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1

Ball, Russell. "The Victorian experience (Medical Defence Association of Victoria)." Australian and New Zealand Journal of Obstetrics and Gynaecology 46, s1 (December 2006): S31—S32. http://dx.doi.org/10.1111/j.1479-828x.2006.00615_2.x.

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Pereira Amaral, P., F. Matos, A. Ferreira, A. Costa, and A. Nazaré. "15 Victoria: A case of obstetric success." European Journal of Obstetrics & Gynecology and Reproductive Biology 270 (March 2022): e1. http://dx.doi.org/10.1016/j.ejogrb.2021.11.023.

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3

Rosen, M. "Another choice for Queen Victoria?" International Journal of Obstetric Anesthesia 12, no. 2 (April 2003): 71–73. http://dx.doi.org/10.1016/s0959-289x(03)00006-2.

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Abbas, Hudda, Samina Badar, Zunera Javed, and Mohammad Ahmed Abdelmoneam Ramdan. "Level of Serum Uric Acid in Pre-eclamptic and Normal Pregnant Women." International Journal of Frontier Sciences 4, no. 1 (January 1, 2020): 20–22. http://dx.doi.org/10.37978/tijfs.v4i1.63.

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Objective: The objective of study was to find out serum uric acid level in normal andpreeclamptic pregnant women of third trimester visiting outpatient department of obstetrics and gynecology of Bahawal Victoria Hospital, Bahawalpur. Methodology: It was a cross sectional descriptive study conducted form July 2018 to June 2019. All primigravida women of age 18-35 years in third trimester of singleton pregnancy attending in Obstetrics and Gynecology Outpatient Department of Bahawal Victoria Hospital in study duration were included in the study. Statistical analysis was performed by using SPSS version 14. Chi-square test was performed to find the statistical difference regarding uric acid distribution between groups and ‘p’ value <0.05 was considered as a lowest level of significance. Results: Out of total 1212 women 84.6% were normal and 15.4% had preeclampsia. In our study out of 187 preeclamptic women, 63.6% had raised serum uric acid level and out of 268 normal pregnant women uric acid level was raised in only 39.5%. Results were found statistically significant. Conclusion: Results of our study suggest that serum uric acid level in pregnant women can be used as a useful and inexpensive marker in prediction of preeclampsia and preventive measures can be taken accordingly.
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Yasmin, Shakila, Saba Nadeem, Aisha Javed, Najm us Sehar, Sadia Shakeel, and Amna Anum. "A Clinical Study on Thyroid Dysfunction in Pregnancy and its Effect on the Fetomaternal Outcome." Pakistan Journal of Medical and Health Sciences 16, no. 4 (April 26, 2022): 323–25. http://dx.doi.org/10.53350/pjmhs22164323.

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Background: Thyroid gland is the power house of human body. It provides energy for the various biochemical processes of the body and helps to maintain basal metabolic rate. Objective: To estimate the prevalence of thyroid dysfunction in pregnancy and to evaluate the obstetric and perinatal outcomes in such pregnancies Setting: Department of Obstetrics & Gynecology, Bahawal Victoria Hospital Bahawalpur from 15 January 2021 to 15 JUNE 2021 Study Design: A Descriptive Case Series. Materials and Methods: A total of 292 cases of antenatal patients, irrespective of their period of gestation were enrolled in this study by random sampling method. Patients with multiple pregnancies and having bad obstetrical history were excluded. Detailed history and obstetrical examination, routine blood test and serum TSH were performed. These patients were followed during labour, delivery and puerperium and maternal outcome and neonatal outcomes were noted. Results: In this study we enrolled two hundreds and ninety two (292) antenatal women. Out of total 292 patients only 61 (20.9%) were nulliparous and rest of the patients were multiparous. The prevalence of thyroid dysfunction in pregnancy was 8.2%. Out of this, 2.74 % patients had sub clinical hypothyroidism (SCH). Overt hypothyroidism (OH) was seen in 2.40%, sub clinical Hyperthyroidism in 1.71% & the incidence of overt hyperthyroidism was 1.37%. Maternal complication included: abortion (5.5%), pre-eclampsia (3.4%), abruption-placentae (4.1%), preterm labour (4.5%), PPH (4.2%) and puerperal sepsis (2.8%). Neonatal outcomes included: preterm births (5.4%),LBW (5.1 %), IUGR (6.2%), still birth (4.4%), neonatal death (5.1%), low APGAR score ( <7 at 5 minutes ) (6.9%). Conclusion: Thyroid dysfunction in pregnancy, though has a low incidence, but is associated with adverse maternal and fetal complications. Thus thyroid screening should be done in antenatal period to improve fetomaternal outcome. Keywords: Thyroid dysfunction, Hypothyroidism, Hyperthyroidism, Fetomaternal outcome, Overt Hypothyroidism, Subclinical Hypothyroidism.
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6

Stearn, Margaret. "Queen Victoria and chloroform." Women's Health Medicine 2, no. 4 (July 2005): 8–9. http://dx.doi.org/10.1383/wohm.2005.2.4.8.

