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  1. Article ; Online: Cesarean section rates in Lithuania using Robson Ten Group Classification System.

    Barčaitė, Eglė / Kemeklienė, Gintarė / Railaitė, Dalia Regina / Bartusevičius, Arnoldas / Maleckienė, Laima / Nadišauskienė, Rūta

    Medicina (Kaunas, Lithuania)

    2015  Volume 51, Issue 5, Page(s) 280–285

    Abstract: Background and objective: The aim of this study was to analyze cesarean section (CS) rates using Robson Ten Group Classification System (TGCS) and to identify the main contributors to the overall CS rate in Lithuania.: Materials and methods: A ... ...

    Abstract Background and objective: The aim of this study was to analyze cesarean section (CS) rates using Robson Ten Group Classification System (TGCS) and to identify the main contributors to the overall CS rate in Lithuania.
    Materials and methods: A prospective cross-sectional study was carried out. All women who delivered between January 1 and December 31, 2012, in Lithuania were classified using the TGCS. The CS rates overall and in each Robson group were calculated, as was the contribution of each group to the overall CS rate.
    Results: The CS rate was 26.4% (6697 among 25,373 deliveries) in 2012. Nulliparous women with single cephalic full-term pregnancy in spontaneous labor (Group 1) or who underwent induction of labor or prelabor CS (Group 2) and multiparous women with a previous CS (Group 5) were the greatest contributors (67.7%) to the overall CS rate. In addition, significant variation of CS rates between different institutions was observed, especially in women with single cephalic full-term pregnancy without previous CS (Groups 1-4), showing big differences in obstetric care across country.
    Conclusions: Women in Groups 1, 2 and 5 were the largest contributions to the overall CS rate in Lithuania. It seems that efforts to reduce the overall CS rate should be directed on increasing vaginal birth after CS and reducing CS rates in nulliparous women with single cephalic full-term pregnancy (Groups 1 and 2).
    MeSH term(s) Birth Rate ; Cesarean Section/classification ; Cesarean Section/statistics & numerical data ; Cross-Sectional Studies ; Female ; Humans ; Lithuania/epidemiology ; Parity ; Pregnancy ; Prospective Studies
    Language English
    Publishing date 2015-11
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 2188113-3
    ISSN 1648-9144 ; 1010-660X
    ISSN (online) 1648-9144
    ISSN 1010-660X
    DOI 10.1016/j.medici.2015.09.001
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Maternal request is not to blame for an increase in the rate of Cesarean section.

    Kačerauskienė, Justina / Barčaitė, Eglė / Bartusevičius, Arnoldas / Railaitė, Dalia / Nadišauskienė, Rūta

    Medicina (Kaunas, Lithuania)

    2012  Volume 48, Issue 12, Page(s) 647–652

    Abstract: Background and objective: The aim of this study was to establish whether Lithuanian women would request an elective cesarean section in a low-risk pregnancy and to compare how the women's opinion changed during the 5-year period.: Material and methods! ...

    Abstract Background and objective: The aim of this study was to establish whether Lithuanian women would request an elective cesarean section in a low-risk pregnancy and to compare how the women's opinion changed during the 5-year period.
    Material and methods: A study was conducted at the Hospital of Lithuanian University of Health Sciences from November 1 to December 31, 2006, and from January 1 to February 28, 2011. A total of 204 and 239 women were enrolled in 2006 and 2011, respectively. Self-administered anonymous questionnaires collected information on women's knowledge about the advantages of the different modes of delivery and their preferred type of birth in a low-risk pregnancy.
    Results: Overall, 82.4% of the participants in 2006 and 74.5% in 2011 thought that women should be able to choose the mode of delivery in a low-risk pregnancy. If they had had such an opportunity, 15.2% of women in 2006 and 14.9% in 2011 would have chosen cesarean section without any medical indication. The most frequently mentioned advantage of vaginal delivery was that it is natural, while safety for the newborn and the possibility of avoiding delivery pain were the mentioned advantages of cesarean section.
    Conclusions: Approximately 15% of Lithuanian women would request an elective cesarean section, and this percentage did not change during the 5-year period. While the national cesarean section rate is increasing with every year, it seems that "maternal request" cannot be blamed for this phenomenon. Despite all the available information about the different modes of delivery, women still lack professional and reliable knowledge about it.
    MeSH term(s) Adult ; Cesarean Section/psychology ; Cesarean Section/statistics & numerical data ; Cesarean Section/trends ; Female ; Humans ; Lithuania/epidemiology ; Mothers/psychology ; Patient Preference ; Pregnancy ; Young Adult
    Language English
    Publishing date 2012
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 2188113-3
    ISSN 1648-9144 ; 1010-660X
    ISSN (online) 1648-9144
    ISSN 1010-660X
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Cesarean section rates in Lithuania using Robson Ten Group Classification System

