Vedran Stefanović
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View article: Low-dose prednisone and pregnancy prolongation in threatened preterm birth a randomized pilot study
Low-dose prednisone and pregnancy prolongation in threatened preterm birth a randomized pilot study Open
Objectives To compare pregnancy prolongation and neonatal outcomes in women with signs of threatened preterm birth (PTB) and intact membranes by administration of low-doses of prednisone for 3 weeks compared to women who received standard …
View article: Clinical characteristics and outcomes of pregnancies at-risk of hemolytic disease of the fetus and newborn in Sweden, Finland, and Denmark: a population-based register study
Clinical characteristics and outcomes of pregnancies at-risk of hemolytic disease of the fetus and newborn in Sweden, Finland, and Denmark: a population-based register study Open
View article: Hypoxic-ischemic encephalopathy following intrapartum asphyxia: is it avoidable?
Hypoxic-ischemic encephalopathy following intrapartum asphyxia: is it avoidable? Open
Of term newborns with hypoxic-ischemic encephalopathy and normal admission cardiotocogram, 98% were attributable to intrapartum asphyxia. Our findings indicate that half of the cases of intrapartum hypoxic-ischemic encephalopathy with a no…
View article: Collaboration on Treatment of Twin-to-Twin Transfusion Syndrome in a Borderless Nordic Center
Collaboration on Treatment of Twin-to-Twin Transfusion Syndrome in a Borderless Nordic Center Open
Introduction: The Nordic Fetal Therapy Alliance centralizes treatment of twin-to-twin transfusion (TTTS) to ensure high-quality fetal therapy. This study reports the outcomes of treated TTTS cases and highlights the importance of internati…
View article: International multicenter prospective evaluation of PAS management in 23 IS‐PAS member centers
International multicenter prospective evaluation of PAS management in 23 IS‐PAS member centers Open
peer reviewed
View article: Preeclampsia screening and prevention—A Nordic perspective
Preeclampsia screening and prevention—A Nordic perspective Open
View article: Advances in uterine‐preserving surgical techniques for placenta accreta spectrum
Advances in uterine‐preserving surgical techniques for placenta accreta spectrum Open
Sir, We read with great interest the Letter to the Editor by Palacios-Jaraquemada et al. We are pleased to see that the authors havetaken the publication of the International Society for PlacentaAccreta Spectrum (IS-PAS) as an opportunity …
View article: Emergency delivery in case of suspected placenta accreta spectrum: Can it be predicted?
Emergency delivery in case of suspected placenta accreta spectrum: Can it be predicted? Open
Introduction The main goal of placenta accreta spectrum (PAS) screening is to enable delivery in an expert center in the presence of an experienced team at an appropriate time. Our study aimed to identify independent risk factors for emerg…
View article: External validation of and improvement upon a model for the prediction of placenta accreta spectrum severity using prospectively collected multicenter ultrasound data
External validation of and improvement upon a model for the prediction of placenta accreta spectrum severity using prospectively collected multicenter ultrasound data Open
Introduction This study aimed to validate the Sargent risk stratification algorithm for the prediction of placenta accreta spectrum (PAS) severity using data collected from multiple centers and using the multicenter data to improve the mod…
View article: Prevalence of fetal anomalies, stillbirth, neonatal morbidity, or mortality in pregnancies complicated by placenta accreta spectrum disorders
Prevalence of fetal anomalies, stillbirth, neonatal morbidity, or mortality in pregnancies complicated by placenta accreta spectrum disorders Open
Introduction Placenta accreta spectrum disorders (PAS) lead to major complications in pregnancy. While the maternal morbidity associated with PAS is well known, there is less information regarding neonatal morbidity in this setting. The ai…
View article: Opportunities for, and barriers to, uterus‐preserving surgical techniques for placenta accreta spectrum
Opportunities for, and barriers to, uterus‐preserving surgical techniques for placenta accreta spectrum Open
Introduction Placenta accreta spectrum (PAS) can lead to major peripartum morbidity. Appropriate management approaches depend on the clinical severity, each individual's preference, and the treating team's expertise. Peripartum hysterectom…
View article: Table of Contents
Table of Contents Open
View article: Intrapartum cardiotocography with simultaneous maternal heart rate registration improves neonatal outcome
Intrapartum cardiotocography with simultaneous maternal heart rate registration improves neonatal outcome Open
The use of external ultrasound transducer monitoring of fetal heart rate without simultaneous maternal heart rate recording is associated with higher rates of neonatal encephalopathy and severe neonatal acidemia. We suggest that either ext…
View article: Serum erythropoietin level is increased during stimulation for IVF but not in OHSS
Serum erythropoietin level is increased during stimulation for IVF but not in OHSS Open
View article: Busy day effect on adverse obstetric outcomes using a nationwide ecosystem approach: Cross‐sectional register study of 601 247 hospital deliveries
Busy day effect on adverse obstetric outcomes using a nationwide ecosystem approach: Cross‐sectional register study of 601 247 hospital deliveries Open
Objective To study the busy day effect on selected neonatal adverse outcomes in different sized delivery hospitals and in the entire nationwide obstetric ecosystem. Design A cross‐sectional register study. Setting The lowest and highest 10…
View article: In Memoriam
In Memoriam Open
It is with great sadness that we recently learned of the death of the two honored colleagues.They both have enriched the world of perinatal ultrasound and made this world much better place.Professor Beryl Benacerraf was born in New York on…
View article: Stillbirth aftercare in a tertiary obstetric center–parents’ experiences
Stillbirth aftercare in a tertiary obstetric center–parents’ experiences Open
View article: A simple guide to ultrasound screening for placenta accreta spectrum for improving detection and optimizing management in resource limited settings
A simple guide to ultrasound screening for placenta accreta spectrum for improving detection and optimizing management in resource limited settings Open
Placenta accreta spectrum is a pregnancy complication associated with severe morbidity and maternal mortality especially when not suspected antenatally and appropriate management instigated. Women in resource‐limited settings are more like…
View article: Parity and gestational age are associated with vaginal microbiota composition in term and late term pregnancies
Parity and gestational age are associated with vaginal microbiota composition in term and late term pregnancies Open
This research was supported by EU H2020 programme Sweet Crosstalk ITN (814102), Academy of Finland, State Research Funding, and University of Helsinki.
