Clinical Obstetrics
The research group "Clinical Obstetrics" has as an overall aim to improve the health of pregnant women and new-born children through research. In Sweden, 120,000 children are born annually, of which around 4200 are born at Akademiska sjukhuset in Uppsala. We are studying pregnancy complications such as preeclampsia, growth retardation and gestational diabetes, as well as complications affecting the newborn infant by usage of national health and quality registers, local databases and clinical studies. We also study complications related to childbirth and are following up children depending on perinatal exposures.
The research group consists of two professors (one obstetrician and one midwife), one is a senior lecturer (docent), and several postdocs and PhD students. We have well-developed cooperations with the Uppsala-Örebro region, particularly with Örebro and Falun. Further, we have several research collaborations with other research groups at Uppsala university, as well as with other universities in Sweden and other countries. The research methodologies include register-based studies and clinical studies, but also laboratory-based research. We are partners in several national randomized trials in maternal health care and childbirth.
In collaboration with other research groups within the Department of Women's and Children's Health, a biobank with blood samples from pregnancy has been established from over 14,000 women. The Biobank is available after approved application to the steering group (Uppsala Biobank for Pregnant Women).
There is also a clinical-epidemiological database that includes detailed information on 50,000 children born at the Academic Hospital, where the children are followed up to the age of 5 years. The database is available after approved application to the steering group (Uppsala Mor-Barn-kohort, contact person Anna-Karin.Wikstrom@uu.se).
In a longitudinal study, approximately 3,400 women answered questionnaires on three occasions: when enrolling into maternal health care, during pregnancy weeks 34-36, and 12 months after giving birth. The rationale for this study is the lack of knowledge on pregnancy planning, lifestyle and health in connection with pregnancy in the Swedish population. Linking to the medical birth register and the patient register is planned. The database is available after approved application to the steering group (contact person Maria.Jonsson@uu.se).
Group members
Publications
Part of Scandinavian Cardiovascular Journal, 2024
Part of Baillière's Best Practice & Research, 2024
Combined maternal central adiposity measures in relation to infant birth size
Part of Scientific Reports, 2024
Time to childbirth and assisted reproductive treatment in women with congenital heart disease
Part of Open heart, 2024
Pregnancy planning and neonatal outcome: a retrospective cohort study
Part of BMC Pregnancy and Childbirth, 2024
Part of European Journal of Obstetrics, Gynecology, and Reproductive Biology, p. 205-207, 2024
- DOI for European Association of Perinatal Medicine (EAPM), European Board and College of Obstetricians and Gynaecologists (EBCOG), European Midwives Association (EMA). Joint position statement: Substandard and disrespectful care in labour - because words matter
- Download full text (pdf) of European Association of Perinatal Medicine (EAPM), European Board and College of Obstetricians and Gynaecologists (EBCOG), European Midwives Association (EMA). Joint position statement: Substandard and disrespectful care in labour - because words matter
Part of European Journal of Neurology, 2024
Severe Perineal Lacerations in First Delivery: Association with Subsequent Reproductive Outcomes
Part of Journal of Women's Health, p. 542-550, 2024
Part of European Journal of Neurology, 2024
- DOI for Response to "More evidence is needed for the association between serum myasthenia gravis and adverse pregnancy, delivery and neonatal outcomes"
- Download full text (pdf) of Response to "More evidence is needed for the association between serum myasthenia gravis and adverse pregnancy, delivery and neonatal outcomes"
Part of Arthritis Research & Therapy, 2024
- DOI for Low CD4+T cell count is related to specific anti-nuclear antibodies, IFNα protein positivity and disease activity in systemic lupus erythematosus pregnancy
- Download full text (pdf) of Low CD4+T cell count is related to specific anti-nuclear antibodies, IFNα protein positivity and disease activity in systemic lupus erythematosus pregnancy
Breastfeeding in primiparous women with congenital heart disease: a register study
Part of International Breastfeeding Journal, 2024
Part of American Journal of Reproductive Immunology, 2024
Part of BMJ. British Medical Journal, 2024
- DOI for Lateral episiotomy or no episiotomy in vacuum assisted delivery in nulliparous women (EVA): multicentre, open label, randomised controlled trial
- Download full text (pdf) of Lateral episiotomy or no episiotomy in vacuum assisted delivery in nulliparous women (EVA): multicentre, open label, randomised controlled trial
Part of PLoS Medicine, 2024
Part of American Journal of Obstetrics and Gynecology, 2024
