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63 papers found.
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Up to seven-fold inter-hospital differences in obstetric anal sphincter injury rates- A birth register-based study in Finland

Background The occurrence of obstetric anal sphincter injuries (OASIS) - which may have serious, long-term effects on affected women, including faecal incontinence, despite primary repair - varies widely between countries and have been chosen one of the indicators for patient safety in Organisation for Economic Cooperation and Development (OECD) countries and in Nordic countries. ...

The role of nocturnal delivery and delivery during the holiday period in Finland on obstetric anal sphincter rupture rates- a population based observational study

Background Obstetric anal sphincter rupture (OASR) is a serious complication of delivery, which frequently results in faecal incontinence despite primary repair and has serious implications for women's health. The objective of this study was to assess whether human factors, workload and staffing at night, at weekends and during holidays has an effect on the increasing OASR rates ...

Infertility Treatment and Umbilical Cord Length–Novel Markers of Childhood Epilepsy?

Background Epilepsy is one of the most common neurologic disorders of childhood, affecting about 0.4−0.8% of all children up to the age of 20. Methodology A population-based retrospective cohort study. Aim was to determine incidence and identify perinatal and reproductive risk factors of epilepsy in children born between 1989 and 2008 among women (n = 43,389) delivered in Kuopio ...

Excess Mortality, Causes of Death and Life Expectancy in 270,770 Patients with Recent Onset of Mental Disorders in Denmark, Finland and Sweden

, Finland and Sweden Merete Nordentoft Kristian Wahlbeck Jonas Ha llgren Jeanette Westman Urban O sby Hassan Alinaghizadeh Mika Gissler Thomas Munk Laursen Thomas Burne, University of Queensland, Australia

Can the outcome of the next pregnancy be predicted at the time of induced abortion?

BACKGROUND Factors predicting the outcome of the next pregnancy following termination of pregnancy (TOP) are poorly known. METHODS A cohort of 1269 women undergoing medical TOP between 2000 and 2002 were followed up until the next pregnancy or until the end of 2006, using registers of induced abortion, births and hospital discharges. Factors associated with repeat TOP, delivery and ...

Infant and childhood neurodevelopmental outcomes following prenatal exposure to selective serotonin reuptake inhibitors: overview and design of a Finnish Register-Based Study (FinESSI)

) Heli Malm 0 1 Miia Artama Alan S Brown Mika Gissler David Gyllenberg Susanna Hinkka-Yli-Salomki Ian McKeague Andre Sourander 0 Department of Clinical Pharmacology, Helsinki University and Helsinki

Use of psychotropic drugs before pregnancy and the risk for induced abortion: population-based register-data from Finland 1996-2006

Background Some, though not all studies have reported an increased risk for mental health problems after an induced abortion. Problems with design and data have compromised these studies and the generalisation of their results. Methods The Finnish Medication and Pregnancy database (N = 622 671 births and 114 518 induced abortions for other than fetal reasons) in 1996-2006 was ...

Immediate adverse events after second trimester medical termination of pregnancy: results of a nationwide registry study

BACKGROUND Increasing gestational age is associated with an increased risk of complications in studies assessing surgical termination of pregnancy (TOP). Medical TOP is widely used during the second trimester and little is known about the frequency of complications. This epidemiological study was undertaken to assess the frequency of adverse events following the second trimester ...

Maternal and Perinatal Characteristics and the Risk of Cow's Milk Allergy in Infants up to 2 Years of Age: A Case-Control Study Nested in the Finnish Population

Welfare, National Institute for Health and Welfare, Helsinki, Finland (Annamari Lundqvist); Department of Information, National Institute for Health and Welfare, Helsinki, Finland (Mika Gissler); Department ... of Lifestyle and Participation, National Institute for Health and Welfare, Helsinki, Finland (Johanna Metsala, Suvi M. Virtanen); Nordic School of Public Health, Gothenburg, Sweden (Mika Gissler

Resource allocation of in vitro fertilization: a nationwide register-based cohort study

Background Infertility is common and in vitro fertilization (IVF) is a widely used treatment. In IVF the need increases and the effectiveness and appropriateness decrease by age. The purpose of this study was to describe allocation of resources for IVF by women's age, socioeconomic position, area of residence and treatment sector (public vs. private) and to discuss how fairly the ...

The socio-demographic patterning of sexual risk behaviour: a survey of young men in Finland and Estonia

Background Sexually transmitted infections (STIs) among the youth are an increasing challenge for public health in Europe. This study provided estimates of men's (18–25 years) sexual risk behaviour and self-reported STIs and their socio-demographic patterning in Finland and Estonia; two countries that are geographically close, but have very different STI epidemics. Method ...

Treatment for cervical intraepithelial neoplasia and subsequent IVF deliveries

BACKGROUND The aim was to study whether the treatment of cervical intraepithelial neoplasia (CIN) is associated with a subsequent increase in the use of IVF to achieve deliveries and whether women with cervical treatment and IVF have increased rates of preterm delivery. METHODS This was a register-based retrospective cohort (n = 822 183 deliveries) study from Finland whose main ...

Perinatal Factors and the Risk of Asthma in Childhood—A Population-based Register Study in Finland

The aim of the study was to assess whether perinatal factors are associated with the risk of asthma in childhood in a register-based, nested case-control study in Finland. All children born between January 1, 1996, and April 30, 2004, who were entitled to a special reimbursement for antiasthmatic drugs (i.e., had diagnosed asthma by 2006 and had purchased inhaled corticosteroids or ...

Complications of IVF and ovulation induction

BACKGROUND: The frequency and importance of complications of IVF and other ovulation induction (OI) are poorly known. We examined the occurrence of serious complications and miscarriages leading to hospitalization or operation after IVF (including microinjections and frozen embryo transfers) and OI treatment (with or without insemination). METHODS: Women who received IVF (n = 9175) ...

Comparison of perinatal health of children born from IVF in Finland in the early and late 1990s

BACKGROUND: The purpose of this study was to investigate whether perinatal health outcomes changed during the 1990s with the increasing use of IVF. METHODS: Data were from the Finnish Medical Birth Register for periods 1991–1993 and 1998–1999. Outcomes of IVF infants and other infants were compared, both overall and separately for singleton and multiple births, by adjusting for ...

Post-neonatal hospitalization and health care costs among IVF children: a 7-year follow-up study

BACKGROUND The objective of this study was to evaluate whether the post-neonatal hospitalization and resulting health care costs are increased among in vitro fertilization (IVF) children up to 7 years of age. METHODS We conducted a population-based cohort study with linkage to a national hospital discharge register including 303 IVF children, born from 1990 to 1995, and 567 control ...

Monitoring of IVF birth outcomes in Finland: a data quality study

Background The collection of information on infertility treatments is important for the surveillance of potential health consequences and to monitor service provision. Study design We compared the coverage and outcomes of IVF children reported in aggregated IVF statistics, the Medical Birth Register (subsequently: MBR) and research data based on reimbursements for IVF treatments in ...

Pregnancy weight gain and breast cancer risk

Background Elevated pregnancy estrogen levels are associated with increased risk of developing breast cancer in mothers. We studied whether pregnancy weight gain that has been linked to high circulating estrogen levels, affects a mother's breast cancer risk. Methods Our cohort consisted of women who were pregnant between 1954–1963 in Helsinki, Finland, 2,089 of which were eligible ...