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
Prophylactic Aspirin Dose and Preeclampsia
Part of JAMA Network Open, 2025
- DOI for Prophylactic Aspirin Dose and Preeclampsia
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Respiratory distress after planned births compared to expectant management - Target trial emulation
Part of European Journal of Obstetrics, Gynecology, and Reproductive Biology, p. 184-190, 2025
- DOI for Respiratory distress after planned births compared to expectant management - Target trial emulation
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Part of PLOS ONE, 2025
- DOI for Can the use of a next generation partograph based on WHO's latest intrapartum care recommendations improve neonatal outcomes?: (PICRINO) Study protocol for a stepped-wedge cluster randomized trial
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Part of Acta Obstetricia et Gynecologica Scandinavica, p. 119-129, 2025
- DOI for Polycystic ovary syndrome and gestational diabetes mellitus association to pregnancy outcomes: A national register-based cohort study
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Part of BJS Open, 2025
- DOI for Swedish national guidelines for diagnosis and management of acute appendicitis in adults and children
- Download full text (pdf) of Swedish national guidelines for diagnosis and management of acute appendicitis in adults and children
Part of BMC Health Services Research, 2025
- DOI for Maintaining operability at a high personal cost: a mixed method study on maternal healthcare workers' experiences during the COVID-19 pandemic
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Preeclampsia and the brain: The blood-brain barrier and neurological consequences
2025
Part of BMC Pregnancy and Childbirth, 2025
- DOI for Sleeping for two: a cross-sectional study on associations between objectively measured sleep during early to mid-pregnancy and maternal and fetal outcomes and inflammatory biomarker profiles
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Part of Circulation. Cardiovascular Quality and Outcomes, 2025
Preeclampsia screening and prevention: A Nordic perspective
Part of Acta Obstetricia et Gynecologica Scandinavica, p. 790-791, 2025
- DOI for Preeclampsia screening and prevention: A Nordic perspective
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Gestational Hypertension, Preeclampsia, and Eclampsia and Future Neurological Disorders
Part of JAMA Neurology, p. 142-151, 2025
Early Pregnancy Waist Circumference for Prediction of Fetal Macrosomia
Part of Reproductive Sciences, p. 1072-1079, 2025
- DOI for Early Pregnancy Waist Circumference for Prediction of Fetal Macrosomia
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Cerebral infarcts, edema, hypoperfusion and vasospasm in preeclampsia and eclampsia
Part of American Journal of Obstetrics and Gynecology, p. 5500-55000000000000000, 2025
- DOI for Cerebral infarcts, edema, hypoperfusion and vasospasm in preeclampsia and eclampsia
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Rating of overall childbirth experience: A qualitative study of a quantitative measurement
Part of Acta Obstetricia et Gynecologica Scandinavica, p. 658-665, 2025
- DOI for Rating of overall childbirth experience: A qualitative study of a quantitative measurement
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Fetal heart rate variability in relation to maternal physical activity and metabolic health
Part of Early Human Development, 2025
- DOI for Fetal heart rate variability in relation to maternal physical activity and metabolic health
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Blood-brain barrier injury and neuroinflammation in pre-eclampsia and eclampsia
Part of EBioMedicine, 2025
- DOI for Blood-brain barrier injury and neuroinflammation in pre-eclampsia and eclampsia
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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 Nature Communications, 2024
- DOI for Maternal polycystic ovary syndrome and Offspring's Risk of Cardiovascular diseases in Childhood and Young Adulthood
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Part of British Journal of Obstetrics and Gynecology, p. 1378-1384, 2024
- DOI for Obstetric anal sphincter injury in the second birth after perineal wound complication in the first birth: A nationwide register cohort study
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Part of Acta Obstetricia et Gynecologica Scandinavica, p. 2522-2531, 2024
- DOI for Associations of maternal sedentary behavior and physical activity levels in early to mid‐pregnancy with infant outcomes: A cohort study