- DOI for Tafoxiparin, a novel drug candidate for cervical ripening and labor augmentation: results from 2 randomized, placebo-controlled studies
- Download full text (pdf) of Tafoxiparin, a novel drug candidate for cervical ripening and labor augmentation: results from 2 randomized, placebo-controlled studies
Part of Acta Obstetricia et Gynecologica Scandinavica, p. 2101-2111, 2024
Part of eClinicalMedicine, 2024
- DOI for Prediction of adverse maternal and perinatal outcomes associated with pre-eclampsia and hypertensive disorders of pregnancy: a systematic review and meta-analysis
- Download full text (pdf) of Prediction of adverse maternal and perinatal outcomes associated with pre-eclampsia and hypertensive disorders of pregnancy: a systematic review and meta-analysis
Part of American Journal of Hypertension, 2024
Metformin use and preeclampsia risk in women with diabetes: a two-country cohort analysis
Part of BMC Medicine, 2024
Part of American Journal of Perinatology, 2024
Part of American Journal of Hypertension, p. 523-530, 2024
Part of Placenta, p. 78-88, 2024
- DOI for Inflammatory and cardiovascular markers in placenta following SARS-CoV-2 infection during pregnancy: A Swedish prospective cohort study
- Download full text (pdf) of Inflammatory and cardiovascular markers in placenta following SARS-CoV-2 infection during pregnancy: A Swedish prospective cohort study
Part of Acta Obstetricia et Gynecologica Scandinavica, 2024
- DOI for Polycystic ovary syndrome and gestational diabetes mellitus association to pregnancy outcomes: A national register-based cohort study
- Download full text (pdf) of Polycystic ovary syndrome and gestational diabetes mellitus association to pregnancy outcomes: A national register-based cohort study
Part of Acta Obstetricia et Gynecologica Scandinavica, p. 970-979, 2024
Heart disease in pregnancy and risk of pre-eclampsia: a Swedish register-based study
Part of Open heart, 2024
Part of Acta Obstetricia et Gynecologica Scandinavica, p. 2171-2182, 2024
Validity of prenatal AUDIT screening for alcohol disorders - a Nationwide Swedish register study
Part of Upsala Journal of Medical Sciences, 2024
Brain Vascular Dysfunction in Mothers and Their Children Exposed to Preeclampsia
Part of Hypertension, p. 242-256, 2023
Part of International Journal of Gynecology & Obstetrics, p. 10-21, 2023
Part of American Journal of Obstetrics and Gynecology, 2023
Management of obesity across women's life course: FIGO Best Practice Advice
Part of International Journal of Gynecology & Obstetrics, p. 35-49, 2023
Pregnancy as an opportunity to prevent type 2 diabetes mellitus: FIGO Best Practice Advice
Part of International Journal of Gynecology & Obstetrics, p. 56-67, 2023
Hypertensive disorders of pregnancy and long-term cardiovascular health: FIGO Best Practice Advice
Part of International Journal of Gynecology & Obstetrics, p. 22-34, 2023
Part of BMC Pregnancy and Childbirth, 2023
- DOI for Overall childbirth experience: what does it mean? A comparison between an overall childbirth experience rating and the Childbirth Experience Questionnaire 2
- Download full text (pdf) of Overall childbirth experience: what does it mean? A comparison between an overall childbirth experience rating and the Childbirth Experience Questionnaire 2
Part of European Journal of Obstetrics, Gynecology, and Reproductive Biology, p. 146-154, 2023
Circulating Chemerin Is Elevated in Women With Preeclampsia
Part of Endocrinology, 2023
Part of British Journal of Obstetrics and Gynecology, 2023
Part of Pregnancy Hypertension, p. 38-45, 2023
Part of Acta Obstetricia et Gynecologica Scandinavica, p. 728-734, 2023
Can single-cell and spatial omics unravel the pathophysiology of pre-eclampsia?
Part of Journal of Reproductive Immunology, 2023
Preterm birth and the mechanism of action of low-dose aspirin: a response
Part of American Journal of Obstetrics and Gynecology, p. 354-355, 2023
Neonatal outcomes of elective labor induction in low-risk term pregnancies
Part of Scientific Reports, 2023
Part of International Journal of Gynecology & Obstetrics, p. 989-997, 2023
- DOI for The COPE Staff study: Study description and initial report regarding job satisfaction, work-life conflicts, stress, and burnout among Swedish maternal and neonatal healthcare workers during the COVID-19 pandemic
- Download full text (pdf) of The COPE Staff study: Study description and initial report regarding job satisfaction, work-life conflicts, stress, and burnout among Swedish maternal and neonatal healthcare workers during the COVID-19 pandemic
Part of European journal of contraception & reproductive health care, p. 119-124, 2023
- DOI for Multiple induced abortions: implications for counselling and contraceptive services from a multi-centre cross-sectional study in Sweden
- Download full text (pdf) of Multiple induced abortions: implications for counselling and contraceptive services from a multi-centre cross-sectional study in Sweden
Part of Scientific Reports, 2023
- DOI for Maternal early mid-pregnancy adiponectin in relation to infant birth weight and the likelihood of being born large-for-gestational-age.