    Eglė Barčaitė / Gintarė Kemeklienė / Dalia Regina Railaitė / Arnoldas Bartusevičius / Laima Maleckienė / Rūta Nadišauskienė

    Medicina, Vol 51, Iss 5, Pp 280-

    2015  Volume 285

    Abstract: Background and objective: The aim of this study was to analyze cesarean section (CS) rates using Robson Ten Group Classification System (TGCS) and to identify the main contributors to the overall CS rate in Lithuania. Materials and methods: A prospective ...

    Abstract Background and objective: The aim of this study was to analyze cesarean section (CS) rates using Robson Ten Group Classification System (TGCS) and to identify the main contributors to the overall CS rate in Lithuania. Materials and methods: A prospective cross-sectional study was carried out. All women who delivered between January 1 and December 31, 2012, in Lithuania were classified using the TGCS. The CS rates overall and in each Robson group were calculated, as was the contribution of each group to the overall CS rate. Results: The CS rate was 26.4% (6697 among 25,373 deliveries) in 2012. Nulliparous women with single cephalic full-term pregnancy in spontaneous labor (Group 1) or who underwent induction of labor or prelabor CS (Group 2) and multiparous women with a previous CS (Group 5) were the greatest contributors (67.7%) to the overall CS rate. In addition, significant variation of CS rates between different institutions was observed, especially in women with single cephalic full-term pregnancy without previous CS (Groups 1–4), showing big differences in obstetric care across country. Conclusions: Women in Groups 1, 2 and 5 were the largest contributions to the overall CS rate in Lithuania. It seems that efforts to reduce the overall CS rate should be directed on increasing vaginal birth after CS and reducing CS rates in nulliparous women with single cephalic full-term pregnancy (Groups 1 and 2).
    Keywords Cesarean section ; Robson Ten Group Classification System ; Clinical audit ; Classification of cesarean section ; Medicine (General) ; R5-920
    Subject code 331
    Language English
    Publishing date 2015-11-01T00:00:00Z
    Publisher MDPI AG
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article ; Online: Group B streptococcus and Escherichia coli colonization in pregnant women and neonates in Lithuania.

    Barcaite, Egle / Bartusevicius, Arnoldas / Tameliene, Rasa / Maleckiene, Laima / Vitkauskiene, Astra / Nadisauskiene, Ruta

    International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics

    2012  Volume 117, Issue 1, Page(s) 69–73

    Abstract: Objective: To evaluate the prevalence of maternal and neonatal colonization with group B streptococcus (GBS) and Escherichia coli, and examine GBS serotypes and susceptibility to antibiotics.: Methods: A prospective cross-sectional study was carried ... ...

