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norskBlar i forfatter Det helsevitenskapelige fakultet "Øian, Pål"
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Adverse events reporting by obstetric units in Norway as part of their quality assurance and patient safety work: an analysis of practice
(Journal article; Tidsskriftartikkel; Peer reviewed, 2021-09-08)Background - The Norwegian Board of Health Supervision aims to contribute to the improvement of quality and patient safety in the healthcare services. Planned audits were performed to investigate how 12 selected Norwegian obstetric units reported and analyzed adverse events as the part of their quality assurance and patient safety work.<p> Methods - Serious adverse events coded as birth asphyxia, ... -
Anal incontinence, urinary incontinence and sexual problems in primiparous women - a comparison between women with episiotomy only and women with episiotomy and obstetric anal sphincter injury
(Journal article; Tidsskriftartikkel; Peer reviewed, 2014) -
Associations between cervical dilatation on admission and mode of delivery, a cohort study of Norwegian nulliparous women
(Journal article; Tidsskriftartikkel; Peer reviewed, 2021-12-16)Objective - To investigate associations between cervical dilatation at hospital admission and mode of delivery.<p> <p>Methods - A cohort study with data from a cluster-randomised controlled trial, the Labour Progression Study. The study population of 6511 nulliparous women with a singleton fetus in cephalic presentation with spontaneous onset of labour at term, was divided into two groups: <4 cm ... -
Characteristics of women with chronic pelvic pain referred to physiotherapy treatment after multidisciplinary assessment: a cross-sectional study
(Journal article; Tidsskriftartikkel; Peer reviewed, 2019-01-31)<i>Background and aims</i> - Chronic pelvic pain (CPP) in women is a complex condition that can seriously impact health and quality of life. Clinical guidelines for CPP place great demands on healthcare professionals, as they require both specialized knowledge about the pelvic area and knowledge of the mechanisms of chronic pain. To ensure best possible assessment and treatment of these women it ... -
Episiotomy characteristics and risks for obstetric anal sphincter injuries: a case-control study
(Journal article; Tidsskriftartikkel; Peer reviewed, 2012)Objectives To investigate the association between the geometrical properties of episiotomy and obstetric anal sphincter injuries (OASIS) because episiotomies angled at 40–60° are associated with fewer OASIS than episiotomies with more acute angles. Design Case–control study. Setting University Hospital of North Norway, Tromsø and Nordland Hospital, Bodø, Norway. Sample Seventy-four women ... -
An evaluation by the Norwegian Health Care Supervision Authorities of events involving death or injuries in maternity care
(Journal article; Tidsskriftartikkel; Peer reviewed, 2018-06-15)<p><i>Introduction</i>: We aimed to determine how serious adverse events in obstetrics were assessed by supervision authorities.</p> <p><i>Material and methods</i>: We selected cases investigated by supervision authorities during 2009‐2013. We analyzed information about who reported the event, the outcomes of the mother and infant, and whether events resulted from errors at the individual or ... -
Evaluation of satisfaction with care in a midwifery unit and an obstetric unit: a randomized controlled trial of low-risk women
(Journal article; Tidsskriftartikkel; Peer reviewed, 2016-06-18)BACKGROUND Satisfaction with birth care is part of quality assessment of care. The aim of this study was to investigate possible differences in satisfaction with intrapartum care among low-risk women, randomized to a midwifery unit or to an obstetric unit within the same hospital. METHODS Randomized controlled trial conducted at the Department of Obstetrics and Gynecology, Østfold Hospital ... -
Fødselsomsorgen kan bli bedre
(Journal article; Tidsskriftartikkel, 2022-04-27)Til tross for en god fødselsomsorg i Norge skjer det uønskede hendelser med alvorlig utfall for mor og/eller barn. I media kan man jevnlig lese om alvorlige hendelser i forbindelse med fødsel, der tema ofte er dødsfall eller skade som følge av manglende eller feil helsehjelp. Disse historiene gjør inntrykk.<p> <p>Det er ikke bare den berørte familien som blir hardt rammet, det er også de involverte ... -
Group-based multimodal physical therapy in women with chronic pelvic pain: A randomized controlled trial
(Journal article; Tidsskriftartikkel; Peer reviewed, 2020-05-09)<p><i>Introduction - </i>Chronic pelvic pain in women is a complex condition, and physical therapy is recommended as part of a broader treatment approach. The objective of this study was to compare structured group‐based multimodal physical therapy in a hospital setting (intervention group) with primary‐care physical therapy (comparator group) for women with chronic pelvic pain. <p><i>Material and ... -