- Download full text (pdf) of Maternal early mid-pregnancy adiponectin in relation to infant birth weight and the likelihood of being born large-for-gestational-age.
Part of Frontiers in Physiology, 2023
Latent phase duration and associated outcomes: a contemporary, population-based observational study
Part of American Journal of Obstetrics and Gynecology, p. 1025-1036, 2023
Part of International Journal of Gynecology & Obstetrics, p. 787-791, 2023
The association between pre‐eclampsia and neonatal complications in relation to gestational age
Part of Acta Paediatrica, 2023
Part of Acta Obstetricia et Gynecologica Scandinavica, p. 1741-1748, 2023
Part of Reproductive Sciences, p. 1165-1175, 2023
Part of Acta Obstetricia et Gynecologica Scandinavica, p. 843-853, 2023
Polycystic ovary syndrome and risk of pre‐eclampsia: A national register‐based cohort study
Part of British Journal of Obstetrics and Gynecology, 2023
Part of Läkartidningen, 2023
Part of PLOS ONE, 2023
Study protocol: The cross-sectional Uppsala weight gain in pregnancy study (VIGA study)
Part of Upsala Journal of Medical Sciences, 2023
Part of Journal of the American Medical Association (JAMA), p. 393-404, 2023
Part of Sexual & Reproductive HealthCare, 2023
- DOI for The experience of being a partner to a childbearing woman whose pregnancy is complicated by pre-eclampsia: A Swedish qualitative study
- Download full text (pdf) of The experience of being a partner to a childbearing woman whose pregnancy is complicated by pre-eclampsia: A Swedish qualitative study
Part of Archives of Pathology & Laboratory Medicine, p. 660-676, 2022
- DOI for Placental Tissue Destruction and Insufficiency From COVID-19 Causes Stillbirth and Neonatal Death From Hypoxic-Ischemic Injury: A Study of 68 Cases With SARS-CoV-2 Placentitis From 12 Countries
- Download full text (pdf) of Placental Tissue Destruction and Insufficiency From COVID-19 Causes Stillbirth and Neonatal Death From Hypoxic-Ischemic Injury: A Study of 68 Cases With SARS-CoV-2 Placentitis From 12 Countries
Gestational Diabetes Mellitus Risk in Pregnant Women With Systemic Lupus Erythematosus
Part of Journal of Rheumatology, p. 465-469, 2022
Reply to: Re: Risk of pre-eclampsia after gastric bypass: a matched cohort study
Part of British Journal of Obstetrics and Gynecology, p. 678-679, 2022
Part of Reproductive Sciences, p. 2333-2341, 2022
Part of BMC Pregnancy and Childbirth, 2022
- DOI for A hybrid type I, multi-center randomized controlled trial to study the implementation of a method for Sustained cord circulation And VEntilation (the SAVE-method) of late preterm and term neonates: a study protocol
- Download full text (pdf) of A hybrid type I, multi-center randomized controlled trial to study the implementation of a method for Sustained cord circulation And VEntilation (the SAVE-method) of late preterm and term neonates: a study protocol
Part of Sexual & Reproductive HealthCare, 2022
Episiotomy in vacuum extraction, do we cut the levator ani muscle?: A prospective cohort study
Part of International Urogynecology Journal, p. 3391-3399, 2022
Part of Acta Obstetricia et Gynecologica Scandinavica, p. 1282-1290, 2022
Part of British Journal of Obstetrics and Gynecology, p. 2157-2165, 2022
- DOI for Induction of labour at 41 weeks of gestation versus expectant management and induction of labour at 42 weeks of gestation: a cost-effectiveness analysis
- Download full text (pdf) of Induction of labour at 41 weeks of gestation versus expectant management and induction of labour at 42 weeks of gestation: a cost-effectiveness analysis
Part of PLOS ONE, 2022
Part of Acta Obstetricia et Gynecologica Scandinavica, p. 1386-1394, 2022
- DOI for Alcohol exposure prior to pregnancy-does hazardous consumption affect placenta- and inflammatory-mediated pregnancy outcomes? A Swedish population-based cohort study
- Download full text (pdf) of Alcohol exposure prior to pregnancy-does hazardous consumption affect placenta- and inflammatory-mediated pregnancy outcomes? A Swedish population-based cohort study
Part of BMC Pregnancy and Childbirth, 2022
- DOI for Effect of internet-based cognitive behaviour therapy among women with negative birth experiences on mental health and quality of life: a randomized controlled trial
- Download full text (pdf) of Effect of internet-based cognitive behaviour therapy among women with negative birth experiences on mental health and quality of life: a randomized controlled trial
Part of BMJ Open, 2022