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7

Olesnicky, G., A. R. Long, M. A. Quinn, R. J. Pepperell, I. Horacek, and B. L. G. Kneale. "Malignant Sequelae of Molar Pregnancy in Victoria." Australian and New Zealand Journal of Obstetrics and Gynaecology 25, no. 1 (February 1985): 7–16. http://dx.doi.org/10.1111/j.1479-828x.1985.tb00594.x.

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8

Gard, Gregory B., Michael A. Quinn, Kailash Narayan, David M. Bernshaw, Robert S. Planner, and Mandy Taylor. "Referral patterns for gynaecological radiotherapy in Victoria." Australian and New Zealand Journal of Obstetrics and Gynaecology 40, no. 1 (February 2000): 62–65. http://dx.doi.org/10.1111/j.1479-828x.2000.tb03169.x.

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Olesnicky, G., A. R. Long, M. A. Quinn, R. J. Pepperell, D. W. Fortune, and B. L. G. Kneale. "Hydatidiform Mole In Victoria: Aetiology and Natural History." Australian and New Zealand Journal of Obstetrics and Gynaecology 25, no. 1 (February 1985): 1–7. http://dx.doi.org/10.1111/j.1479-828x.1985.tb00593.x.

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10

Fliegner, John R., and Suzanne M. Garland. "Perinatal mortality in Victoria, Australia: Role of group B streptococcus." American Journal of Obstetrics and Gynecology 163, no. 5 (November 1990): 1609–11. http://dx.doi.org/10.1016/0002-9378(90)90638-n.

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11

Duke, Graeme J., Matthew J. Maiden, Emily Y. S. Huning, Tim M. Crozier, Irma Bilgrami, and Rashmi B. Ghanpur. "Severe acute maternal morbidity trends in Victoria, 2001–2017." Australian and New Zealand Journal of Obstetrics and Gynaecology 60, no. 4 (December 2019): 548–54. http://dx.doi.org/10.1111/ajo.13103.

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Laslett, Anne-Marie L., Stephanie Brown, and Judith Lumley. "Women's Views of Different Models of Antenatal Care in Victoria, Australia." Birth 24, no. 2 (June 1997): 81–89. http://dx.doi.org/10.1111/j.1523-536x.1997.00081.pp.x.

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13

Shoushtarian, M., M. Barnett, F. McMahon, and J. Ferris. "Impact of introducing Practical Obstetric Multi-Professional Training (PROMPT) into maternity units in Victoria, Australia." BJOG: An International Journal of Obstetrics & Gynaecology 121, no. 13 (April 21, 2014): 1710–18. http://dx.doi.org/10.1111/1471-0528.12767.

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Selvaratnam, Roshan J., Mary‐Ann Davey, Robyn M. Hudson, Tanya Farrell, and Euan M. Wallace. "Improving maternity care in Victoria: An accidental learning healthcare system." Australian and New Zealand Journal of Obstetrics and Gynaecology 61, no. 2 (February 2021): 165–68. http://dx.doi.org/10.1111/ajo.13317.

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15

Yates, Judith M., Judith Lumley, Grad Dip Child Dev, and Robin J. Bell. "The Prevalence and Timing of Obstetric Ultrasound in Victoria 1991–1992: a Population-based Study." Australian and New Zealand Journal of Obstetrics and Gynaecology 35, no. 4 (November 1995): 375–79. http://dx.doi.org/10.1111/j.1479-828x.1995.tb02145.x.

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Ward, Madeleine C., Anju Agarwal, Melanie Bish, Rachel James, Fiona Faulks, Jennifer Pitson, Nicola Yuen, and George Mnatzaganian. "Trends in obesity and impact on obstetric outcomes in a regional hospital in Victoria, Australia." Australian and New Zealand Journal of Obstetrics and Gynaecology 60, no. 2 (April 2020): 204–11. http://dx.doi.org/10.1111/ajo.13035.

