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Your search keyword '"Burke, Naomi"' showing total 24 results
Start Over Author "Burke, Naomi" Journal american journal of obstetrics & gynecology
24 results on '"Burke, Naomi"'

6. Prediction of cesarean delivery in the term nulliparous woman: results from the prospective, multicenter Genesis study.

Author

Burke, Naomi, Burke, Gerard, Breathnach, Fionnuala, McAuliffe, Fionnuala, Morrison, John J., Turner, Michael, Dornan, Samina, Higgins, John R., Cotter, Amanda, Geary, Michael, McParland, Peter, Daly, Sean, Cody, Fiona, Dicker, Pat, Tully, Elizabeth, Malone, Fergal D., and Perinatal Ireland Research Consortium

Subjects
CESAREAN section, NULLIPARAS, CHILDBIRTH, BIRTH weight, GESTATIONAL age, FETAL anatomy, ABDOMEN, BODY weight, COMPARATIVE studies, DELIVERY (Obstetrics), FETAL presentation, FETAL ultrasonic imaging, HEAD, LABOR (Obstetrics), LONGITUDINAL method, MATERNAL age, RESEARCH methodology, MEDICAL cooperation, DURATION of pregnancy, QUESTIONNAIRES, RESEARCH, RISK assessment, STATURE, EVALUATION research, BODY mass index, FETAL development, PARITY (Obstetrics), STATISTICAL models, ODDS ratio
Abstract

Background: In contemporary practice many nulliparous women require intervention during childbirth such as operative vaginal delivery or cesarean delivery (CD). Despite the knowledge that the increasing rate of CD is associated with increasing maternal age, obesity and larger infant birthweight, we lack a reliable method to predict the requirement for such potentially hazardous obstetric procedures during labor and delivery. This issue is important, as there are greater rates of morbidity and mortality associated with unplanned CD performed in labor compared with scheduled CDs. A prediction algorithm to identify women at risk of an unplanned CD could help reduced labor associated morbidity.Objective: In this primary analysis of the Genesis study, our objective was to prospectively assess the use of prenatally determined, maternal and fetal, anthropomorphic, clinical, and ultrasound features to develop a predictive tool for unplanned CD in the term nulliparous woman, before the onset of labor.Materials and Methods: The Genesis study recruited 2336 nulliparous women with a vertex presentation between 39+0 and 40+6 weeks' gestation in a prospective multicenter national study to examine predictors of CD. At recruitment, a detailed clinical evaluation and ultrasound assessment were performed. To reduce bias from knowledge of these data potentially influencing mode of delivery, women, midwives, and obstetricians were blinded to the ultrasound data. All hypothetical prenatal risk factors for unplanned CD were assessed as a composite. Multiple logistic regression analysis and mathematical modeling was used to develop a risk evaluation tool for CD in nulliparous women. Continuous predictors were standardized using z scores.Results: From a total enrolled cohort of 2336 nulliparous participants, 491 (21%) had an unplanned CD. Five parameters were determined to be the best combined predictors of CD. These were advancing maternal age (odds ratio [OR], 1.21; 95% confidence interval [CI], 1.09 to 1.34), shorter maternal height (OR, 1.72; 95% CI, 1.52 to 1.93), increasing body mass index (OR, 1.29; 95% CI, 1.17 to 1.43), larger fetal abdominal circumference (OR, 1.23; 95% CI, 1.1 to 1.38), and larger fetal head circumference (OR, 1.27; 95% CI, 1.14 to 1.42). A nomogram was developed to provide an individualized risk assessment to predict CD in clinical practice, with excellent calibration and discriminative ability (Kolmogorov-Smirnov, D statistic, 0.29; 95% CI, 0.28 to 0.30) with a misclassification rate of 0.21 (95% CI, 0.19 to 0.25).Conclusion: Five parameters (maternal age, body mass index, height, fetal abdominal circumference, and fetal head circumference) can, in combination, be used to better determine the overall risk of CD in nulliparous women at term. A risk score can be used to inform women of their individualized probability of CD. This risk tool may be useful for reassuring most women regarding their likely success at achieving an uncomplicated vaginal delivery as well as selecting those patients with such a high risk for CD that they should avoid a trial of labor. Such a risk tool has the potential to greatly improve planning hospital service needs and minimizing patient risk. [ABSTRACT FROM AUTHOR]

Published
2017
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7. 984: Can maternal head circumference contribute to the prenatal prediction of successful spontaneous vaginal delivery-results from the prospective multicenter GENESIS study.

Author

Murphy, Niamh C., Burke, Naomi, Burke, Gerard, Breathnach, Fionnuala M., McAuliffe, Fionnuala M., Morrison, John J., Turner, Michael J., Dornan, Samina, Higgins, John, Cotter, Amanda M., Geary, Michael P., McParland, Peter P., Daly, Sean, Dicker, Pat, Tully, Elizabeth C., and Malone, Fergal D.

Subjects
CESAREAN section, DELIVERY (Obstetrics), MATERNAL health, HUMAN abnormalities, MEDICAL decision making, PREOPERATIVE risk factors
Published
2017
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8. 94: Accuracy of prenatal detection of macrosomia >4,000g and outcomes in the absence of intervention: results of the prospective multicenter genesis study.

