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Bonnichsen, Maja Lecic; Nyfløt, Lill Trine; Haugen, Guttorm Nils & Roland, Marie Cecilie
(2023).
SEVERE MATERNAL OBESITY AND ACTIVE LABOUR.
Vis sammendrag
Introduction/Purpose
Maternal obesity is associated with prolonged duration of labour and arrested labour along with extended list of adverse outcomes for mother and child.
To study expulsion time (ET) in induced and non-induced, nulliparous and parous parturients with severe pre-pregnant obesity (pBMI≥35).
Methods
"Healthy mother-lifelong health for mother and child" was a prospective, longitudinal, observational study, conducted at Drammen Hospital between 2016 and 2019, including 166 pregnant women with pBMI≥35. We collected detailed data on labour induction, duration of active labour (AL, from 4 cm dilatation and contractions) including ET, and mode of delivery. We compared groups by median regression, adjusting for parity.
Results
Among the 125 women (75%) with vaginal birth, 90 women (72%) were induced and 8 women (6%) were delivered by vacuum. 54% of induced women and 63% of non-induced were parous. Median duration of AL was 3 hrs. (P0; 4 hrs. vs. P≥1; 2 hrs. p=0.091) in non-induced labours and 3.5 hrs. (P0; 5 hrs. vs. P≥1; 2 hrs. p=0.008) in induced labours, while ET was 19.5 min (P0; 29min vs. P≥1; 11min, p=0.006) and 17 min (P0; 25.5min vs. P≥1; 8, p=0.001) respectively. Neither duration of active labour (p=0.540) or expulsion time (p=0.583) was significantly different in the two labour groups.
Conclusions
Despite the majority of labours being induced, we found that 75% delivered vaginally with short median duration of active labour and expulsion time. We found no significant differences in active labour or expulsion time when comparing non-induced and induced labours.
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Oftedal, Aurora; Bekkhus, Mona; Haugen, Guttorm Nils & Kaasen, Anne
(2022).
The development of parental traumatic stress following the detection of fetal anomaly.
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Oftedal, Aurora; Bekkhus, Mona; Haugen, Guttorm Nils & Kaasen, Anne
(2022).
The impact of diagnosed fetal anomaly, diagnostic severity, and prognostic ambiguity on parental depression and traumatic stress.
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Oftedal, Aurora; Bekkhus, Mona; Haugen, Guttorm Nils & Kaasen, Anne
(2021).
Utvikling av symptomer på depresjon og posttraumatisk stress etter påvist fosteravvik ved ultralyd.
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Oftedal, Aurora; Bekkhus, Mona; Haugen, Guttorm Nils & Kaasen, Anne
(2021).
The relation of traumatic stress to cortisol following the detection of fetal anomaly.
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Blomhoff, Anne; Ebbing, Cathrine; Eggebø, Torbjørn Moe; Glad, Ragnhild; Haug, Marte Gjøl & Haugen, Guttorm
[Vis alle 15 forfattere av denne artikkelen]
(2020).
De foreslåtte endringene i bioteknologiloven er et fremskritt for kvinnehelsen. 15 representanter fra det fostermedisinske fagmiljø. .
[Avis].
Aftenposten.
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Laine, Katariina; Haugen, Guttorm; Johnsen, Synnøve Lian & Salvesen, Kjell Å
(2019).
Det er på tide å innføre ultralyd i uke 12. Fire spesialister i fødselshjelp og kvinnesykdommer.
Aftenposten (morgenutg. : trykt utg.).
ISSN 0804-3116.
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Kaasen, Anne & Haugen, Guttorm
(2018).
Ultrasonographic detection of fetal malformation and parental longitudinal psychological stress responses.
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Kreyberg, Ina; Nordhagen, Live Solveig; Bains, Karen Eline Stensby; Hilde, Katarina; Skjerven, Håvard Ove & Nordlund, Bjørn
[Vis alle 12 forfattere av denne artikkelen]
(2017).
Is tobacco products by 18 weeks pregnancy outdated in Scandinavia?
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Kaasen, Anne; Helbig, Anne; Malt, Ulrik Fredrik; Skari, Hans; Næs, Tormod & Haugen, Guttorm
(2017).
Parental psychological stress responses in pregnancy after ultrasonographic detection of fetal malformation.
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Fredheim, Olav Magnus; Hansen, Thor Willy Ruud; Haugen, Guttorm & Magelssen, Morten
(2016).
O. Fredheim og medarbeidere svarer.
Tidsskrift for Den norske legeforening.
ISSN 0029-2001.
136(10),
s. 893–893.
doi:
10.4045/tidsskr.16.0440.