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17

Faridi, Sarwat, Humaira Imran, and Bushra Mukhtar. "Is striae gravidarum related to cesarean scar and peritoneal adhesions?" Professional Medical Journal 27, no. 08 (August 10, 2020): 1550–54. http://dx.doi.org/10.29309/tpmj/2020.27.08.3745.

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Objectives: Determination of the relationship among the peritoneal adhesions, cesarean scar and striae gravidarum. Study Design: Cross sectional Study. Settings: Gynecology and Obstetrics Department of Bahawal Victoria Hospital, Bahawalpur. Period: June 2018 to May 2018. Material & Methods: A total of 150 cases of cesarean section which presented at gynecology and obstetrics department of Bahawal Victoria Hospital, Bahawalpur were involved in this study. Davey scoring system was applied in order to determine the severity of striae gravidarum. Intraperitoneal adhesions were classified into five subcategories on the basis of Modified Blauer classification. Grouping was done on the random basis. Three groups were made. Group 1 consisted of the women with no striae gravidarum, group 2 had women with number of striae gravidarum from mild to moderate and group 3 had women of severe number of striae gravidarum. Comparison between different groups was done using the Mann-Whitney and student T test. Mean and standard deviation were calculated for quantitative variables while qualitative variables were assessed by their frequency and percentage. Statistically significant P value was 0.05 or less. Results: Intraperitoneal adhesions of grade 2-4, pigmentations and keliods were frequent in group 2 and 3 but the difference between these groups was not statistically significant (p-value 0.517, 0.427 and 0.372, respectively). There was no difference present among the group regarding the appearance of scar as well (p=0.541). As far as the length and width of the scar was concerned, the length was relatively more in patients of group 3 while width was relatively more in patients of group 1 but there were no statistically significant differences (Table-II) (p=0.289 and p=0.248 respectively). Conclusion: It can be concluded that there is no association between intraperitoneal adhesions and striae gravidarum but correlation between scar characteristics and striae gravidarum are evident.
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Diepeveen, Lara Clare, Elise Fraser, Anna Jane Elizabeth Croft, Angela Jacques, Adelle M. McArdle, Kathy Briffa, and Leanda McKenna. "Regional and Facility Differences in Interventions for Mastitis by Australian Physiotherapists." Journal of Human Lactation 35, no. 4 (November 27, 2018): 695–705. http://dx.doi.org/10.1177/0890334418812041.

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Background: Little information has been documented regarding interventions for mastitis by Australian physiotherapists. It is currently not known if physiotherapy interventions vary across Australian regions and types of healthcare facilities. Research aims: (1) To identify the interventions used by Australian physiotherapists treating mothers with mastitis and (2) to determine the variability in interventions used across regions and facilities. Methods: A retrospective observational design was used. A sample of case records of mothers with mastitis was identified ( N = 192). These case records documented physiotherapy interventions for mastitis in hospitals and private physiotherapy practices in Western Australia ( n = 77; 40.1%), Victoria ( n = 76; 39.6%), and New South Wales ( n = 39; 20.3%). An electronic data collection tool was designed to examine intervention variables. Results: The physiotherapy interventions received by mothers included therapeutic ultrasound (n=175; 91.1%), education and advice ( n = 160; 83.3%), and massage ( n = 103; 53.6%). Therapeutic ultrasound parameters varied across regions and types of healthcare facilities. Mean documented therapeutic ultrasound intensity was approximately twice as high in New South Wales and Victoria than in Western Australia. Conclusions: Regional and facility differences exist in physiotherapy interventions for mastitis in Australia. Healthcare professionals who refer to physiotherapists for mastitis should be aware that interventions received may differ across regions and facility types.
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19

Perlen, Susan, Stephanie J. Brown, and Jane Yelland. "Have Guidelines About Smoking Cessation Support in Pregnancy Changed Practice in Victoria, Australia?" Birth 40, no. 2 (March 25, 2013): 81–87. http://dx.doi.org/10.1111/birt.12036.

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Davey, Mary-Ann. "Intervention in labour and early breastfeeding outcomes in Victoria, Australia." Women and Birth 26 (October 2013): S25. http://dx.doi.org/10.1016/j.wombi.2013.08.171.

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TEALE, Glyn R., and Chris E. CUNNINGHAM. "Vitamin D deficiency is common among pregnant women in rural Victoria." Australian and New Zealand Journal of Obstetrics and Gynaecology 50, no. 3 (April 1, 2010): 259–61. http://dx.doi.org/10.1111/j.1479-828x.2010.01147.x.