View article: Stillbirth aftercare in a tertiary obstetric center – parents’ experiences
Stillbirth aftercare in a tertiary obstetric center – parents’ experiences Open
Objectives This study aimed to assess parents’ satisfaction with received care and support when experiencing stillbirth. Methods This was a questionnaire survey conducted at Helsinki University Hospital, Helsinki, Finland during 2016–2020.…
View article: Busy day effect on the use of obstetrical interventions and epidural analgesia during labour: a cross-sectional register study of 601 247 deliveries
Busy day effect on the use of obstetrical interventions and epidural analgesia during labour: a cross-sectional register study of 601 247 deliveries Open
Background Daily delivery volume might affect the quality of obstetric care. We explored the busy day effect on selected obstetrical interventions and epidural analgesia performed during labour in different sized delivery hospitals and on …
View article: Genetic spectrum of prenatally diagnosed skeletal dysplasias in a Finnish patient cohort
Genetic spectrum of prenatally diagnosed skeletal dysplasias in a Finnish patient cohort Open
Objective This retrospective cohort study aims to describe the genetic spectrum of fetal skeletal dysplasias detected in a Finnish patient cohort and the diagnostic yield of various analysis methods used. Method A total of 121 pregnancies …
View article: COVID-19 Vaccination: Collision of Science, Politics and Religion
COVID-19 Vaccination: Collision of Science, Politics and Religion Open
COVID-19 pandemic, apart from the death toll and destroyed economies, has changed the world in a previously unseen way of great magnitude.The development of vaccines has not achieved the expected effect in the fight against this virus for …
View article: Cost of providing cell-free DNA screening for Down syndrome in Finland using different strategies
Cost of providing cell-free DNA screening for Down syndrome in Finland using different strategies Open
Objectives A financial analysis is carried out to assess costs and benefits of providing cell-free DNA screening in Finland, using different strategies. Methods Three cell-free DNA screening strategies are considered: Primary, all women; S…
View article: Parity and gestational age are associated with vaginal microbiota composition in term and late term pregnancies
Parity and gestational age are associated with vaginal microbiota composition in term and late term pregnancies Open
Vaginal microbiota and its potential contribution to preterm birth has been under intense research in recent years. However, only few studies have studied vaginal microbiota in later stages of pregnancy or at the onset of labor. We analyze…
View article: Daily patient flow unevenness in different sized delivery hospitals – An 11-year register study of 610 227 deliveries
Daily patient flow unevenness in different sized delivery hospitals – An 11-year register study of 610 227 deliveries Open
Unevenness in daily patient flow was more prominent in the smaller delivery units compared to larger ones. Quiet and busy days both caused challenges to delivery unit organisations. During quiet days, fully over-resourcing of staffing occu…
View article: Busy day effect on intrapartum adverse maternal outcomes : a population‐based study of 601 247 singleton deliveries
Busy day effect on intrapartum adverse maternal outcomes : a population‐based study of 601 247 singleton deliveries Open
\n \n Background\n This was a retrospective population-based study, utilizing the data of 601 247 singleton hospital deliveries collected from the Finnish Medical Birth Register (MBR) in 2006–2016. The aim of this study was to analyse the …
View article: Maternal and neonatal outcomes in planned versus emergency cesarean delivery for placenta accreta spectrum: A multinational database study
Maternal and neonatal outcomes in planned versus emergency cesarean delivery for placenta accreta spectrum: A multinational database study Open
Introduction Placenta accreta spectrum (PAS) is a condition often resulting in severe maternal morbidity. Scheduled delivery by an experienced team has been shown to improve maternal outcomes; however, the benefits must be weighed against …
View article: The relation between maternal obesity and placenta accreta spectrum: A multinational database study
The relation between maternal obesity and placenta accreta spectrum: A multinational database study Open
Introduction It has been suggested that women with obesity have increased risk of developing placenta accreta spectrum (PAS). It is unclear if this is independent of the increased risk of cesarean delivery seen with obesity itself. The aim…
View article: Developing a database for multicenter evaluation of placenta accreta spectrum
Developing a database for multicenter evaluation of placenta accreta spectrum Open
Studies of rare, but complex clinical conditions require multicenter cooperation. The International Society for Placenta accreta spectrum (IS‐PAS) have established a secure web‐based database to analyze pregnancies complicated by PAS. By r…