Abstract:
OBJECTIVE:Maternal morbidity, either pregnancy related or pre-existent, can become life threatening and of such severity as to warrant termination of pregnancy (TOP). In this situation, chances of fetal survival are usually poor, either because of low gestational age and/or because of the fetal effects of the maternal condition. Examples include severe growth restriction in pre-eclampsia and intrauterine infection due to the very early preterm prelabour rupture of membranes. There are very few reports on the prevalence of TOP for maternal indication at the limits of fetal viability. We investigated the prevalence of and indications for TOP on maternal indication in the 10 tertiary care centres in the Netherlands during the past decade. STUDY DESIGN:We conducted a retrospective review of the medical records of all women who underwent TOP for maternal indications between 22 and 27 completed weeks of gestation in all 10 tertiary care centres from 2000 to 2009. RESULTS:During the study period, there were 1 929 470 deliveries; 163 052 (8.4%) of these took place in one of the 10 tertiary care centres and 177 pregnancies were terminated for severe maternal disease, 131 for hypertensive disorders, 29 for intrauterine infection and 17 for other reasons. The mean gestational age at TOP was 171 days (24(3/7))±10 days. No maternal deaths were recorded. The overall perinatal mortality was 99.4%. CONCLUSIONS:Over a 10-year period, TOP for maternal indications was performed in 1 in 1000 deliveries in the 10 Dutch tertiary care centres. Hypertensive disorders comprised three-quarters of the cases.
journal_name
BMJ Openjournal_title
BMJ openauthors
van Eerden L,Zeeman GG,Page-Christiaens GC,Vandenbussche F,Oei SG,Scheepers HC,van Eyck J,Middeldorp JM,Pajkrt E,Duvekot JJ,de Groot CJ,Bolte ACdoi
10.1136/bmjopen-2014-005145subject
Has Abstractpub_date
2014-06-17 00:00:00pages
e005145issue
6issn
2044-6055pii
bmjopen-2014-005145journal_volume
4pub_type
杂志文章相关文献
BMJ Open文献大全abstract:OBJECTIVES:The impact of lung cancer screening with low-dose chest CT (LDCT) on participants' anxiety levels and health-related quality of life (HRQoL) is an important consideration in the implementation of such programmes. We aimed to describe changes in anxiety and HRQoL in a high-risk Canadian cohort undergoing LDCT...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-024719
更新日期:2019-01-17 00:00:00
abstract:OBJECTIVES:Few studies have investigated the prevalence of adverse drug reactions (ADRs) leading to hospitalisation in Japan. The aim of this study was to determine the prevalence of ADRs leading to hospitalisation and to evaluate the preventability of these ADRs in Japan. DESIGN:A single-centre cross-sectional study ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-030515
更新日期:2019-08-05 00:00:00
abstract:OBJECTIVE:To examine the effects of a consultant-led, community-based chronic obstructive pulmonary disease (COPD) service, based in a highly deprived area on emergency hospital admissions. DESIGN:A longitudinal matched controlled study using difference-in-differences analysis to compare the change in outcomes in the ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-032931
更新日期:2020-05-27 00:00:00
abstract:OBJECTIVES:Multimorbidity, defined as the presence of 2 or more chronic medical conditions in an individual, is associated with poorer health outcomes. Several multimorbidity measures exist, and the challenge is to decide which to use preferentially in predicting health outcomes. The study objective was to compare the ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-013089
更新日期:2016-09-20 00:00:00
abstract:INTRODUCTION:The improvement in breast cancer survival rates, along with the expected overdiagnosis and overtreatment associated with breast cancer screening, requires a comprehensive assessment of its burden. Neurological complications can have a devastating impact on these patients; neuropathic pain and chemotherapy-...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2014-006301
更新日期:2014-10-28 00:00:00
abstract:INTRODUCTION:Thrombocytopaenia is one of the most common haemostatic abnormalities among neonates. It affects approximately one-quarter of neonates admitted into neonatal intensive care units and may lead to a high risk of bleeding and mortality, which are substantial causes for concern by neonatologists. Platelet tran...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-039132
更新日期:2020-10-16 00:00:00
abstract:OBJECTIVES:Sex and relationship education (SRE) is regarded as vital to improving young people's sexual health, but a third of schools in England lacks good SRE and government guidance is outdated. We aimed to identify what makes SRE programmes effective, acceptable, sustainable and capable of faithful implementation. ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-014791
更新日期:2017-07-02 00:00:00
abstract:SETTING:The State of Qatar has had one of the highest COVID-19 infection rates globally and has used state-managed quarantine and isolation centres to limit the spread of infection. Quarantine and isolation have been shown to negatively affect the mental health of individuals. Qatar has a unique population, with around...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-045794
更新日期:2021-01-31 00:00:00
abstract:INTRODUCTION:The primary aim of the proposed study is to examine the efficacy of an 8-month supervised, high-intensity progressive resistance training and impact loading programme in comparison with a supervised machine-based isometric exercise training programme using the bioDensity system in older men with low bone m...