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Aldridge, Robyn, Wendy Cutchie, Fiona Townsing, Sarah Hay, Bernadette White, Peri Dyson, Theresa Bowditch, et al. "P127 3Centres Collaboration clinical practice guidelines – towards uniform clinical practice in Victoria." Pregnancy Hypertension: An International Journal of Women's Cardiovascular Health 1 (October 2010): S76. http://dx.doi.org/10.1016/s2210-7789(10)60293-0.

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Flood, Margaret, Wendy Pollock, Susan McDonald, Fiona Cullinane, and Mary-Ann Davey. "Primary postpartum haemorrhage, breastfeeding initiation and formula use for confinements in Victoria." Women and Birth 32 (September 2019): S14. http://dx.doi.org/10.1016/j.wombi.2019.07.192.

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Flood, Margaret, Wendy Pollock, Susan McDonald, Fiona Cullinane, and Mary-Ann Davey. "Maternal country of birth and blood transfusion for 370,603 confinements in Victoria." Women and Birth 32 (September 2019): S14. http://dx.doi.org/10.1016/j.wombi.2019.07.193.

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25

Doyle, Lex W., Ellen Bowman, Peter Davis, and Jane Halliday. "Preterm Infants 30-36 Weeks' Gestation in Victoria - Where Should They Be Delivered?" Australian and New Zealand Journal of Obstetrics and Gynaecology 38, no. 3 (August 1998): 298–300. http://dx.doi.org/10.1111/j.1479-828x.1998.tb03070.x.

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SUTHERLAND, Georgina, Jane YELLAND, Jan WIEBE, Jennifer KELLY, Penny MARLOWE, and Stephanie BROWN. "Role of general practitioners in primary maternity care in South Australia and Victoria." Australian and New Zealand Journal of Obstetrics and Gynaecology 49, no. 6 (December 2009): 637–41. http://dx.doi.org/10.1111/j.1479-828x.2009.01078.x.

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Aruna, Gollapalli, Revu Subhashini, Bandaru Asha Poornima, and Usha Prasad. "ROLE OF MODIFIED BIOPHYSICAL PROFILE IN PREDICTING PERINATAL OUTCOME IN HIGH RISK PREGNANCY." International Journal of Advanced Research 10, no. 7 (July 31, 2022): 934–38. http://dx.doi.org/10.21474/ijar01/15116.

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Background: In order to achieve the target of having a healthy mother and healthy baby there is a need to identify pregnant woman with high risk factors.Ante natal foetal monitoring is aimed at identifying foetus that are at high risk of suffering from intrauterine hypoxia. Aims and Objectives: To evaluate the role of modified biophysical profile in predicting perinatal outcome in high risk pregnant women Material and methods: This is a hospital based observational study in the department of Obstetrics and Gynaecology , Victoria Government Hospital , Visakhapatnam, from January 2022 to May 2022.A total of 96 high risk pregnant women were included in this study. Inclusion criteria was Singleton pregnancy ,risk factors like[pre eclampsia,gestational hypertension,diabetes mellitus,anemia,past dates,post cesarian section.breech,bad obstetric history and pre term,Exclusion criteria was multifetal gestation,intrauterine death,fetal anomalies. Detailed history was taken and relavent investigations were sent. Results: 16.9% of cases had meconium stained liquor (normal CTG and AFI), 36% with meconium stained liquor had normal AFI but abnormal CTG, 40% with meconium stained liquor had abnormal AFI but normal CTG, 50% with meconium stained liquor had abnormal AFI and abnormal CTG 0% of babies had perinatal death when AFI and CTG was normal, 100% of babies had perinatal death when AFI and CTG was abnormal Conclusion: Modified bio physical profile is a easy ,time saving and cost effective procedure and can used as a test of antepartum fetal surveillance in order to predict perinatal outcome in high risk pregnancy.
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Hussain, Wajahat, Samina Badar, Huda Abbas, Muhammad Imran, Muhammad Arif Khan, and Muhammad Ramzan Soomra. "Obesity: A Risk Factor of Preeclampsia." International Journal of Frontier Sciences 3, no. 2 (July 1, 2019): 104–7. http://dx.doi.org/10.37978/tijfs.v3i2.55.