    Abstract Objective: To evaluate the prevalence of maternal and neonatal colonization with group B streptococcus (GBS) and Escherichia coli, and examine GBS serotypes and susceptibility to antibiotics.
    Methods: A prospective cross-sectional study was carried out in Lithuania between October 2006 and June 2007. Lower vaginal/rectal swabs were obtained from pregnant women (n=998) and ear canal/throat swabs were obtained from their newborns (n=827) for culture.
    Results: Overall, maternal and neonatal GBS colonization rates were 15.3% and 6.4%, respectively. Serotypes III (34.5%) and Ia (29.7%) were most common. All GBS isolates were susceptible to penicillin and 4.1% were resistant to erythromycin. Overall, maternal and neonatal E. coli colonization rates were 19.9% and 14.4%, respectively. In total, 71.4% of newborns with E. coli colonization were born to E. coli-negative mothers. E. coli was resistant to ampicillin and piperacillin in 25.9% and 16.6% of cases, respectively. The majority of E. coli-colonized newborns were contaminated with maternal fecal, but not vaginal, E. coli strains.
    Conclusion: Maternal and neonatal GBS colonization rates, serotypes, and susceptibility to antibiotics were comparable to those reported in previous studies. Population-based data regarding early-onset neonatal infection rates will enable the formulation of a prevention program for early-onset GBS disease in Lithuania.
    MeSH term(s) Adult ; Anti-Bacterial Agents/pharmacology ; Anti-Bacterial Agents/therapeutic use ; Antibiotic Prophylaxis ; Carrier State/epidemiology ; Cross-Sectional Studies ; Ear/microbiology ; Escherichia coli/drug effects ; Escherichia coli Infections/drug therapy ; Escherichia coli Infections/epidemiology ; Escherichia coli Infections/microbiology ; Escherichia coli Infections/transmission ; Female ; Humans ; Infant, Newborn ; Infectious Disease Transmission, Vertical/statistics & numerical data ; Lithuania/epidemiology ; Microbial Sensitivity Tests ; Pharynx/microbiology ; Pregnancy ; Prevalence ; Prospective Studies ; Rectum/microbiology ; Serotyping ; Streptococcal Infections/drug therapy ; Streptococcal Infections/epidemiology ; Streptococcal Infections/microbiology ; Streptococcal Infections/transmission ; Streptococcus agalactiae/classification ; Streptococcus agalactiae/drug effects ; Vagina/microbiology ; Young Adult
    Chemical Substances Anti-Bacterial Agents
    Language English
    Publishing date 2012-04
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 80149-5
    ISSN 1879-3479 ; 0020-7292
    ISSN (online) 1879-3479
    ISSN 0020-7292
    DOI 10.1016/j.ijgo.2011.11.016
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Escherichia coli colonization in neonates: prevalence, perinatal transmission, antimicrobial susceptibility, and risk factors.

    Tamelienė, Rasa / Barčaitė, Eglė / Stonienė, Dalia / Buinauskienė, Jūratė / Markūnienė, Eglė / Kudrevičienė, Aušrelė / Vitkauskienė, Astra / Jomantienė, Daiva / Nadišauskienė, Rūta

    Medicina (Kaunas, Lithuania)

    2012  Volume 48, Issue 2, Page(s) 71–76

    Abstract: Unlabelled: Escherichia coli is one of the leading causes of early-onset neonatal sepsis in many industrialized countries. However, there is a lack of studies on Escherichia coli colonization in women and neonates. The study aimed at determining the ... ...

    Abstract Unlabelled: Escherichia coli is one of the leading causes of early-onset neonatal sepsis in many industrialized countries. However, there is a lack of studies on Escherichia coli colonization in women and neonates. The study aimed at determining the prevalence Escherichia coli among pregnant women and newborns, perinatal transmission, antimicrobial susceptibility, and risk factors for neonatal colonization.
    Material and methods: In this prospective, cross-sectional study, 827 infants born to 808 mothers were enrolled. The study was carried out from October 1, 2006, to June 30, 2007. Women were screened for E. coli carriage at 35-37 weeks of gestation or on admission for premature rupture of membranes and delivery; neonates, within 15 minutes of their lives. Risk factors for colonization were collected by a questionnaire and were recorded during labor.
    Results: Maternal E. coli colonization rate was 19.9%; neonatal, 14.4%; and transmission rate, 21.4%. Less than one-fourth (22.7%) of neonatal E. coli strains were resistant to ampicillin. Logistic regression analysis revealed that anal sexual intercourse (OR, 3.91; 95% CI, 1.87-8.19), one sexual partner (OR, 2.01; 95% CI, 1.30-3.11), maternal vaginal Escherichia coli colonization (OR, 1.81; 95% CI, 1.12-2.93), maternal body mass index of ≤27 (OR, 1.77; 95% CI, 1.15-2.73), and maternal education lower than university level (OR, 1.70; 95% CI, 1.06-2.74) were associated with neonatal Escherichia coli colonization.
    Conclusions: The prevalence of maternal Escherichia coli colonization was higher in this study than other studies (19.9%). Neonatal Escherichia coli colonization was 14.4%. The resistance of Escherichia coli isolates to ampicillin was not high (22.7%). Improvement of maternal education and modification of mothers' sexual habits need to be undertaken to prevent neonatal Escherichia coli colonization.
    MeSH term(s) Adult ; Anti-Bacterial Agents/pharmacology ; Drug Resistance, Bacterial ; Escherichia coli/drug effects ; Escherichia coli/isolation & purification ; Escherichia coli Infections/epidemiology ; Escherichia coli Infections/microbiology ; Escherichia coli Infections/transmission ; Female ; Humans ; Infant ; Infant, Newborn ; Lithuania/epidemiology ; Microbial Sensitivity Tests ; Pregnancy ; Pregnancy Complications, Infectious/epidemiology ; Pregnancy Complications, Infectious/microbiology ; Prevalence ; Risk Factors
    Chemical Substances Anti-Bacterial Agents
    Language English
    Publishing date 2012
    Publishing country Netherlands
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2188113-3
    ISSN 1648-9144 ; 1010-660X
    ISSN (online) 1648-9144
    ISSN 1010-660X
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Prevalence of maternal group B streptococcal colonisation in European countries.