- Download full text (pdf) of Associations of maternal sedentary behavior and physical activity levels in early to mid‐pregnancy with infant outcomes: A cohort study
Part of Acta Obstetricia et Gynecologica Scandinavica, p. 970-979, 2024
- DOI for Biomarkers associated with cardiovascular disease in women with spontaneous preterm birth: A case-control study
- Download full text (pdf) of Biomarkers associated with cardiovascular disease in women with spontaneous preterm birth: A case-control study
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 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
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Combined maternal central adiposity measures in relation to infant birth size
Part of Scientific Reports, 2024
- DOI for Combined maternal central adiposity measures in relation to infant birth size
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Time to childbirth and assisted reproductive treatment in women with congenital heart disease
Part of Open heart, 2024
- DOI for Time to childbirth and assisted reproductive treatment in women with congenital heart disease
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Part of Baillière's Best Practice & Research, 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 European Journal of Neurology, 2024
- DOI for Pregnancy outcomes for women with myasthenia gravis and their newborns: A nationwide register-based cohort study
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Breastfeeding in primiparous women with congenital heart disease: a register study
Part of International Breastfeeding Journal, 2024
- DOI for Breastfeeding in primiparous women with congenital heart disease: a register study
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Pregnancy planning and neonatal outcome: a retrospective cohort study
Part of BMC Pregnancy and Childbirth, 2024
- DOI for Pregnancy planning and neonatal outcome: a retrospective cohort study
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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
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Heart disease in pregnancy and risk of pre-eclampsia: a Swedish register-based study
Part of Open heart, 2024
- DOI for Heart disease in pregnancy and risk of pre-eclampsia: a Swedish register-based study
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Validity of prenatal AUDIT screening for alcohol disorders - a Nationwide Swedish register study
Part of Upsala Journal of Medical Sciences, 2024
- DOI for Validity of prenatal AUDIT screening for alcohol disorders - a Nationwide Swedish register study
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Part of American Journal of Hypertension, p. 523-530, 2024
- DOI for Does Developing Interpregnancy Hypertension Affect the Recurrence Risk of Preeclampsia?: A Population-Based Cohort Study
- Download full text (pdf) of Does Developing Interpregnancy Hypertension Affect the Recurrence Risk of Preeclampsia?: A Population-Based Cohort Study
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 Perinatology, 2024
Part of Pregnancy Hypertension, 2024
- DOI for Circulating concentrations of pro-inflammatory cytokines in preeclampsia with varying disease severity
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Part of Reproductive Sciences, p. 1391-1400, 2024
- DOI for Novel Associations Between Mid-Pregnancy Cardiovascular Biomarkers and Preeclampsia: An Explorative Nested Case-Control Study
- Download full text (pdf) of Novel Associations Between Mid-Pregnancy Cardiovascular Biomarkers and Preeclampsia: An Explorative Nested Case-Control Study
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
Part of PLOS ONE, 2024
- DOI for Self-reported dyspareunia and outcome satisfaction after spontaneous second-degree tear compared to episiotomy: A register-based cohort study
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Metformin use and preeclampsia risk in women with diabetes: a two-country cohort analysis
Part of BMC Medicine, 2024
- DOI for Metformin use and preeclampsia risk in women with diabetes: a two-country cohort analysis
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Part of Acta Obstetricia et Gynecologica Scandinavica, p. 2101-2111, 2024
- DOI for Women's use of Swedish health care during the postpartum period in relation to maternal country of birth-A population-based study
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Part of Acta Obstetricia et Gynecologica Scandinavica, p. 2171-2182, 2024
- DOI for Maternal body mass index, gestational weight gain, and early childhood growth: A register-based cohort study
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Part of PLoS Medicine, 2024