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Background: Obesity is a major epidemic of developed world that is now extending to developing countries and is the risk factor of pre-eclampsia which is the major contributor to maternal and foetal morbidity & mortality. Objective: To determine the frequency of preeclampsia in obese primigravida women visiting the Obstetrics and Gynaecology Outpatient Department of Bahawal Victoria Hospital, Bahawalpur, Pakistan. Methodology: This cross-sectional descriptive study was conducted in Obstetrics and Gynaecology Outpatient Department of Bahawal Victoria Hospital, Bahawalpur, Pakistan from January 2018 to December 2018. All the Primigravida women with singleton pregnancy of gestational age ≥ 26 weeks assessed by ultrasound between 20-35 years of age were included in the study by non-probability consecutive method. After obtaining ethical approval from hospital ethical committee and informed written consent from all the study subjects, relevant data were documented in a predefined data sheet and body mass index (BMI) was calculated by using the formula: Weight (kg) / Height2 (m). Women having blood pressure (BP) of 140/90 mmHg or above in third trimester of gestation measured on at least two occasions, 6 hours or more apart accompanied by proteinuria of 300 mg per 24 hours or above in previously normotensive were labelled as preeclampsia and first-time pregnant women having BMI ≥ 30 were taken as obese. Statistical analysis was performed by using computer-based software, Statistical Package for Social Science (SPSS) for windows version 17.0. Mean and standard deviation was calculated for numerical data like age. Frequencies and percentages were calculated for categorical variables. Chi-square test was performed to find the statistical difference regarding preeclampsia distribution between groups and ‘p’ value <0.05 was considered as a lowest level of significance. Results: Mean age of the respondents in the study was 27.08±3.59 years. Majority of the women were between the ages of 26-30 years (53.30%). The mean gestational age of the respondents was 34.50±4.33 weeks and most of the women had gestational age ≥ 36 weeks (46.70%). Frequency of obesity in pregnancy was 15.4% and frequency of preeclampsia in obese primigravida was 55.3%. Conclusion: It is concluded that frequency of preeclampsia is higher in obese primigravida compared to non-obese primigravida.
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JABEEN, SALMA, BUSHRA S. ZAMAN, AFZAAL AHMED, and SHER-UZ-ZAMAN BHATTI. "MATERNAL MORTALITY." Professional Medical Journal 17, no. 04 (December 10, 2010): 679–85. http://dx.doi.org/10.29309/tpmj/2010.17.04.3024.

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Objectives: To estimate maternal mortality ratio (MMR), obstetrical causes and determinants of maternal mortality. Study Design: A descriptive study. Place & Duration of Study: The study was conducted in Obstetrics & Gynaecology Department at Bahawal Victoria Hospital, affiliated with Quaid-e-Azam Medical College, Bahawalpur. This was a 3 years study conducted from January 2006 to December 2008. Patients & Methods: All direct and indirect maternal deaths during pregnancy, labor and perpeurium were included. The patients who expired after arrival were analyzed on specially designed Performa from their hospital records and questions asking from their attendants. The reason for admission, condition at arrival, cause of death and possible factors responsible for death were identified. The other information including age, parity, booking status, gestational age and relevant features of index pregnancy, along with the distance from hospital was recorded on Performa and analyzed by SPSS version 11. Results: There were a total of 21501 deliveries and 19462 live births with 2039 peri-natal moralities. Total 133 maternal deaths occurred during last 3 consecutive years revealed MMR 683 per 100000 live births. Majority of the women who died were un-booked (91%). The highest maternal mortality age group was 20-30 years in which 54.2% deaths were observed. Out of 133 maternal deaths, 21% were primigravida. Obstetrical hemorrhage (44.4%) was the most frequent cause followed by hypertensive disorders (21.8%) & sepsis (15%). There were 33.8% of patients who were brought at compromised stage and 52.6% brought critical, only 13.5% died were stable at the time of arrival at hospital. Conclusions: Obstetrical haemorrhage was the leading cause of maternal deaths. Thisdreadful cause is preventable and manageable if steps are taken in time during antenatal period for risk detection and in postnatal period. Community awareness, training of traditional birth attendants to recognize the severity of disease and importance of being in time and improving referral can reduce the maternal deaths.
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Hui, Lisa, Alice Poulton, Eliza Kluckow, Anthea Lindquist, Briohny Hutchinson, Mark D. Pertile, Leonard Bonacquisto, et al. "A minimum estimate of the prevalence of 22q11 deletion syndrome and other chromosome abnormalities in a combined prenatal and postnatal cohort." Human Reproduction 35, no. 3 (March 2020): 694–704. http://dx.doi.org/10.1093/humrep/dez286.