Author

Galvin, Daniel M., Burke, Naomi, Burke, Gerard, Breathnach, Fionnuala, McAuliffe, Fionnuala, Morrison, John, Turner, Michael, Dornan, Samina, Higgins, John, Cotter, Amanda, Geary, Michael, Cody, Fiona, Mulcahy, Cecelia, Daly, Sean, Dicker, Pat, Tully, Elizabeth, and Malone, Fergal

Subjects
PRENATAL diagnosis, FETAL macrosomia, BIOMETRY, WEIGHT in infancy, DIAGNOSTIC ultrasonic imaging personnel
Published
2017
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9. 562: The effect of excessive gestational weight gain on mode of delivery and intrapartum complications.

Author

McHugh, Ann, Burke, Naomi, Burke, Gerard, Breathnach, Fionnuala M., McAuliffe, Fionnuala M., Morrison, John J., Turner, Michael J., Dornan, Samina, Higgins, John, Cotter, Amanda M., Geary, Michael P., Cody, Fiona, McParland, Peter, Mulcahy, Cecelia, Daly, Sean, Dicker, Pat, Tully, Elizabeth C., and Malone, Fergal D.

Subjects
WEIGHT gain in pregnancy, GESTATIONAL age, INTRAPARTUM care, DELIVERY (Obstetrics), PREGNANCY complications
Published
2017
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10. 133: Can we predict maternal and neonatal morbidity in nulliparous women who achieve a vaginal delivery?

Author

Ismail, Khadijah I., Burke, Naomi, Burke, Gerard, Breathnach, Fionnuala, McAuliffe, Fionnuala, Morrison, John, Turner, Michael, Dornan, Samina, Higgins, John, Cotter, Amanda, Geary, Michael, Cody, Fiona, McParland, Peter, Mulcahy, Cecelia, Daly, Sean, Dicker, Pat, Tully, Elizabeth, and Malone, Fergal

Subjects
DELIVERY (Obstetrics), MATERNAL health, CLINICAL trials, DURATION of pregnancy, GESTATIONAL age
Published
2017
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11. 409: Increased fetal adiposity is a risk factor for cesarean delivery - Results of the national prospective Genesis Study.

Author

Hehir, Mark P., Burke, Naomi, Burke, Gerard, Breathnach, Fionnuala M., McAuliffe, Fionnuala M., Morrison, John J., Turner, Michael J., Dornan, Samina, Higgins, John, Cotter, Amanda, Geary, Michael P., Cody, Fiona, McParland, Peter, Mulcahy, Cecelia, Daly, Sean, Dicker, Patrick, Tully, Elizabeth, and Malone, Fergal D.

Subjects
CESAREAN section, OBESITY, OBSTETRICS, GYNECOLOGY, MEDICAL research, MEDICAL publishing, PREOPERATIVE risk factors
Published
2016
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12. 350: A fetal head circumference above the 90th centile is a significant risk factor for cesarean delivery and complicated labor: results from the prospective multi-center Genesis Study.

Author

Burke, Naomi, Burke, Gerry, Breathnach, Fionnuala, McAuliffe, Fionnuala, Morrison, John, Turner, Michael, Dornan, Samina, Higgins, John, Cotter, Amanda, Geary, Michael, Cody, Fiona, Mulcahy, Cecelia, Daly, Sean, Dicker, Patrick, Tully, Elizabeth, and Malone, Fergal D.

Subjects
CESAREAN section, PREGNANCY complications, OXYTOCIN, HEALTH outcome assessment, LONGITUDINAL method, COHORT analysis
Published
2016
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13. 645: Effect of induction of labor on cesarean delivery rates in nulliparous patients: results from the prospective multi-center Genesis Study.

Author

Burke, Naomi, Burke, Gerry, Breathnach, Fionnuala, McAuliffe, Fionnuala, Morrison, John, Turner, Michael, Dornan, Samina, Higgins, John, Cotter, Amanda, Geary, Michael, McParland, Peter, Daly, Sean, Dicker, Patrick, Tully, Elizabeth, and Malone, Fergal D.

Subjects
INDUCED labor (Obstetrics), CESAREAN section, MATERNAL age, BODY mass index, LONGITUDINAL method, COHORT analysis
Published
2016
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14. 507: Do birth plans improve obstetric outcome for first time mothers: results from the multi-center Genesis Study.

Author

Burke, Naomi, Donnelly, Jennifer C., Burke, Gerry, Breathnach, Fionnuala, McAuliffe, Fionnuala, Morrison, John, Turner, Michael, Dornan, Samina, Higgins, John, Cotter, Amanda, Geary, Michael, McParland, Peter, Daly, Sean, Dicker, Patrick, Tully, Elizabeth, and Malone, Fergal D.

Subjects
BIRTH plans, OBSTETRICS, HEALTH outcome assessment, MEDICAL centers, GYNECOLOGY
Published
2016
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15. 20: How to predict cesarean delivery in the nulliparous patient: results from the prospective multi-center Genesis Study.

Author

Burke, Naomi, Burke, Gerry, Breathnach, Fionnuala, McAuliffe, Fionnuala, Morrison, John J., Turner, Michael, Dornan, Samina, Higgins, John, Cotter, Amanda, Geary, Michael, Cody, Fiona, McParland, Peter, Daly, Sean, Dicker, Patrick, Tully, Elizabeth, and Malone, Fergal D.

Subjects
CESAREAN section, DELIVERY (Obstetrics), NULLIPARAS, LONGITUDINAL method, MEDICAL centers
Published
2016
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