- DOI for Changing diagnostic criteria for gestational diabetes (CDC4G) in Sweden: A stepped wedge cluster randomised trial
- Download full text (pdf) of Changing diagnostic criteria for gestational diabetes (CDC4G) in Sweden: A stepped wedge cluster randomised trial
Part of American Journal of Reproductive Immunology, 2024
- DOI for Elevated Plasma Levels of Arginines During Labor Among Women with Spontaneous Preterm Birth: A Prospective Cohort Study
- Download full text (pdf) of Elevated Plasma Levels of Arginines During Labor Among Women with Spontaneous Preterm Birth: A Prospective Cohort Study
Severe Perineal Lacerations in First Delivery: Association with Subsequent Reproductive Outcomes
Part of Journal of Women's Health, p. 542-550, 2024
Part of American Journal of Hypertension, p. 184-191, 2024
- DOI for Elevated plasma level of arginine and its metabolites at labor among women with preeclampsia: A prospective cohort study
- Download full text (pdf) of Elevated plasma level of arginine and its metabolites at labor among women with preeclampsia: A prospective cohort study
Part of Scandinavian Cardiovascular Journal, 2024
- DOI for Self-rated health in primiparous women with congenital heart disease before, during and after pregnancy: A register study
- Download full text (pdf) of Self-rated health in primiparous women with congenital heart disease before, during and after pregnancy: A register study
Aspirin for preeclampsia prevention in low- and middle-income countries: mind the gaps
Part of AJOG Global Reports, 2024
- DOI for Aspirin for preeclampsia prevention in low- and middle-income countries: mind the gaps
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Part of Rheumatology, p. 1469-1475, 2024
- DOI for Plasma interferon-alpha protein levels during pregnancy are associated with lower birth weight in systemic lupus erythematosus
- Download full text (pdf) of Plasma interferon-alpha protein levels during pregnancy are associated with lower birth weight in systemic lupus erythematosus
Part of Reproductive Sciences, p. 1165-1175, 2023
- DOI for Early Mid-pregnancy Blood-Based Proteins as Possible Biomarkers of Increased Infant Birth Size in Sex-Stratified Analyses
- Download full text (pdf) of Early Mid-pregnancy Blood-Based Proteins as Possible Biomarkers of Increased Infant Birth Size in Sex-Stratified Analyses
Hypertensive disorders of pregnancy and long-term cardiovascular health: FIGO Best Practice Advice
Part of International Journal of Gynecology & Obstetrics, p. 22-34, 2023
- DOI for Hypertensive disorders of pregnancy and long-term cardiovascular health: FIGO Best Practice Advice
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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
- DOI for Pregnancy as an opportunity to prevent type 2 diabetes mellitus: FIGO Best Practice Advice
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Part of European Journal of Obstetrics, Gynecology, and Reproductive Biology, p. 146-154, 2023
- DOI for Negative childbirth experience in relation to mode of birth and events during labour: a mixed method study
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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
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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
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Brain Vascular Dysfunction in Mothers and Their Children Exposed to Preeclampsia
Part of Hypertension, p. 242-256, 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
Part of Läkartidningen, 2023
Polycystic ovary syndrome and risk of pre‐eclampsia: A national register‐based cohort study
Part of British Journal of Obstetrics and Gynecology, 2023
- DOI for Polycystic ovary syndrome and risk of pre‐eclampsia: A national register‐based cohort study
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Part of Acta Obstetricia et Gynecologica Scandinavica, p. 1741-1748, 2023
- DOI for A follow up on the feasibility after national implementation of magnesium sulfate for neuroprotection prior to preterm birth
- Download full text (pdf) of A follow up on the feasibility after national implementation of magnesium sulfate for neuroprotection prior to preterm birth
Part of International Journal of Gynecology & Obstetrics, p. 787-791, 2023
Neonatal outcomes of elective labor induction in low-risk term pregnancies
Part of Scientific Reports, 2023
- DOI for Neonatal outcomes of elective labor induction in low-risk term pregnancies
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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.
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Can single-cell and spatial omics unravel the pathophysiology of pre-eclampsia?