    Barcaite, Egle / Bartusevicius, Arnoldas / Tameliene, Rasa / Kliucinskas, Mindaugas / Maleckiene, Laima / Nadisauskiene, Ruta

    Acta obstetricia et gynecologica Scandinavica

    2008  Volume 87, Issue 3, Page(s) 260–271

    Abstract: Background: Group B streptococcus (GBS) is a leading cause of neonatal sepsis in many industrialised countries. However, the burden of perinatal GBS disease varies between these countries. We undertook a systematic review to determine the prevalence of ... ...

    Abstract Background: Group B streptococcus (GBS) is a leading cause of neonatal sepsis in many industrialised countries. However, the burden of perinatal GBS disease varies between these countries. We undertook a systematic review to determine the prevalence of maternal group B streptococcal colonisation, one of the most important risk factor for early onset neonatal infection, and to examine the serotype distribution of the GBS strains isolated and their susceptibility to antibiotics in European countries.
    Methods: We followed the standard methodology for systematic reviews. We prepared a protocol and a form for data extraction that identifies key characteristics on study and reporting quality. The search was conducted for the years 1996-2006 including electronic, hand searching and screening of reference lists.
    Results: Twenty-one studies presented data on 24,093 women from 13 countries. Among all studies, GBS vaginal colonisation rates ranged from 6.5 to 36%, with one-third of studies reporting rates of 20% or greater. The regional carriage rates were as follows: Eastern Europe 19.7-29.3%, Western Europe 11-21%, Scandinavia 24.3-36%, and Southern Europe 6.5-32%. GBS serotypes III, II and Ia were the most frequently identified serotypes. None of the GBS isolates were resistant to penicillin or ampicillin, whereas 3.8-21.2% showed resistance to erythromycin and 2.7-20% showed resistance to clindamycin.
    Conclusion: Although there is variation in the proportion of women colonised with GBS, the range of colonisation, the serotype distribution and antimicrobial susceptibility reported from European countries appears to be similar to that identified in overseas countries.
    MeSH term(s) Europe/epidemiology ; Female ; Humans ; Infant, Newborn ; Infectious Disease Transmission, Vertical ; Pregnancy ; Pregnancy Complications, Infectious/epidemiology ; Pregnancy Complications, Infectious/microbiology ; Prevalence ; Streptococcal Infections/epidemiology ; Streptococcal Infections/prevention & control ; Streptococcal Infections/transmission ; Streptococcus/growth & development ; Vagina/microbiology
    Language English
    Publishing date 2008
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 80019-3
    ISSN 1600-0412 ; 0001-6349
    ISSN (online) 1600-0412
    ISSN 0001-6349
    DOI 10.1080/00016340801908759
    Database MEDical Literature Analysis and Retrieval System OnLINE

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