File Download

There are no files associated with this item.

  Links for fulltext
     (May Require Subscription)
Supplementary

Article: Delivery recommendations for pregnant females with risk factors for rhegmatogenous retinal detachment

TitleDelivery recommendations for pregnant females with risk factors for rhegmatogenous retinal detachment
Authors
Issue Date2015
Citation
Canadian Journal of Ophthalmology, 2015, v. 50, n. 1, p. 11-18 How to Cite?
Abstract© 2015 Canadian Ophthalmological Society.Objective High-risk pathologies for rhegmatogenous retinal detachment (RRD) in otherwise healthy pregnant females are not contraindications for spontaneous vaginal delivery. However, 74% of European obstetrician-gynecologist (OBGYN) respondents in 2008 recommended operative delivery for females at risk for RRD. This discrepancy is likely due to an older study suggesting a causal relation between Valsalva-like manoeuvres and RRD. The purpose of this study is to determine current delivery recommendations for healthy pregnant females with high-risk pathologies for RRD among Canadian ophthalmologists and OBGYNs. Methods Anonymous prospective cross-sectional survey sent via electronic link in 2013. χ2 test of proportions was used to compare delivery recommendations between the 2 specialties. Multinomial logistic regression was used to identify predictors for recommendations. Results A total of 356 participants responded including 92 ophthalmologists and 27 trainees, and 185 OBGYNs and 52 trainees. For healthy pregnant females with previously treated retinal hole/tear or treated RRD, significantly more OBGYNs recommended cesarean section and significantly more ophthalmologists recommended spontaneous vaginal delivery. Length of practice and type of practice setting were significant predictors among obstetricians in their delivery recommendations. Conclusions This study is the first to include obstetricians, ophthalmologists, and their trainees in a survey of the recommended mode of delivery for pregnant females with risk factors of RRD. Our results suggest that obstetricians concerned about potential RRD in pregnant patients may be unnecessarily recommending operative management. Educational sessions on the risk for RRD with spontaneous vaginal delivery may reconcile the current differences in recommendations between ophthalmologists and obstetricians.
Persistent Identifierhttp://hdl.handle.net/10722/228210
ISSN
2015 Impact Factor: 1.46
2015 SCImago Journal Rankings: 0.685

 

DC FieldValueLanguage
dc.contributor.authorChiu, Hannah-
dc.contributor.authorSteele, Donna-
dc.contributor.authorMcAlister, Chryssa-
dc.contributor.authorLam, Wai Ching-
dc.date.accessioned2016-08-01T06:45:28Z-
dc.date.available2016-08-01T06:45:28Z-
dc.date.issued2015-
dc.identifier.citationCanadian Journal of Ophthalmology, 2015, v. 50, n. 1, p. 11-18-
dc.identifier.issn0008-4182-
dc.identifier.urihttp://hdl.handle.net/10722/228210-
dc.description.abstract© 2015 Canadian Ophthalmological Society.Objective High-risk pathologies for rhegmatogenous retinal detachment (RRD) in otherwise healthy pregnant females are not contraindications for spontaneous vaginal delivery. However, 74% of European obstetrician-gynecologist (OBGYN) respondents in 2008 recommended operative delivery for females at risk for RRD. This discrepancy is likely due to an older study suggesting a causal relation between Valsalva-like manoeuvres and RRD. The purpose of this study is to determine current delivery recommendations for healthy pregnant females with high-risk pathologies for RRD among Canadian ophthalmologists and OBGYNs. Methods Anonymous prospective cross-sectional survey sent via electronic link in 2013. χ<sup>2</sup> test of proportions was used to compare delivery recommendations between the 2 specialties. Multinomial logistic regression was used to identify predictors for recommendations. Results A total of 356 participants responded including 92 ophthalmologists and 27 trainees, and 185 OBGYNs and 52 trainees. For healthy pregnant females with previously treated retinal hole/tear or treated RRD, significantly more OBGYNs recommended cesarean section and significantly more ophthalmologists recommended spontaneous vaginal delivery. Length of practice and type of practice setting were significant predictors among obstetricians in their delivery recommendations. Conclusions This study is the first to include obstetricians, ophthalmologists, and their trainees in a survey of the recommended mode of delivery for pregnant females with risk factors of RRD. Our results suggest that obstetricians concerned about potential RRD in pregnant patients may be unnecessarily recommending operative management. Educational sessions on the risk for RRD with spontaneous vaginal delivery may reconcile the current differences in recommendations between ophthalmologists and obstetricians.-
dc.languageeng-
dc.relation.ispartofCanadian Journal of Ophthalmology-
dc.titleDelivery recommendations for pregnant females with risk factors for rhegmatogenous retinal detachment-
dc.typeArticle-
dc.description.natureLink_to_subscribed_fulltext-
dc.identifier.doi10.1016/j.jcjo.2014.10.015-
dc.identifier.pmid25677277-
dc.identifier.scopuseid_2-s2.0-84923063802-
dc.identifier.volume50-
dc.identifier.issue1-
dc.identifier.spage11-
dc.identifier.epage18-
dc.identifier.eissn1715-3360-

Export via OAI-PMH Interface in XML Formats


OR


Export to Other Non-XML Formats