Williams OBSTETRICS 23RD EDITION F. Gary Cunningham, MD Beatrice & Miguel Elias . A third vacancy in the associate editorship is Dr. William sible. May 19, Williams Obstetrics 25th edition is the most comprehensive, Williams Gynecology Third Edition (eBook) Medical Anatomy, Obstetrics And. Editorial Reviews. About the Author. F. Gary Cunningham, MD, Distinguished Chair in Williams Gynecology, Third Edition Williams Obstetrics, 25th Edition.
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Editorial Reviews. About the Author. F. Gary Cunningham, MD, Distinguished Chair in $ eBook features: . Williams Gynecology, Third Edition. Barbara. The material in this eBook also appears in the print version of this title: ISBN: , .. xv. PREFACE. This 24th edition of Williams Obstetrics has been extensively .. be up to a third of pregnancy-related deaths in white women . Williams Obstetrics book. Read 9 Be the first to ask a question about Williams Obstetrics . Cunningham and Gilstrap's Operative Obstetrics, Third Edition.
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Chi ama i libri sceglie Kobo e inMondadori. Corton , Kenneth J. Not surprisingly, there is general agreement that women feel apprehensive about subsequent births, with some women wishing to delay a further pregnancy [ 1 , 4 , 19 ]. The risk of recurrence is a major factor in planning the mode of a subsequent birth.
In some populations women with a prior OASI are reported to be more likely to have a caesarean for the next birth [ 13 , 20 ]; however a Swedish study reported that very few caesarean sections were performed for this indication [ 18 ]. In recognition of the complexities in counselling a woman approaching a second birth following an OASI at her first, we undertook a large population-based study to determine risk factors from first and second births for OASI recurrence.
In addition, we examined the effect of first birth factors on planning for either caesarean or vaginal second birth.
NSW is the most populous state in Australia, and with over 95, births occurring in , it contributes to approximately one third of all Australian births [ 21 ]. Where a multiple pregnancy occurred, data pertaining to the first born infant were used for analysis. The NSW Centre for Health Record Linkage CHeReL undertook probabilistic longitudinal linkage of these two datasets using methods previously described [ 24 ], with de-identified data provided to researchers. With a sensitivity of All OASI rates are reported among vaginal births.
Recognised risk factors for OASIs [ 5 , 8 , 16 , 26 - 28 ] that were available in the population data were identified by the most reliable source as reported by previous validation studies [ 25 , 29 - 31 ]. Asian ethnicity is a recognised risk factor for OASI [ 8 ]. As ethnicity is not available in the population data, country of birth as reported in the birth data was used to identify women of Asian background.
Episiotomy was identified if reported by either birth or hospital data collections. Neither the birth nor hospital data specify the type of episiotomy, but typical Australian practice is to perform a mediolateral incision according to clinical perception of need.