Part of Journal of Reproductive Immunology, 2023
Part of Acta Obstetricia et Gynecologica Scandinavica, p. 728-734, 2023
- DOI for Key outcomes in childbirth: Development of a perinatal core outcome set for management of labor and delivery at or near term
- Download full text (pdf) of Key outcomes in childbirth: Development of a perinatal core outcome set for management of labor and delivery at or near term
Part of Acta Obstetricia et Gynecologica Scandinavica, p. 843-853, 2023
- DOI for Long-term neurological morbidity among children delivered by vacuum extraction: a national cohort study
- Download full text (pdf) of Long-term neurological morbidity among children delivered by vacuum extraction: a national cohort study
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
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Study protocol: The cross-sectional Uppsala weight gain in pregnancy study (VIGA study)
Part of Upsala Journal of Medical Sciences, 2023
- DOI for Study protocol: The cross-sectional Uppsala weight gain in pregnancy study (VIGA study)
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Part of PLOS ONE, 2023
- DOI for Unplanned pregnancy and the association with maternal health and pregnancy outcomes: A Swedish cohort study
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Part of Pregnancy Hypertension, p. 38-45, 2023
- DOI for Correlation between cognitive assessment scores and circulating cerebral biomarkers in women with pre-eclampsia and eclampsia
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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 Journal of the American Medical Association (JAMA), p. 393-404, 2023
Part of Frontiers in Physiology, 2023
- DOI for Editorial: Preeclampsia and the brain: Pre-clinical and clinical studies of cerebral involvement in preeclampsia
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Circulating Chemerin Is Elevated in Women With Preeclampsia
Part of Endocrinology, 2023
- DOI for Circulating Chemerin Is Elevated in Women With Preeclampsia
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Part of American Journal of Obstetrics and Gynecology, 2023
- DOI for Low-dose aspirin use in pregnancy and the risk of preterm birth: a Swedish register-based cohort study
- Download full text (pdf) of Low-dose aspirin use in pregnancy and the risk of preterm birth: a Swedish register-based cohort study
Part of International Journal of Gynecology & Obstetrics, p. 10-21, 2023
- DOI for Using FIGO Nutrition Checklist counselling in pregnancy: A review to support healthcare professionals
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Part of British Journal of Obstetrics and Gynecology, 2023
- DOI for Outcomes in children after mild neonatal hypoxic ischaemic encephalopathy: A population‐based cohort study
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Management of obesity across women's life course: FIGO Best Practice Advice
Part of International Journal of Gynecology & Obstetrics, p. 35-49, 2023
- DOI for Management of obesity across women's life course: FIGO Best Practice Advice
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The association between pre‐eclampsia and neonatal complications in relation to gestational age
Part of Acta Paediatrica, 2023
- DOI for The association between pre‐eclampsia and neonatal complications in relation to gestational age
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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 Frontiers in Medicine, 2023
- DOI for Progesterone, cerclage, pessary, or acetylsalicylic acid for prevention of preterm birth in singleton and multifetal pregnancies: A systematic review and meta-analyses
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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
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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
- DOI for Pregnancy, delivery, and neonatal outcomes among women with spinal cord injury in Sweden 1997-2015: A population-based cohort study
- Download full text (pdf) of Pregnancy, delivery, and neonatal outcomes among women with spinal cord injury in Sweden 1997-2015: A population-based cohort study
Part of JAMA Network Open, 2022
- DOI for Association of Maternal Preeclampsia With Offspring Risks of Ischemic Heart Disease and Stroke in Nordic Countries
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Circulating concentrations of glycocalyx degradation products in preeclampsia
Part of Frontiers in Physiology, 2022
- DOI for Circulating concentrations of glycocalyx degradation products in preeclampsia
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Part of Scientific Reports, 2022
- DOI for Elevated mid-pregnancy plasma levels of angiotensin-converting enzyme 2 in women prior to the development of preeclampsia.
- Download full text (pdf) of Elevated mid-pregnancy plasma levels of angiotensin-converting enzyme 2 in women prior to the development of preeclampsia.
Part of PLOS ONE, 2022
- DOI for Risk factors for seizures in the vigorous term neonate: A population-based register study of singleton births in Sweden
- Download full text (pdf) of Risk factors for seizures in the vigorous term neonate: A population-based register study of singleton births in Sweden
Part of Sexual & Reproductive HealthCare, 2022
- DOI for Negative childbirth experience-what matters most?: a register-based study of risk factors in three time periods during pregnancy
- Download full text (pdf) of Negative childbirth experience-what matters most?: a register-based study of risk factors in three time periods during pregnancy
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
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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
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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
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Cerebral biomarkers in neurologic complications of preeclampsia
Part of American Journal of Obstetrics and Gynecology, p. 2980-2980000000000, 2022
- DOI for Cerebral biomarkers in neurologic complications of preeclampsia
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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
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Part of American Journal of Obstetrics and Gynecology, 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
- DOI for Fetal station at caesarean section and risk of subsequent preterm birth- A cohort study
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Part of European Journal of Obstetrics, Gynecology, and Reproductive Biology, p. 62-70, 2022
- DOI for Attitudes and knowledge regarding episiotomy use and technique in vacuum extraction: A web-based survey among doctors in Sweden
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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
- DOI for Family planning practices and women?s impression of the reproductive life plan in Eswatini
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