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Kiserud, Torvid & Haugen, Guttorm
(2016).
Umbilical circulation,
Fetal and neonatal physiology, 5th ed.
Elsevier.
ISSN 978-0-323-35214-7.
s. 599–610.
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Haugen, Guttorm; Bollerslev, Jens & Henriksen, Tore
(2016).
Human uterine blood flow velocity waveforms following maternal glucose loading related to fetal size: a cross-sectional observational study.
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Opheim, Gun Lisbet; Henriksen, Tore & Haugen, Guttorm
(2016).
The influence of a standard breakfast meal on the fetal middle cerebral and umbilical artery pulsatility indices.
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Fredheim, Olav Magnus; Hansen, Thor Willy Ruud; Haugen, Guttorm & Magelssen, Morten
(2016).
Re: Keisersnitt ved trisomi 13 og 18 - en verdibasert vurdering :.
Tidsskrift for Den norske legeforening.
ISSN 0029-2001.
136(14/15).
doi:
10.4045/tidsskr.16.0660.
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Fredheim, Olav Magnus; Hansen, Thor Willy Ruud; Haugen, Guttorm & Magelssen, Morten
(2016).
O. Fredheim og medarbeidere svarer :.
Tidsskrift for Den norske legeforening.
ISSN 0029-2001.
136(11),
s. 980–981.
doi:
10.4045/tidsskr.16.0488.
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Helbig, Anne; Kaasen, Anne; Malt, Ulrik Fredrik & Haugen, Guttorm
(2016).
Does early antenatal maternal psychological distress affect fetal cerebro-placental circulation in third trimester?
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Helbig, Anne; Kaasen, Anne; Malt, Ulrik Fredrik & Haugen, Guttorm
(2016).
Does maternal psychological distress in third trimester affect fetal cerebro-placental circulation measures?
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Eggebø, Torbjørn Moe & Haugen, Guttorm
(2016).
Fosterreduksjon ved ukompliserte tvillingsvangerskap.
Dagens medisin.
ISSN 1501-4290.
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Haugen, Guttorm; Novakovic, Zarko; Kirste, Unni M; Husby, Henrik & Dorenberg, Eric Jürgen
(2015).
Uterine artery Doppler flow velocity waveform analysis following uterine fibroid embolisation.
Journal of Obstetrics and Gynaecology.
ISSN 0144-3615.
35(3),
s. 316–317.
doi:
10.3109/01443615.2014.940298.
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Kaasen, Anne; Helbig, Anne; Malt, Ulrik Fredrik; Næs, Tormod; Skari, Hans & Haugen, Guttorm
(2014).
Maternal Psychological responses after detection of a fetal malformation - a longtudinal study in pregnancy.
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Kaasen, Anne; Helbig, Anne; Heiberg, Arvid; Eiklid, Kristin Louise; Næs, Tormod & Malt, Ulrik Fredrik
[Vis alle 7 forfattere av denne artikkelen]
(2012).
Påvirker polymorfisme i serotonin genet den maternelle psykologiske reaksjonen etter at det er oppdaget fosteravvik?
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Kaasen, Anne; Helbig, Anne; Skari, Hans; Heiberg, Arvid; Næs, Tormod & Malt, Ulrik Fredrik
[Vis alle 7 forfattere av denne artikkelen]
(2012).
Paternal psychological response shortly after ultrasonographic detection of structural fetal anomaly.
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Kaasen, Anne; Helbig, Anne; Heiberg, Arvid; Eiklid, Kristin Louise; Næs, Tormod & Malt, Ulrik Fredrik
[Vis alle 7 forfattere av denne artikkelen]
(2012).
Does serotonin transporter gene polymorphism influence the maternal psychological reaction shortly after sonographic detection of fetal anomaly?
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Helbig, Anne; Kaasen, Anne; Malt, Ulrik Fredrik & Haugen, Guttorm
(2011).
Maternelt psykologisk stress i svangerskapet – effekt på føtoplacentær sirkulasjon i tredje trimester.
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Helbig, Anne; Kaasen, Anne; Malt, Ulrik Fredrik & Haugen, Guttorm
(2011).
Does maternal psychological distress affect feto-placental volume blood flow in third trimester?
Ultrasound in Obstetrics and Gynecology.
ISSN 0960-7692.
doi:
10.1002/uog.9513.
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Kinserdal, Stein; Arianson, Helga; Brinchmann, Berit Støre; Eik-Nes, Sturla; Hansen, Kirsti Inger & Haugen, Guttorm
[Vis alle 17 forfattere av denne artikkelen]
(2013).
Uavhengig ekspertgruppe for vurdering av svangerskapsavbrudd.
helsedirektoratet/HOD.
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