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Biomedical subjects

C de Costa

Publications and source records attributed to C de Costa.

At least 19 recordsLinked to original sources

A place on the map.

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Abortion, Spontaneous↗

A sort of progress.

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Cesarean Section↗

Pregnancy outcomes in urban aboriginal women.

OBJECTIVE: To assess Aboriginal women's access to antenatal care and their pregnancy outcomes in an urban setting. DESIGN: Retrospective descriptive study using an obstetric database. SETTING: King George V Memorial Hospital, Sydney. PATIENTS: All women who gave birth between 1 January 1992 and 31 December 1993. OUTCOME MEASURES: Age and parity, gestation at first antenatal visit and at delivery, antenatal complications, type of delivery, infant birthweights and perinatal mortality were compared between Aboriginal and non-Aboriginal women. Within the Aboriginal group, comparisons were made between those with and without poor pregnancy outcomes (low birthweight infants and perinatal deaths). RESULTS: Aboriginal women were younger and of higher parity than non-Aboriginal women and booked for confinement later in pregnancy, although nearly 80% were booked by 28 weeks' gestation. There was more pregnancy-induced hypertension (P < 0.01; relative risk [RR], 1.66; 95% confidence interval [Cl], 1.17-2.37), urinary tract infection (P < 0.02; RR, 2.45; 95% Cl, 1.27-4.30) and need for methadone stabilisation in Aboriginal women (P < 0.001; RR, 5.88; 95% Cl, 2.99-11.57). In the Aboriginal group, there were higher preterm delivery rates (P < 0.001; 95% Cl, 1.31-2.74), more low birthweight babies (P < 0.001; 95% Cl, 1.67-3.33) and higher perinatal mortality rates. These findings applied to both Aboriginal women transferred from metropolitan district and country hospitals and those resident in central Sydney. Factors associated with low birthweight and perinatal deaths in Aboriginal infants included late antenatal booking, cigarette smoking, hypertension and urinary tract infection in pregnancy, and antepartum haemorrhage. CONCLUSION: Further efforts must be made to improve access of Aboriginal women to antenatal services in the Central Sydney Area to improve perinatal outcomes and maternal health.

Adult↗

Fetal glial allograft in the endometrium: case report of a recurrent pseudo-tumor.

A 32 yr old woman presented with intermittent intermenstrual bleeding, 7 mths after a first trimester termination of pregnancy. Diagnostic curettages at that time and 5 mths subsequently, both produced voluminous curettings, composed of mature glial tissue. Symptoms did not abate and, at hysterectomy, a discrete nodule of endometrial gliomatosis 18 mm in diameter was found, partly sequestered in a mural defect associated with an old anterior lower segment cesarian section scar. The glial tissue was demonstrated to retain histological viability over an 8 mths period since the first diagnostic curettage and 15 mths since the presumed pregnancy of origin.

Abortion, Induced↗

Hysterectomy.

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Attitude to Health↗

Midwives' clinic.

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Adolescent↗

Pregnancy outcomes in Lebanese-born women in western Sydney.

A sample of 400 Lebanese-born women who gave birth at Auburn District Hospital in 1987-1988 was compared with a sample of 400 Australian-born women who gave birth in the same time period. The Lebanese-born women were found to be older and of higher parity than were their Australian-born counterparts; and to have booked their hospital admission significantly later in pregnancy than did the Australian-born women. Lebanese-born women also had frequently made a consanguineous marriage. Certain antenatal and intrapartum complications were more common in the Lebanese-born women, and perinatal mortality and morbidity rates were higher among their infants. The particular problems of pregnancy in Lebanese-born women, and possible ways of overcoming these, are discussed.

Adolescent↗

Effects of betel chewing on pregnancy outcome.

The antenatal records of 400 Papua New Guinean women who had chewed betel throughout pregnancy were examined and the patients' performance in labour and the condition of the baby at birth and in the post-natal period were studied. Each mother was matched for parity and province of birth with a control who had never chewed betel, whose pregnancy and infant were similarly studied. The findings are a significantly higher mean birth-weight for the control group and a lower incidence of neonatal jaundice in the study group.

Areca↗

Flora's legacy.

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Australia↗