This systematic review, published in the American Journal of Obstetrics & Gynecology, summarizes 18 studies encompassing 605,138 individuals. Spontaneous preterm birth in people with prior second-stage cesarean delivery was twice as likely when compared with operative vaginal delivery but the majority of studies didn't address important confounding factors and had a high risk of misclassification bias.
This protocol outlines a systematic review and meta-analysis that will synthesize the extant literature to better estimate the rates of OASI in Asian and white populations in nonAsian, high-income settings and the relative risk of OASI between these two groups. This systematic summary of the evidence will inform the discrepancy in health outcomes experienced by Asian and white birthing individuals.
Abi’s doctoral research will focus on the effects of mode of delivery on subsequent pregnancy complications under the supervision of Dr. Muraca.
Best of luck on your doctoral work , Abi!!
Principal Investigators Drs. Giulia Muraca and Jon Barrett – with co-investigators Drs. Rohan D’Souza and Sarka Lisonkova (University of British Columbia) – received $200,000 from the Hamilton Academic Health Sciences Organization (HAHSO) to study the long-term outcomes of mothers and babies following forceps, vacuum and cesarean deliveries that occur late in labour.
The study will use information from population-based databases in Ontario and British Columbia to follow mothers and babies for up to 18 years to assess physical and mental health outcomes among mothers and neurodevelopmental outcomes among children.
Understanding the long-term benefits and risks associated with these different modes of delivery can assist in the prevention and early treatment of medical conditions and will support pregnant individuals in making informed decisions about mode-of-delivery interventions late in labour.
We are delighted to announce that Alexander Hemming has joined PERL as our new Data Analyst. Welcome, Alexander! We’re all looking forward to working with you and indulging in nerdy coding jargon with a fellow data-phile.
PERL PhD student, Irina Oltean, and MSc student, Meejin Park, presented their work at the Annual Health Research Methods, Evidence and Impact Research Day on Thursday, Mar 23rd. Irina delivered an oral presentation of her work on severe maternal and perinatal morbidity and mortality associated with operative delivery and Meejin presented her poster on Asian-white disparities in obstetric anal sphincter injuries. We are so proud of these exceptional PERLers!!!
This study, entitled: “Hospital factors associated with maternal and neonatal outcomes of deliveries to patients with a previous cesarean delivery: an ecological study” found that rates of serious adverse maternal and neonatal outcomes did not decrease with increasing hospital tier of obstetric service and delivery volume.
Dr. Giulia Muraca (NPI) and Dr. Rohan D’Souza (PI), along with Co-Investigators Dr. Jon Barrett and Dr. Liz Darling, were awarded $336,600 to launch their project: “Advancing equity in maternal and perinatal care in Canada: Population-based investigations of racial and ethnic disparities in severe maternal morbidity and severe perinatal morbidity and mortality”. This initiative will use an innovative linkage of high-quality, population-based datasets in Canada to study racial disparities in severe pregnancy complications across the country, to profile the patterns and drivers of these complications, and to evaluate intersectional and mediating factors, in an effort to inform evidence-based, clinical and health policy targets to promote health equity in maternal and neonatal health.
The awards will be presented at the 2022 Hamilton Health Sciences Foundation Gala on Saturday, December 10th, 2022
Congratulations to PERL Master's student, Meejin Park, for her selection for an oral presentation at this year's Racialized Maternal Health Conference.
Watch PERL collaborator, Dr. Sarka Lisonkova, summarize recent results from a population-based cohort study of deliveries in the US that quantified racial and ethnic disparities in perinatal death, preterm birth, and serious neonatal morbidity.