7 results on '"Gornall, Adam"'
Search Results
2. Planned early delivery or expectant management for late preterm pre-eclampsia (PHOENIX): a randomised controlled trial
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Agarwal, Umber, Ahmed, Irshad, Ajay, Bini, Alfirevic, Zarko, Arya, Rita, Bambridge, Gabrielle, Bamfo, Jacqueline, Basak, Sambita, Bowler, Ursula, Cameron, Helen, Churchill, David, Cresswell, Janet, Crosfill, Fiona, Denbow, Mark, Dey, Madhuchanda, Everden, Caroline, Ficquet, Jo, Gajewska-Knapik, Katarzyna, Ganapathy, Ramesh, Garrett, Angela, Girling, Joanna, Gornall, Adam, Harding, Kate, Hendy, Eleanor, Howard, Richard, James, Mark, Johnson, Antoinette, Kemp, Michelle, Khalil, Asma, Khan, Rehan, Khan, Rahila, Knox, Ellen, Margarit, Lavinia, Marsden, Philippa, McIntyre, Karen, Myers, Jenny, Nugent, Justine, Rao, Sanjay, Robinson, Zoey, Robson, Stephen, Rushby, Pauline, Scholz, Laura, Shahin, Mohamed, Sharma, Bhavna, Simpson, Nigel, Singh, Natasha, Sparkes, Jenie, Stone, Sophia, Subair, Seni, Tan, Bee, Thakur, Vidya, Thamban, Sujatha, Thornton, Jim, Tohill, Sue, Tsoi, Elly, Tuffnell, Derek, Waterstone, Mark, Waugh, Jason, Wiesender, Cornelia, Wu, Pensee, Chappell, Lucy C, Brocklehurst, Peter, Green, Marcus E, Hunter, Rachael, Hardy, Pollyanna, Juszczak, Edmund, Linsell, Louise, Chiocchia, Virginia, Greenland, Melanie, Placzek, Anna, Townend, John, Marlow, Neil, Sandall, Jane, and Shennan, Andrew more...
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- 2019
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Catalog
3. The SaTH risk-assessment tool for the prediction of emergency cesarean section in women having induction of labor for all indications: a large-cohort based study
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Papoutsis, Dimitrios, Antonakou, Angeliki, Gornall, Adam, Tzavara, Chara, and Mohajer, Michelle
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- 2017
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4. The Incidence of and Predictors for Severe Perineal Trauma and Intact Perineum in Women Having a Waterbirth in England: A Hospital-Based Study.
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Papoutsis, Dimitrios, Antonakou, Angeliki, Gornall, Adam, and Tzavara, Chara
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INJURY risk factors ,MATERNAL health services ,ANUS ,CONFIDENCE intervals ,DISEASE incidence ,RETROSPECTIVE studies ,UNDERWATER childbirth ,DESCRIPTIVE statistics ,MATERNAL age ,PARITY (Obstetrics) ,ODDS ratio ,BODY mass index ,PERINEUM ,WOMEN'S health - Abstract
Background: To determine the incidence of and predictors for obstetric anal sphincter injuries (OASIS) and intact perineum in women giving birth in the water and compare with the general obstetric population. Materials and Methods: Data were retrospectively collected for women who had singleton cephalic presentation vaginal births in the water and the general obstetric population between August 2007 and December 2017. Results: We identified 1,007 women who had a waterbirth and 36,924 women from the general obstetric population. There was no significant difference in the incidence of OASIS between waterbirths and the general obstetric population (2.3% vs. 2.0%). Having a waterbirth was associated with a lower probability for an intact perineum (odds ratio [OR] = 0.83; confidence interval [95% CI]: 0.73–0.94) when compared with the general obstetric population (44.7% vs. 51.3%). Nulliparous women with a waterbirth when compared with multiparous women had an eightfold higher likelihood for the occurrence of OASIS (OR = 8.28; 95% CI: 2.64–25.86). The risk for a higher degree of OASIS was associated with increased maternal age in the total sample (OR = 1.08; 95% CI: 1.06–1.11) and with a lower body mass index (BMI) at booking in multiparous women (OR = 0.96; 95% CI: 0.92–0.99). The risk for any type of perineal trauma was associated with increased maternal age in the total sample (OR = 1.10; 95% CI: 1.07–1.13) and with a lower BMI at booking in multiparous women (OR = 0.95; 95% CI: 0.91–0.99). Conclusions: We found that giving birth in the water reduced the chance of having an intact perineum. We have also shown that nulliparity, increased maternal age in all women, and a lower BMI at booking in multiparous were associated with OASIS and lower rates of intact perineum in waterbirths. [ABSTRACT FROM AUTHOR] more...
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- 2021
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5. Reversed Twin-to-Twin Transfusion Syndrome following Successful Laser Therapy.
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Fox, Caroline E., Chan, Ben C., Cox, Phillip, Gornall, Adam, and Kilby, Mark D.
