Ellen Blix
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View article: Measuring Agreement in Diagnostics: A Practical Guide for Researchers
Measuring Agreement in Diagnostics: A Practical Guide for Researchers Open
Healthcare professionals routinely perform clinical examinations and diagnostic assessments. How the findings of these assessments are interpreted can have significant implications for patient care and outcomes. A recent systematic review …
View article: Healthcare providers' perceptions of maternal and newborn care quality in the West Bank, Palestine: a qualitative study
Healthcare providers' perceptions of maternal and newborn care quality in the West Bank, Palestine: a qualitative study Open
Background The Sustainable Development Goals highlight the need for high-quality antenatal, intrapartum, and postnatal care to reduce maternal morbidity and mortality and enhance overall well-being. This study aimed to explore healthcare p…
View article: A comprehensive guide to study the agreement and reliability of multi-observer ordinal data
A comprehensive guide to study the agreement and reliability of multi-observer ordinal data Open
Background A recent systematic review revealed issues in regard to performing and reporting agreement and reliability studies for ordinal scales, especially in the presence of more than two observers. This paper therefore aims to provide a…
View article: Cost minimisation analyses of birth care in low-risk women in Norway: a comparison between planned home birth and birth in a standard obstetric unit
Cost minimisation analyses of birth care in low-risk women in Norway: a comparison between planned home birth and birth in a standard obstetric unit Open
Background Evidence exists that planned home births for low-risk women in settings in which they have access to hospital transfer if needed are safe. The costs of planned home births, compared to low-risk births in obstetric units, are not…
View article: How well can the fetal heart rate baseline be assessed by intrapartum intermittent auscultation? An interrater reliability and agreement study
How well can the fetal heart rate baseline be assessed by intrapartum intermittent auscultation? An interrater reliability and agreement study Open
Background We aimed to examine the inter‐reliability and agreement among midwives when assessing the fetal heart rate (FHR) using the handheld Doppler. The primary aim was to measure the reliability and agreement of FHR baseline (baseline)…
View article: Intrapartum fetal monitoring practices in Norway: A population-based study
Intrapartum fetal monitoring practices in Norway: A population-based study Open
Most births are monitored with CTG only, or combined with IA. Half the women with low-risk pregnancies and straightforward births were monitored with CTG although national guidelines recommending IA.
View article: The association between waterbirth and perineal injury or other adverse outcomes among low-risk women with physiological birth: Results from the Nordic Home Birth Cohort Study
The association between waterbirth and perineal injury or other adverse outcomes among low-risk women with physiological birth: Results from the Nordic Home Birth Cohort Study Open
Low-risk women contemplating waterbirth should be advised to weigh the risks and benefits detected in this study against previously established benefits of waterbirth and should make an informed choice based on their values.
View article: Methodological quality in reliability/agreement studies
Methodological quality in reliability/agreement studies Open
We have read the study comparing two guidelines for assessing cardiotocography (CTG) classification in women monitored with CTG+STAN1 with great interest. Thirty-six CTG traces were collected from a database of 6999 births. All 36 CTGs wer…
View article: Labor curves based on cervical dilatation over time and their accuracy and effectiveness: A systematic scoping review
Labor curves based on cervical dilatation over time and their accuracy and effectiveness: A systematic scoping review Open
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…
View article: <scp>ST</scp> waveform analysis vs cardiotocography alone for intrapartum fetal monitoring: An updated systematic review and meta‐analysis of randomized trials
<span>ST</span> waveform analysis vs cardiotocography alone for intrapartum fetal monitoring: An updated systematic review and meta‐analysis of randomized trials Open
Introduction ST waveform analysis (STAN) was introduced as an adjunct to cardiotocography (CTG) to improve neonatal and maternal outcomes. The aim of the present study was to quantify the efficacy of STAN vs CTG and assess the quality of t…
View article: Expectations related to home‐based telemonitoring of high‐risk pregnancies: A qualitative study addressing healthcare providers' and users' views in Norway
Expectations related to home‐based telemonitoring of high‐risk pregnancies: A qualitative study addressing healthcare providers' and users' views in Norway Open
Introduction A pregnancy can be evaluated as high‐risk for the woman and/or the fetus based on medical history and on previous or ongoing pregnancy characteristics. Monitoring high‐risk pregnancies is crucial for early detection of alarmin…
View article: Reliability and agreement in intrapartum fetal heart rate monitoring interpretation: A systematic review
Reliability and agreement in intrapartum fetal heart rate monitoring interpretation: A systematic review Open
Introduction Fetal heart rate (FHR) monitoring is routine in intrapartum care worldwide and one of the most common obstetrical procedures. Intrapartum FHR monitoring helps assess fetal wellbeing and interpretation of the FHR help form deci…
View article: Births in freestanding midwifery-led units in Norway: What women view as important aspects of care
Births in freestanding midwifery-led units in Norway: What women view as important aspects of care Open
This study adds valuable knowledge regarding what women describe as important aspects of care in free-standing midwifery-led units. Women experience maternity services in these units as peaceful, flexible and family-friendly. However, some…
View article: Association of oxytocin augmentation and duration of labour with postpartum haemorrhage: A cohort study of nulliparous women
Association of oxytocin augmentation and duration of labour with postpartum haemorrhage: A cohort study of nulliparous women Open
The potent drug oxytocin should be carefully administered, as doses of ≥ 20 mU/min were associated with an increased risk of PPH, regardless of the duration of oxytocin augmentation.