journal_title:BMJ open
pub_type: 杂志文章,随机对照试验
doi:10.1136/bmjopen-2016-014951
更新日期:2017-06-12 00:00:00
abstract:OBJECTIVE:To estimate the effectiveness and safety of laparoscopic surgical excision of rectovaginal endometriosis. DESIGN:A multicentre, prospective cohort study. SETTING:51 hospitals accredited as specialist endometriosis centres. PARTICIPANTS:5162 women of reproductive age with rectovaginal endometriosis of which...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2017-018924
更新日期:2018-04-09 00:00:00
abstract:INTRODUCTION:Rapid, robust and continually updated evidence synthesis is required to inform management of COVID-19 in pregnant and postpartum women and to keep pace with the emerging evidence during the pandemic. METHODS AND ANALYSIS:We plan to undertake a living systematic review to assess the prevalence, clinical ma...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-041868
更新日期:2020-12-02 00:00:00
abstract:INTRODUCTION:Home-based self-rehabilitation programmes combined with botulinum toxin injections (BTIs) appear to be a relevant approach to increase the recommended intensive rehabilitation of patients with spasticity following a stroke. The literature highlights a lack of evidence of beneficial effects of this adjuvant...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1136/bmjopen-2017-020915
更新日期:2018-08-30 00:00:00
abstract:OBJECTIVES:To explore the prevalence of Helicobacter pylori infection in Japan and the trends of its eradication therapy before and after the changes of the insurance coverage policy, first started in 2000, and expanded to cover H. pylori-positive gastritis in 2013. The impacts that the changes brought were estimated. ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-015855
更新日期:2017-07-31 00:00:00
abstract:OBJECTIVE:To determine the influence of age and gender, respectively, on the association between employment status and body mass index (BMI) in Korean adults using a large, nationally representative sample. DESIGN:Cross-sectional study. SETTING:South Korea. PARTICIPANTS:7228 from fourth wave of the Korean Longitudin...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-012117
更新日期:2016-11-15 00:00:00
abstract:INTRODUCTION:Low-risk papillary thyroid cancer (PTC) is increasingly being diagnosed throughout the world; yet the mortality risk is low compared with other malignancies. Traditional management includes thyroid surgery, sometimes followed by radioactive iodine and thyroid hormone treatment. Active surveillance (AS) has...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-020298
更新日期:2018-04-12 00:00:00
abstract:PURPOSE:Inherited peripheral neuropathies (IPN) represent a large heterogenous group of hereditary diseases with more than 100 causative genes reported to date. In this context, targeted next-generation sequencing (NGS) offers the opportunity to screen all these genes with high efficiency in order to unravel the geneti...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-021632
更新日期:2018-10-28 00:00:00
abstract:OBJECTIVE:Previous studies that have found an increased risk for tuberculosis (TB) in people with diabetes mellitus (DM) have been conducted in segments of the population and have not adjusted for important potential confounders. We sought to determine the RR for TB in the presence of DM in a national population with d...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2011-000666
更新日期:2012-02-13 00:00:00
abstract:OBJECTIVES:This study investigated self-perception of overall health (SPH) and quality of life (QoL) at onset and after 3, 6 and 12 months of fitness club membership. Also, we compared SPH and QoL between those who reported regular use of the fitness club (≥2 exercise sessions/week the last month) with those who did no...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-036250
更新日期:2020-06-07 00:00:00
abstract:OBJECTIVES:To assess whether chronic kidney disease of unknown aetiology (CKDu) is present in India and to identify risk factors for it using population-based data and standardised methods. DESIGN:Secondary data analysis of three population-based cross-sectional studies conducted between 2010 and 2014. SETTING:Urban ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-023353
更新日期:2019-03-07 00:00:00
abstract:INTRODUCTION:The diabetes mellitus (DM) epidemic is a major public health concern globally, with the highest-burden in low-income and middle-income countries (LMICs). Diabetic retinopathy (DR) is a microvascular complication of diabetes, and if left untreated can lead to visual impairment and blindness. Epidemiological...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-038647
更新日期:2020-09-18 00:00:00
abstract:BACKGROUND:Research on patient safety in emergency medical services (EMS) has mainly focused on the organisation's and/or the EMS personnel's perspective. Little is known about how patients perceive safety in EMS. This study aims to describe the patients' experiences of their sense of safety in EMS. METHODS:A qualitat...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-037488
更新日期:2020-10-21 00:00:00
abstract:INTRODUCTION:Metabolic disorder and high blood pressure are common complications globally, and specifically among people living with HIV (PLHIV). Diabetes, metabolic syndrome and hypertension are major risk factors for cardiovascular diseases and their related complications. However, the burden of metabolic syndrome, d...