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SYNDROMES ,MEDICAL lasers ,PREGNANCY ,PATHOLOGICAL physiology ,INFANTS ,HEMOGLOBINS - Abstract
We report a case of severe twin-to-twin transfusion syndrome (TTTS) in which fetoscopic laser ablation was successfully performed at 21 weeks’ gestation. Despite successful resolution of signs on ultrasound examination after a period of 7 weeks, the donor developed polyhydramnios whereas the ‘initial’ recipient maintained normal liquor volume, features suggestive of ‘reversed TTTS’. Two live babies were delivered at 31 weeks’ gestation with good neonatal outcome. The karyotype of both babies was normal. No significant inter-twin difference in umbilical vein haemoglobin levels was present at delivery and placental injection studies did not identify persistent anastomoses. This case report supports the importance of close monitoring of the pregnancy following apparently successful laser therapy. Further research is needed to understand the pathophysiology of this condition. Copyright © 2009 S. Karger AG, Basel [ABSTRACT FROM AUTHOR] more...
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- 2009
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6. Handbook of Fetal Medicine by Sailesh Kumar.
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Gornall, Adam
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FETAL development , *NONFICTION - Abstract
The article reviews the book "Handbook of Fetal Medicine," by Sailesh Kumar.
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- 2011
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7. Induction of labour for predicted macrosomia: study protocol for the 'Big Baby' randomised controlled trial.
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Ewington LJ, Gardosi J, Lall R, Underwood M, Fisher JD, Wood S, Griffin R, Harris K, Bick D, Booth K, Brown J, Butler E, Fowler K, Williams M, Deshpande S, Gornall A, Dewdney J, Hillyer K, Gates S, Jones C, Mistry H, Petrou S, Slowther AM, Willis A, and Quenby S more...
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- Infant, Newborn, Infant, Female, Pregnancy, Humans, Cesarean Section, Prospective Studies, Cohort Studies, Pilot Projects, Birth Weight, Labor, Induced methods, Randomized Controlled Trials as Topic, Multicenter Studies as Topic, Fetal Macrosomia, Shoulder Dystocia
- Abstract
Introduction: Large-for-gestational age (LGA) fetuses have an increased risk of shoulder dystocia. This can lead to adverse neonatal outcomes and death. Early induction of labour in women with a fetus suspected to be macrosomic may mitigate the risk of shoulder dystocia. The Big Baby Trial aims to find if induction of labour at 38
+0 -38+4 weeks' gestation, in pregnancies with suspected LGA fetuses, reduces the incidence of shoulder dystocia., Methods and Analysis: The Big Baby Trial is a multicentre, prospective, individually randomised controlled trial of induction of labour at 38+0 to 38+4 weeks' gestation vs standard care as per each hospital trust (median gestation of delivery 39+4 ) among women whose fetuses have an estimated fetal weight >90th customised centile according to ultrasound scan at 35+0 to 38+0 weeks' gestation. There is a parallel cohort study for women who decline randomisation because they opt for induction, expectant management or caesarean section. Up to 4000 women will be recruited and randomised to induction of labour or to standard care. The primary outcome is the incidence of shoulder dystocia; assessed by an independent expert group, blind to treatment allocation, from delivery records. Secondary outcomes include birth trauma, fractures, haemorrhage, caesarean section rate and length of inpatient stay. The main trial is ongoing, following an internal pilot study. A qualitative reporting, health economic evaluation and parallel process evaluation are included., Ethics and Dissemination: The study received a favourable opinion from the South West-Cornwall and Plymouth Health Research Authority on 23/03/2018 (IRAS project ID 229163). Study results will be reported in the National Institute for Health Research journal library and published in an open access peer-reviewed journal. We will plan dissemination events for key stakeholders., Trial Registration Number: ISRCTN18229892., Competing Interests: Competing interests: JG is the director of the Perinatal Institute, a not for profit organisation, limited by guarantee, and a qualified provider of maternity support services to the NHS. It derives its income from some of its products and services, including the award-winning GAP programme mentioned in this protocol, through which they have been able to implement training, e-learning and protocols in the majority of Trusts and Health Boards in the UK. GAP includes the standardised, RCOG endorsed customised GROW charts which will be used to identify large-for-gestational age as the entry point for this trial. MU is chief investigator or coinvestigator on multiple previous and current research grants from the UK National Institute for Health Research, Arthritis Research UK and is a coinvestigator on grants funded by the Australian NHMRC. He is an NIHR Senior Investigator. He has received travel expenses for speaking at conferences from the professional organisations hosting the conferences. He is a director and shareholder of Clinvivo Ltd http://www.clinvivo.com that provides electronic data collection for health services research. He is part of an academic partnership with Serco Ltd, funded by the European Social Fund, related to return to work initiatives. He is a coinvestigator on two NIHR funded studies receiving additional support from Stryker Ltd. He has accepted honoraria for teaching/lecturing from consortium for advanced research training in Africa. He was until March 2020 an editor of the NIHR journal series, and a member of the NIHR Journal Editors Group, for which he received a fee., (© Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY. Published by BMJ.) more...- Published
- 2022
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