How common is substandard obstetric care in adverse events of birth asphyxia, shoulder dystocia and postpartum hemorrhage? Findings from an external inspection of Norwegian maternity units
(Journal article; Tidsskriftartikkel; Peer reviewed, 2020-07-15)Introduction - The Norwegian Board of Health Supervision inspects healthcare institutions to ensure safety and quality of health and welfare services. A planned inspection of 12 maternity units aimed to investigate the practice of obstetric care in the case of birth asphyxia, shoulder dystocia and severe postpartum hemorrhage.<p> <p>Material and methods - The inspection was carried out at two ... -
Impact of multi-professional, scenario-based training on postpartum hemorrhage in Tanzania: A quasi-experimental, pre- vs. post-intervention study
(Journal article; Tidsskriftartikkel; Peer reviewed, 2017-09-05)Background: <br> Tanzania has a relatively high maternal mortality ratio of 410 per 100,000 live births. Severe postpartum hemorrhage (PPH) is a major cause of maternal deaths, but in most cases, it is preventable. However, most pregnant women that develop PPH, have no known risk factors. Therefore, preventive measures must be offered to all pregnant women. This study investigated the effects ... -
Is the operative delivery rate in low-risk women dependent on the level of birth care? : a randomised controlled trial
(Journal article; Tidsskriftartikkel; Peer reviewed, 2011)Objective: To investigate possible differences in operative delivery rate among low-risk women, randomised to an alongside midwifery-led unit or to standard obstetric units within the same hospital. Design: Randomised controlled trial. Setting: Department of Obstetrics and Gynaecology, Østfold Hospital Trust, Tromsø, Norway. Population: A total of 1111 women assessed to be at low risk at onset ... -
Labor curves based on cervical dilatation over time and their accuracy and effectiveness: A systematic scoping review
(Journal article; Tidsskriftartikkel; Peer reviewed, 2024-03-22)Objectives - This systematic scoping review was conducted to 1) identify and describe labor curves that illustrate cervical dilatation over time; 2) map any evidence for, as well as outcomes used to evaluate the accuracy and effectiveness of the curves; and 3) identify areas in research that require further investigation.<p> <p>Methods - A three-step systematic literature search was conducted for ... -
Risk of obstetric anal sphincter injury associated with female genital mutilation/cutting and timing of deinfibulation
(Journal article; Tidsskriftartikkel; Peer reviewed, 2022-08-09)Introduction: A greater risk of obstetric anal sphincter injury has been reported among African migrants in several host countries compared with the general population. To what degree female genital mutilation/cutting affects this risk is not clear. In infibulated women, deinfibulation prevents anal sphincter injury. Whether the timing of deinfibulation affects the risk, is unknown. This study ... -
ST waveform analysis vs. cardiotocography alone for intrapartum fetal monitoring: A systematic review and meta-analysis of randomized trials
(Journal article; Tidsskriftartikkel; Peer reviewed, 2015)Key message: ST waveform analysis is purposed to be better for labor surveillance than conventional CTG. We quantified the efficacy of these two methods, assessing quality of the scientific evidence with the GRADE tool, and determined that evidence is insufficient to justify the use of ST waveform analysis as intrapartum monitoring. -
Study protocol: the Labor Progression Study, LAPS - does the use of a dynamic progression guideline in labor reduce the rate of intrapartum cesarean sections in nulliparous women? A multicenter, cluster randomized trial in Norway.
(Journal article; Tidsskriftartikkel; Peer reviewed, 2017-11-13)Background: <br>The increasing rate of intrapartum cesarean sections is subject of attention and concern as it is associated with adverse outcomes. Labor dystocia is one of the most frequent indications for cesarean sections even though there is no consensus on criteria for labor dystocia. Traditionally the progression of labor follows guidelines based on Friedman’s curve from the mid 1950s. In ... -
Transfer to hospital in planned home births: a systematic review
(Journal article; Tidsskriftartikkel; Peer reviewed, 2014)Background: There is concern about the safety of homebirths, especially in women transferred to hospital during or after labour. The scope of transfer in planned home births has not been assessed in a systematic review. This review aimed to describe the proportions and indications for transfer from home to hospital during or after labour in planned home births. Methods: The databases Pubmed, ...