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Abstract STUDY QUESTION What is the frequency of major chromosome abnormalities in a population-based diagnostic data set of genomic tests performed on miscarriage, fetal and infant samples in a state with &gt;73 000 annual births? SUMMARY ANSWER The overall frequency of major chromosome abnormalities in the entire cohort was 28.2% (2493/8826), with a significant decrease in the detection of major chromosome abnormalities with later developmental stage, from 50.9% to 21.3% to 15.6% of tests in the miscarriage, prenatal and postnatal cohorts, respectively. WHAT IS KNOWN ALREADY Over the past decade, technological advances have revolutionized genomic testing at every stage of reproduction. Chromosomal microarrays (CMAs) are now the gold standard of chromosome assessment in prenatal diagnosis and pediatrics. STUDY DESIGN, SIZE, DURATION A population-based cohort study including all chromosome analysis was performed in the Australian state of Victoria during a 24-month period from January 2015 to December 2016. All samples obtained via invasive prenatal diagnosis and postnatal samples from pregnancy tissue and infants ≤12 months of age were included. PARTICIPANTS/MATERIALS, SETTING, METHODS A research collaboration of screening and diagnostic units in the Australian state of Victoria was formed (the Perinatal Record Linkage collaboration), capturing all instances of prenatal and postnatal chromosome testing performed in the state. Victoria has over 73 000 births per annum and a median maternal age of 31.5 years. We analyzed our population-based diagnostic data set for (i) chromosome assessment of miscarriage, prenatal diagnosis and postnatal samples; (ii) testing indications and diagnostic yields for each of these cohorts; (iii) and the combined prenatal/infant prevalence of 22q11.2 deletion syndrome (DS) as a proportion of all births ≥20 weeks gestation. MAIN RESULTS AND THE ROLE OF CHANCE During the 24-month study period, a total of 8826 chromosomal analyses were performed on prenatal and postnatal specimens in Victoria. The vast majority (91.2%) of all chromosome analyses were performed with CMA. The overall frequency of major chromosome abnormalities in the entire cohort was 28.2% (2493/8826). There was a significant decreasing trend in the percentage of chromosome abnormalities with later developmental stage from 50.9% to 21.3% to 15.6% in the miscarriage, prenatal and postnatal cohorts, respectively (χ2 trend = 790.0, P &lt; 0.0001). The total frequency of abnormalities in the live infant subgroup was 13.4% (244/1816). The frequencies of pathogenic copy number variants (CNVs) detected via CMA for the miscarriage, prenatal and postnatal cohorts were 1.9% (50/2573), 2.2% (82/3661) and 4.9% (127/2592), respectively. There was a significant increasing trend in the frequency of pathogenic CNVs with later developmental stage (χ2 trend = 39.72, P &lt; 0.0001). For the subgroup of live infants, the pathogenic CNV frequency on CMA analysis was 6.0% (109/1816). There were 38 diagnoses of 22q11.2 DS, including 1 miscarriage, 15 prenatal and 22 postnatal cases. After excluding the miscarriage case and accounting for duplicate testing, the estimated prevalence of 22q11 DS was 1 in 4558 Victorian births. LIMITATIONS, REASONS FOR CAUTION Clinical information was missing on 11.6% of postnatal samples, and gestational age was rarely provided on the miscarriage specimens. We were unable to obtain rates of termination of pregnancy and stillbirth in our cohort due to incomplete data provided by clinical referrers. We therefore cannot make conclusions on pregnancy or infant outcome following diagnostic testing. Childhood and adult diagnoses of 22q11 DS were not collected. WIDER IMPLICATIONS OF THE FINDINGS Our study marks a complete transition in genomic testing from the G-banded karyotype era, with CMA now established as the first line investigation for pregnancy losses, fetal diagnosis and newborn/infant assessment in a high-income setting. Integration of prenatal and postnatal diagnostic data sets provides important opportunities for estimating the prevalence of clinically important congenital syndromes, such as 22q11 DS. STUDY FUNDING/COMPETING INTEREST(S) L.H. is funded by a National Health and Medical Research Council Early Career Fellowship (1105603); A.L. was funded by a Mercy Perinatal Research Fellowship; J.H. was funded by a National Health and Medical Research Council Senior Research Fellowship (10121252). The funding bodies had no role in the conduct of the research or the manuscript. Discretionary funding from the Murdoch Children’s Research Institute has supported the prenatal diagnosis data collection and reporting over the years. Dr Ricardo Palma-Dias reports a commercial relationship with Roche Diagnostics, personal fees from Philips Ultrasound, outside the submitted work. Debbie Nisbet reports a commercial relationship with Roche Diagnostics, outside the submitted work. TRIAL REGISTRATION NUMBER NA
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PhD, Judith Lumley MA MB BS. "Very Low Birth-Weight (< 1,500 g) and Previous Induced Abortion: Victoria 1982–1972." Australian and New Zealand Journal of Obstetrics and Gynaecology 26, no. 4 (November 1986): 268–72. http://dx.doi.org/10.1111/j.1479-828x.1986.tb01585.x.