View article: Women’s negative childbirth experiences and socioeconomic factors: Results from the Babies Born Better survey
Women’s negative childbirth experiences and socioeconomic factors: Results from the Babies Born Better survey Open
Women with lower socioeconomic status are more exposed to negative experiences during labour and birth.
View article: Umbilical cord blood acid–base analysis at birth and long‐term neurodevelopmental outcomes in children: a systematic review and meta‐analysis
Umbilical cord blood acid–base analysis at birth and long‐term neurodevelopmental outcomes in children: a systematic review and meta‐analysis Open
Background Umbilical cord blood acid–base sampling is routinely performed at many hospitals. Recent studies have questioned this practice and the association of acidosis with cerebral palsy. Objective To investigate the associations betwee…
View article: Adaption and validation of the childbirth experience questionnaire (CEQ-SK) in Slovakia
Adaption and validation of the childbirth experience questionnaire (CEQ-SK) in Slovakia Open
The CEQ-SK was found to be a valid and reliable tool for evaluating childbirth experience in Slovakia. The original CEQ is a four-dimensional questionnaire; however, factor analysis showed a three-dimensional structure in the Slovak sample…
View article: <scp>STAN</scp> and fetal deaths
<span>STAN</span> and fetal deaths Open
We thank Kessler et al. for their comments on our study.1 We carried out a population study with the aim to evaluate the impact of introduction of STAN in Norway on the following outcome measures: occurrence of fetal and neonatal deaths, A…
View article: Changes in cesarean section rates after introduction of a punitive financial policy in Georgia: A population-based registry study 2017–2019
Changes in cesarean section rates after introduction of a punitive financial policy in Georgia: A population-based registry study 2017–2019 Open
Background There is little research on how financial incentives and penalties impact national cesarean section rates. In January 2018, Georgia introduced a national cesarean section reduction policy, which imposes a financial penalty on ho…
View article: Use of external cephalic version for breech presentation at term: A national survey of Norwegian birth units
Use of external cephalic version for breech presentation at term: A national survey of Norwegian birth units Open
The majority of Norwegian birth units offer ECV to pregnant women with fetuses in breech position to a large extent. However, the survey results reveal challenges related to ECV information provision to pregnant women, determination of wom…
View article: Giving birth and becoming a parent during the COVID-19 pandemic: A qualitative analysis of 806 women's responses to three open-ended questions in an online survey
Giving birth and becoming a parent during the COVID-19 pandemic: A qualitative analysis of 806 women's responses to three open-ended questions in an online survey Open
The COVID-19 pandemic seems to have affected women's experiences of giving birth and becoming a parent in Norway. The restrictions placed on companionship by the healthcare facilities varied between hospitals. However, the restrictions see…
View article: The impact of the introduction of intrapartum fetal <scp>ECG ST</scp> segment analysis. A population study
The impact of the introduction of intrapartum fetal <span>ECG ST</span> segment analysis. A population study Open
Introduction ST segment analysis (STAN) of the fetal electrocardiogram was introduced as an adjunct to cardiotocography for intrapartum fetal monitoring 30 years ago. We examined the impact of the introduction of STAN on changes in the occ…
View article: Practice, skills and experience with the Pinard stethoscope for intrapartum Foetal monitoring: Focus group interviews with Norwegian midwives.
Practice, skills and experience with the Pinard stethoscope for intrapartum Foetal monitoring: Focus group interviews with Norwegian midwives. Open
Norwegian midwives' practice, and experiences in using the Pinard for intrapartum foetal monitoring are connected to context as technological development and applicable situations. The midwives explained that knowledge obtained through exp…
View article: The overuse of intrapartum cardiotocography (CTG) for low-risk women: An actor-network theory analysis of data from focus groups
The overuse of intrapartum cardiotocography (CTG) for low-risk women: An actor-network theory analysis of data from focus groups Open
We found that the cardiotocograph is a multifaceted actant that influences practice by performing different roles. Drawing on this study, we suggest that actor-network theory could be a helpful theoretical perspective to critically reflect…
View article: The effect of Zhang’s guideline vs the WHO partograph on childbirth experience measured by the Childbirth Experience Questionnaire in the Labor Progression Study (LaPS): A cluster randomized trial
The effect of Zhang’s guideline vs the WHO partograph on childbirth experience measured by the Childbirth Experience Questionnaire in the Labor Progression Study (LaPS): A cluster randomized trial Open
Introduction Childbirth experience is an increasingly recognized and important measure of quality of obstetric care. Previous research has shown that it can be affected by intrapartum care and how labor is followed. A partograph is recomme…
View article: What women emphasise as important aspects of care in childbirth – an online survey
What women emphasise as important aspects of care in childbirth – an online survey Open
Objective To explore and describe what women who have given birth in Norway emphasise as important aspects of care during childbirth. Design The study is based on data from the Babies Born Better online survey, version 2. Setting The mater…