World Report on Women’s Health 2006

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/135254/1/ijgo80.pd

Contemporary issues in women’s health

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/135368/1/ijgo184.pd

In support of shorter hospital stays for selected high‐risk obstetric patients

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/135274/1/ijgo105.pd

Severe disruption and disorganization of dermal collagen fibrils in early striae gravidarum

Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/142909/1/bjd15895.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/142909/2/bjd15895_am.pd

Characteristics of fetal heart rate tracings prior to uterine rupture

Objective: To identify the fetal heart rate patterns that occurred in a 2‐h period of time preceding uterine rupture. Methods: The fetal monitor strips and the medical records of patients with a confirmed diagnosis of uterine rupture were reviewed. These patients delivered at the University of Michigan Hospital from January 1, 1985 to December 31, 1999 and were ≥28 weeks gestational age. Asymptomatic uterine scar dehiscences were excluded. The weeks of gestation, the number of cesarean sections, the surgical findings, and the maternal complications were obtained from the review of the maternal records. The fetal monitor strips for the 2 h preceding the uterine rupture were analyzed, and the fetal heart rate patterns were classified. Results: During the study period, there were 11 patients identified with uterine rupture. Seven of the 11 (64%) had operative or post‐operative complications. There were no maternal deaths. Review of the eight fetal heart rate tracings available revealed 7/8 (87.5%) with recurrent late decelerations and 4/8 (50%) with terminal bradycardia. All four of the patients with fetal bradycardia were preceded by recurrent late decelerations (100%). Conclusions: The most common fetal heart rate abnormalities that occurred prior to uterine rupture were recurrent late decelerations and bradycardia. The appearance of recurrent late decelerations may be an early sign of impending uterine rupture.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/135337/1/ijgo235.pd

Improving the assessment of gestational age in a Zimbabwean population

Objectives: To evaluate the performance and the utility of using birthweight‐adjusted scores of Dubowitz and Ballard methods of estimating gestational age in a Zimbabwean population. Method: The Dubowitz and the Ballard methods of estimating gestational age were administered to 364 African newborn infants with a known last menstrual period (LMP) at Harare Maternity Hospital. Results: Both methods were good predictors of gestational age useful in differentiating term from pre‐term infants. Our regression line was Y(LMP gestational age)=23.814+0.301*score for the Dubowitz and Y(LMP gestational age)=24.493+0.420*score for the Ballard method. Addition of birthweight to the regression models improved prediction of gestational age; Y(LMP gestational age)=23.512+0.219*score+0.0015*grams for Dubowitz and Y(LMP gestational age)=24.002+0.292*score+0.0016*grams for Ballard method. Conclusions: We recommend the use of our birthweight‐adjusted maturity scales; the Dubowitz for studies of prematurity, and the Ballard for routine clinical practice.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/135611/1/ijgo7.pd

Contemporary Issues in Women’s Health

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/135240/1/ijgo2.pd

Contemporary Issues in Women’s Health

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/135240/1/ijgo2.pd

Contemporary issues in women’s health

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/135461/1/ijgo4.pd