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32

Hanson, J., and T. Y. Khong. "An Audit of Hysterectomies in Young Women at the Queen Victoria Hospital, 1984–1994." Australian and New Zealand Journal of Obstetrics and Gynaecology 36, no. 4 (November 1996): 441–43. http://dx.doi.org/10.1111/j.1479-828x.1996.tb02189.x.

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33

MASSIE, John, Vicki PETROU, Robyn FORBES, Lisette CURNOW, Liane IOANNOU, Desiree DUSART, Agnes BANKIER, and Martin DELATYCKI. "Population-based carrier screening for cystic fibrosis in Victoria: The first three years experience." Australian and New Zealand Journal of Obstetrics and Gynaecology 49, no. 5 (October 2009): 484–89. http://dx.doi.org/10.1111/j.1479-828x.2009.01045.x.

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34

Sweet, Linda, Karen Wynter, Ms Katherine O'Driscoll, Ms Tija Blums, Ms Agia Nenke, Ms Margaret Sommeling, Ms Rachel Kolar, and Glyn Teale. "Ten years of a publicly funded homebirth in Victoria: maternal and neonatal outcomes." Women and Birth 35 (September 2022): 10. http://dx.doi.org/10.1016/j.wombi.2022.07.029.

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35

Cramer, Rhian, Sharon Mumford, Anne Tremayne, Sara Bayes, Gina Kruger, Leigh Achterbosch, and Nikki Hartney. "The MIDAC CoCE Portal: connecting pregnant women with midwifery students in Victoria, Australia." Women and Birth 35 (September 2022): 39. http://dx.doi.org/10.1016/j.wombi.2022.07.108.

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Matthews, Ms Robyn, Della Forster, Ms Rebecca Hyde, Helen McLachlan, Michelle Newton, Ms Sharon Mumford, Touran Shafiei, Fleur Llewelyn, and Meabh Cullinane. "Workforce challenges experienced by midwives in Victoria: a population-based cross-sectional study." Women and Birth 35 (September 2022): 25. http://dx.doi.org/10.1016/j.wombi.2022.07.069.

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37

Carolan, Mary, Gina Kruger, and Vera Brown. "Out of the Ashes: The new bachelor of midwifery curriculum at Victoria University." Women and Birth 20, no. 3 (September 2007): 127–30. http://dx.doi.org/10.1016/j.wombi.2007.05.006.

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38

Williamson, Rebecca L., Elizabeth A. McCarthy, Jeremy J. Oats, Leonid Churilov, Martha Lappas, and Alexis Shub. "Obstetric and perinatal outcomes for women with pre‐existing diabetes in rural compared to metropolitan settings in Victoria, Australia." Australian and New Zealand Journal of Obstetrics and Gynaecology 61, no. 3 (January 24, 2021): 373–79. http://dx.doi.org/10.1111/ajo.13295.

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39

Leeton, J., and K. Dawson. "A Case of Attempted IVF Surrogacy in Victoria: Breaking the Law or Breaking the Deadlock?" Australian and New Zealand Journal of Obstetrics and Gynaecology 34, no. 5 (November 1994): 586–87. http://dx.doi.org/10.1111/j.1479-828x.1994.tb01119.x.

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40

Allen, David G., and Norman A. Beischer. "Management of the Abnormal Cervical Smear and a Historical Review of Cone Biopsy in Victoria." Australian and New Zealand Journal of Obstetrics and Gynaecology 38, no. 3 (August 1998): 241–45. http://dx.doi.org/10.1111/j.1479-828x.1998.tb03057.x.

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MUGGLI, Evelyne Elvira, Veronica Rose COLLINS, and Jane Lavinia HALLIDAY. "Mapping uptake of prenatal diagnosis for Down syndrome and other chromosome abnormalities across Victoria, Australia." Australian and New Zealand Journal of Obstetrics and Gynaecology 46, no. 6 (December 2006): 492–500. http://dx.doi.org/10.1111/j.1479-828x.2006.00648.x.

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42

Bilardi, Jade E., Amanda Miller, Jane S. Hocking, Louise Keogh, Rosey Cummings, Marcus Y. Chen, Catriona S. Bradshaw, and Christopher K. Fairley. "The Job Satisfaction of Female Sex Workers Working in Licensed Brothels in Victoria, Australia." Journal of Sexual Medicine 8, no. 1 (January 2011): 116–22. http://dx.doi.org/10.1111/j.1743-6109.2010.01967.x.