journal_title:BMJ open
pub_type: 杂志文章,meta分析
doi:10.1136/bmjopen-2017-016602
更新日期:2017-07-09 00:00:00
abstract:OBJECTIVES:In May 2018, the British Health Secretary announced the 'serious failure' that 450 000 women had missed out on invitations to breast screening in England, leading to extensive media coverage. This study measured public awareness of the story and tested for associated factors (eg, educational level and trust ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-028040
更新日期:2019-09-06 00:00:00
abstract:OBJECTIVE:To compare the effects on balance and walking of three models of stroke rehabilitation: early supported discharge with rehabilitation in a day unit or at home, and traditional uncoordinated treatment (control). DESIGN:Group comparison study within a randomised controlled trial. SETTING:Hospital stroke unit ...
journal_title:BMJ open
pub_type: 杂志文章,随机对照试验
doi:10.1136/bmjopen-2013-004358
更新日期:2014-05-14 00:00:00
abstract:OBJECTIVES:The choice of doctor is an important issue for patients with cancer, and the reputation of the doctor is the single most important factor for patients to choose a doctor. Media are providing information about the 'best cancer doctor', but they vary widely in their selection methodology. We investigated cance...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2017-019067
更新日期:2018-05-14 00:00:00
abstract:INTRODUCTION:Smell and taste of milk are not generally considered when tube feeding preterm infants. Preterm infants have rapid growth, particularly of the brain, and high caloric needs. Enteral feeding is often poorly tolerated which may lead to growth failure and long-term neurodevelopmental impairment. Smell and tas...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-027805
更新日期:2019-07-17 00:00:00
abstract:INTRODUCTION:Several retrospective or single-centre studies demonstrated the efficacy of transplacental treatment of fetal tachyarrhythmias. Our retrospective nationwide survey showed that the fetal therapy will be successful at an overall rate of 90%. For fetuses with hydrops, the treatment success rate will be 80%. H...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2017-016597
更新日期:2017-08-29 00:00:00
abstract:OBJECTIVES:To explore prescribing practitioners' perspectives on prescribed codeine use, their ability to identify dependence and their options for treatment in the UK. DESIGN:Cross-sectional design using a questionnaire containing closed-ended and open-ended items. SETTING:A nationally representative sample of presc...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-011725
更新日期:2016-07-14 00:00:00
abstract:INTRODUCTION:Improving complementary feeding in Ethiopia requires special focus on dietary diversity. The Sustainable Undernutrition Reduction in Ethiopia (SURE) programme is a government-led multisectoral intervention that aims to integrate the work of the health and agriculture sectors to deliver a complex multicompo...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-022028
更新日期:2018-07-19 00:00:00
abstract:OBJECTIVES:This article presents the findings from a scoping review which explored the nature of interprofessional online learning in primary healthcare. The review was informed by the following questions: What is the nature of evidence on online postgraduate education for primary healthcare interprofessional teams? Wh...
journal_title:BMJ open
pub_type: 杂志文章,评审
doi:10.1136/bmjopen-2017-016872
更新日期:2017-08-04 00:00:00