in the narrow range 28.7< log(L_X/erg\,s^{-1})<29.7. However, \rho as high as 2 \times 10^{-4} pc^{-3} would require that the majority of CVs has X-ray luminosities below L_X = 4 \times 10^{28} erg s^{-1} in the 0.5--2.0 keV band.Comment: MNRAS, accepted. 14 pages, 8 figure

Understanding the evolution of close white dwarf binaries

In this white paper we stressed the importance of ultraviolet (high- resolution) and optical (low- and high-) spectroscopy to understand of evolution of close binaries that contain white dwarfs which lead to a variety of outcomes

VISTA Variables in the <i>Vía Láctea</i> (VVV): Halfway Status and Results

The VISTA Variables in the Vía Láctea (VVV) survey is one of six near-infrared ESO public surveys, and is now in its fourth year of observing. Although far from being complete, the VVV survey has already delivered many results, some directly connected to the intended science goals (detection of variable stars, microlensing events, new star clusters), others concerning more exotic objects, e.g., novae. Now, at the end of the fourth observing period, and comprising roughly 50% of the proposed observations, the status of the survey, as well some of results based on the VVV data, are presented.Facultad de Ciencias Astronómicas y Geofísica

VISTA Variables in the <i>Vía Láctea</i> (VVV): Halfway Status and Results

The VISTA Variables in the Vía Láctea (VVV) survey is one of six near-infrared ESO public surveys, and is now in its fourth year of observing. Although far from being complete, the VVV survey has already delivered many results, some directly connected to the intended science goals (detection of variable stars, microlensing events, new star clusters), others concerning more exotic objects, e.g., novae. Now, at the end of the fourth observing period, and comprising roughly 50% of the proposed observations, the status of the survey, as well some of results based on the VVV data, are presented.Facultad de Ciencias Astronómicas y Geofísica

Induction of labor in breech presentations - a retrospective cohort study

Background: Recently, there has been an increasing focus among healthcare organisations on implementing patient portals. Previous studies have mainly focussed on the experiences of patient portal use. Few have investigated the processes of deciding what content and features to make available, in particular for shared portals across healthcare domains. The aim of the study was to investigate views on content and experiences from the configuration process among participants involved in setting up a shared patient portal for primary and specialist health services. Methods: A qualitative study including 15 semi-structured interviews with persons participating in patient portal configuration was conducted from October 2019 to June 2020. Results: Whether a shared patient portal for all the health services in the region should be established was not questioned by any of the informants. It was experienced as a good thing to have numerous participants present in the discussions on configuration, but it also was said to increase the complexity of the work. The informants considered a patient portal to be of great value for patient care, among other things because it would lead to improvements in patient follow-up and increased patient empowerment. Nevertheless, some informants advocated caution as they thought the patient portal possibly could lead to an increase in healthcare providers’ workloads and to anxiety and worries, as well as to inequality in access to health care among patients. The findings were categorized into the themes ‘A tool for increased patient involvement’, ‘Which information should be available for the patient’, ‘Concerns about increased workload’, ‘Too complex to use versus not interesting enough’, ‘Involving all services’ and ‘Patient involvement’. Conclusions: Establishing a shared patient portal for primary and specialist health services was considered unproblematic. There was, however, variation in opinions on which content and features to include. This variation was related to concerns about increasing the workload for health care providers, causing anxiety and inequality among patients, and ensuring that the solution would be interesting enough to adopt

Put your weight behind it—Effect of body mass index on the active second stage of labour: A retrospective cohort study

Objective: To explore the duration of the active phase of the second stage of labour in relation to maternal pre-pregnant body mass index (BMI). Design: Retrospective cohort study. Setting: Labour wards of three Norwegian university hospitals, 2012–2019. Population: Nulliparous and parous women without previous caesarean section with a live singleton fetus in cephalic presentation and spontaneous onset of labour, corresponding to the Ten Group Classification System (TGCS) group 1 and 3. Methods: Women were stratified to BMI groups according to WHO classification, and estimated median duration of the active phase of the second stage of labour was calculated using survival analyses. Caesarean sections and operative vaginal deliveries during the active phase were censored. Main outcome measures: Estimated median duration of the active phase of second stage of labour. Results: In all, 47 942 women were included in the survival analyses. Increasing BMI was associated with shorter estimated median duration of the active second stage in both TGCS groups. In TGCS group 1, the estimated median durations (interquartile range) were 44 (26–75), 43 (25–71), 39 (22–70), 33 (18–63), 34 (19–54) and 29 (16–56) minutes in BMI groups 1–6, respectively. In TGCS group 3, the corresponding values were 11 (6–19), 10 (6–17), 10 (6–16), 9 (5–15), 8 (5–13) and 7 (4–11) minutes. Increasing BMI remained associated with shorter estimated median duration in analyses stratified by oxytocin augmentation and epidural analgesia. Conclusion: Increasing BMI was associated with shorter estimated median duration of the active second stage of labour