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43

Kirkman, Maggie, Doreen Rosenthal, Shelley Mallett, Heather Rowe, and Annarella Hardiman. "Reasons women give for contemplating or undergoing abortion: A qualitative investigation in Victoria, Australia." Sexual & Reproductive Healthcare 1, no. 4 (November 2010): 149–55. http://dx.doi.org/10.1016/j.srhc.2010.08.001.

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44

Doyle, Lex W., Ellen Bowman, Catherine Callanan, Elizabeth Carse, Margaret P. Charlton, John Drew, Geoffrey Ford, et al. "Changing Outcome for Infants of Birth-weight 500-999g Born Outside Level 3 Centres in Victoria." Australian and New Zealand Journal of Obstetrics and Gynaecology 37, no. 3 (August 1997): 253–57. http://dx.doi.org/10.1111/j.1479-828x.1997.tb02403.x.

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45

RAYNER, Jo-Anne, Della FORSTER, Helen Louise McLACHLAN, Michelle KEALY, and Marie PIROTTA. "Women’s use of complementary medicine to enhance fertility: The views of fertility specialists in Victoria, Australia." Australian and New Zealand Journal of Obstetrics and Gynaecology 50, no. 3 (May 19, 2010): 305. http://dx.doi.org/10.1111/j.1479-828x.2010.01160.x.

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46

Lumley, Judith, and Chryssa Bakoula. "Perinatal mortality in Greece and Greek-born women in Victoria. What does a ‘natural experiment’ suggest?" European Journal of Obstetrics & Gynecology and Reproductive Biology 50, no. 1 (June 1993): 65–70. http://dx.doi.org/10.1016/0028-2243(93)90166-a.

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47

MUKHTAR,, BUSHRA, BUSHRA KHAN, and NUZHAT RASHEED. "BREECH PRESENTATION AT TERM;." Professional Medical Journal 20, no. 04 (August 15, 2013): 526–29. http://dx.doi.org/10.29309/tpmj/2013.20.04.1027.

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Abstract:
Objective: To compare the fetal outcome of elective cesarean section with elective vaginal birth for Term Breechpresentation in terms of APGAR Score, Respiratory Distress Syndrome, Admission in Neonatology Unit and Neonatal mortality. Design:Quasi experimental study. Setting: Department of Obstetrics & Gynaecololgy Bahawal Victoria Hospital, Bahawalpur. Methods: Total 120cases were included in the study divided into two groups, each having 60 fulfilling the inclusion criteria. Group 'A' had those who deliveredby planned cesarean and Group 'B' comprised those having planned vaginal delivery. Results: It was found that neonatal mortality was3.33 in vaginal and 0 in cesarean group. Mean APGAR Score at 1 and 5 minute was 8.47 and 9.53 in vaginal and 8.58 and 9.62 incesarean group. RDS was more in cesarean (5) than vaginal group (1.6). Admission in Neonatalogy Unit was more in vaginally deliveredgroup (8.33) as compared to the cesarean section group (5). Conclusion: Planned cesarean delivery in breech presentation at term isassociated with a reduction in neonatal mortality and morbidity as compared to the planned vaginal birth.
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Mitchell, Heather, Gabriele Medley, and Vicky Higgins. "An Audit of the Women Who Died During 1994 from Cancer of the Cervix in Victoria, Australia." Australian and New Zealand Journal of Obstetrics and Gynaecology 36, no. 1 (February 1996): 73–76. http://dx.doi.org/10.1111/j.1479-828x.1996.tb02928.x.

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Keogh, L. A., D. Newton, C. Bayly, K. McNamee, A. Hardiman, A. Webster, and M. Bismark. "Intended and unintended consequences of abortion law reform: perspectives of abortion experts in Victoria, Australia." Journal of Family Planning and Reproductive Health Care 43, no. 1 (December 2, 2016): 18–24. http://dx.doi.org/10.1136/jfprhc-2016-101541.

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50

Mclean, Mrs Samantha, Mrs Sarah Watts, Ms Tina Petigrew, Mrs Anne Barnes, Mrs April Jardine, and Ms Caitlin Fehring. "MGP - the answer to sustainable rural maternity services in Victoria. The Journey from a service perspective." Women and Birth 35 (September 2022): 50. http://dx.doi.org/10.1016/j.wombi.2022.07.142.

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