- DOI for Antepartum and labour-related single predictors of non-participation, dropout and lost to follow up in a randomised controlled trial comparing internet-based cognitive-behaviour therapy with treatment as usual for women with negative birth experiences and/or post-traumatic stress following childbirth
- Download full text (pdf) of Antepartum and labour-related single predictors of non-participation, dropout and lost to follow up in a randomised controlled trial comparing internet-based cognitive-behaviour therapy with treatment as usual for women with negative birth experiences and/or post-traumatic stress following childbirth
Internet-based Treatment for Vulvodynia (EMBLA) - A Randomized Controlled Study
Part of Journal of Sexual Medicine, p. 319-330, 2022
Part of Frontiers in Global Women's Health, 2022
Part of American Journal of Obstetrics and Gynecology, 2022
Cerebral biomarkers in neurologic complications of preeclampsia
Part of American Journal of Obstetrics and Gynecology, p. 2980-2980000000000, 2022
Part of American Journal of Obstetrics and Gynecology, p. 287-288, 2022
Part of Biochimica et Biophysica Acta - Molecular Basis of Disease, 2022
Family planning practices and women?s impression of the reproductive life plan in Eswatini
Part of Sexual & Reproductive HealthCare, 2022
Fetal station at caesarean section and risk of subsequent preterm birth- A cohort study
Part of European Journal of Obstetrics, Gynecology, and Reproductive Biology, p. 18-23, 2022
Part of European Journal of Obstetrics, Gynecology, and Reproductive Biology, p. 62-70, 2022
Part of Acta Obstetricia et Gynecologica Scandinavica, p. 77-83, 2022
Part of Acta Obstetricia et Gynecologica Scandinavica, p. 183-192, 2022
- DOI for Implementation of a revised classification for intrapartum fetal heart rate monitoring and association to birth outcome: A national cohort study
- Download full text (pdf) of Implementation of a revised classification for intrapartum fetal heart rate monitoring and association to birth outcome: A national cohort study
Part of British Journal of Obstetrics and Gynecology, p. 1361-1374, 2022
- DOI for Clinical-pathological features in placentas of pregnancies with SARS-CoV-2 infection and adverse outcome: case series with and without congenital transmission
- Download full text (pdf) of Clinical-pathological features in placentas of pregnancies with SARS-CoV-2 infection and adverse outcome: case series with and without congenital transmission
Risk of pre-eclampsia after gastric bypass: a matched cohort study
Part of British Journal of Obstetrics and Gynecology, p. 461-471, 2022
Vision for Improving Pregnancy Health: Innovation and the Future of Pregnancy Research
Part of Reproductive Sciences, p. 2908-2920, 2022
Part of JAMA Network Open, 2022
Circulating concentrations of glycocalyx degradation products in preeclampsia
Part of Frontiers in Physiology, 2022
Induced abortion and access to contraception in Sweden during the COVID-19 pandemic
Part of BMJ Sexual & Reproductive Health, p. 311-312, 2022
Part of Journal of the American Heart Association, 2022
- DOI for Associations Between Soluble fms-Like Tyrosine Kinase-1 and Placental Growth Factor and Disease Severity Among Women With Preterm Eclampsia and Preeclampsia
- Download full text (pdf) of Associations Between Soluble fms-Like Tyrosine Kinase-1 and Placental Growth Factor and Disease Severity Among Women With Preterm Eclampsia and Preeclampsia
Part of Scientific Reports, 2022
Part of Scientific Reports, 2022
Cerebral Biomarkers and Blood-Brain Barrier Integrity in Preeclampsia
Part of Cells, 2022
Part of Obstetrics and Gynecology, p. 529-535, 2022
PSG7 and 9 (Pregnancy-Specific beta-1 Glycoproteins 7 and 9): Novel Biomarkers for Preeclampsia
Part of Journal of the American Heart Association, 2022
2021
Time matters—a Swedish cohort study of labor duration and risk of uterine rupture
Part of Acta Obstetricia et Gynecologica Scandinavica, p. 1902-1909, 2021
Part of Acta Obstetricia et Gynecologica Scandinavica, p. 2202-2208, 2021
- DOI for Second trimester induced abortions due to fetal anomalies—a population‐based study of diagnoses, examinations and clinical management
- Download full text (pdf) of Second trimester induced abortions due to fetal anomalies—a population‐based study of diagnoses, examinations and clinical management
Part of European journal of contraception & reproductive health care, p. 473-478, 2021
Part of Primary Care Diabetes, p. 1040-1051, 2021
Evidence of under-reporting of early-onset preeclampsia using register data
Part of Paediatric and Perinatal Epidemiology, p. 596-600, 2021