Editor’s Note



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The 33rd Conference on Priorities in Perinatal Care in South Africa was held under the auspices of the Priorities in Perinatal Care Association and sponsored by Abbott Laboratories SA (Pty) Ltd.




Editor’s Note:
The articles included in these Proceedings were, mostly, received electronically and have been included as submitted by the presenter/author. Faxed articles have been retyped.

Some articles have been shortened.

Abstracts were included where articles were not submitted.

Articles have not been included for presentations, which were withdrawn and not presented at Priorities.

Late submissions received after the Proceedings had been compiled and passwords allocated are included at the end of the Proceedings.
INDEX
AUDIT OF ANTENATAL CLINIC FIRST VISITS IN JOHANNESBURG 2013. E Buchmann 1
COMPARISON OF GESTATIONAL AGE (GA) CALCULATED USING LAST NORMAL MENSTRUAL PERIOD (LNMP) VS ULTRASOUND IN WOMEN REQUESTING SECOND TOP AT CHRIS HANI BARAGWANATH ACADEMIC HOSPITAL (CHBAH). DR BALOYI STEPHEN 5
DOES THE AVAILABILITY OF A MOBILE-CONNECTED UMBILICAL DOPPLER DEVICE (UMBIFLOW™) IN A PRIMARY CARE MATERNITY SETTING REDUCE REFERRALS TO SPECIALISED CARE? J Mufenda 9
AN ACCURATE SEMI-AUTOMATED OSCILLOMETRIC BLOOD PRESSURE DEVICE FOR USE IN PREGNANCY (INCLUDING PRE-ECLAMPSIA) IN A LOW- AND MIDDLE-INCOME COUNTRY POPULATION: THE MICROLIFE 3AS1-2. H Nathan 12
MICROCIRCULATION IN WOMEN WITH SEVERE PRE-ECLAMPSIA AND HELLP SYNDROME. Jérôme Cornette 17
A CLINICAL AUDIT OF ALL PRIMIGRAVIDAE WITH HYPERTENSIVE DISORDERS DELIVERING AT A REGIONAL HOSPITAL OVER A 1 YEAR PERIOD (MARCH 2012 – MARCH 2013). J Moodley 20
INDUCTION OF LABOUR WITH TITRATED MISOPROSTOL AT ≥38WEEKS IN WOMEN WITH A LIVE FOETUS AND INTACT MEMBRANES: A PROSPECTIVE STUDY. Dr Yasmin Adam 24
BARRIERS TO EARLY ANTENATAL BOOKING OF PREGNANT WOMEN IN SELECTED CLINICS OF A LEVEL I HOSPITAL IN ETHEKWINI DISTRICT. Dr Sisana Majeke 27
‘THEY DO NOT WANT TO TEST’—BARRIERS TO EARLY ANTENATAL CARE IN SOUTH AFRICA. D.N. Haddad 31
HEALTH CARE PERSONNEL’S KNOWLEDGE OF PREVENTION OF MOTHER-TO-CHILD-TRANSMISSION (PMTCT) OF HIV AT JOUBERTON COMMUNITY HEALTH CENTRE (DR KENNETH KAUNDA DISTRICT /NORTH WEST PROVINCE). J Kanku 38
ON-SITE ESMOE-EOST SATURATION TRAINING IN NKANGALA DISTRICT, MPUMALANGA: A PILOT STUDY. JD Makin 44
DEVELOPING EOST VIDEO CLIPS AND TESTING THEM AS A METHOD FOR IMPLEMENTING FIREDRILL TRAINING IN THE LABOURWARD: A PILOT STUDY. E Wethmar 49
CHILDBIRTH EDUCATION TRENDS IN THE PRIVATE SECTOR OF SOUTH AFRICA (ABSTRACT). Barbara Hanrahan 54
THE USE OF ACTION LEARNING AS A METHODOLOGY TO IMPROVE NEWBORN CARE IN KWAZULU-NATAL (ABSTRACT). D. Nyasulu 55
QUALITY INTRAPARTAL CARE, AS PERCEIVED BY WOMEN.

Tsweleng Louisa Mmakwena 56


THE PRETERM BIRTH SYNDROME: APPLYING THE PHENOTYPIC PROTOTYPIC CLASSIFICATION IN A MIDDLE INCOME PUBLIC URBAN TERTIARY HOSPITAL.

Pattinson RC 60


SURVIVAL OF VERY LOW – BIRTH- WEIGHT INFANTS ACCORDING TO BIRTH WEIGHT AND GESTATIONAL AGE AT A SEMI-RURAL HOSPITAL. (LURWMH). N. Kapongo 63
SOME OUTCOMES FOLLOWING 10 YEARS OF THE LIMPOPO INITIATIVE FOR NEWBORN CARE (LINC) IN SEKHUKUNE DISTRICT. DH Greenfield 79
'IMPLEMENTING INTER FACILITY, AMBULANCE KMC. CHANGING ATTITUDES, SAVING LIVES IN SOUTH AFRICA (ABSTRACT). V Booysen 83
DO EDUCATIONAL DOCUMENTARIES ON DONOR BREASTMILK INFLUENCE MOTHERS’ BELIEFS ABOUT THE ACT OF DONATING THEIR BREASTMILK?: EXPERIENCES IN A KANGAROO MOTHER CARE UNIT IN SOUTH AFRICA. E Brierley 84
AN OVERVIEW OF KANGAROO MOTHER CARE ON NEONATAL GROWTH IN PRETERM INFANTS IN PELONOMI HOSPITAL, BLOEMFONTEIN. DR ML MAMABOLO 90
ARE MATERNITY WAITING HOMES (MWH) RELEVANT AND COST EFFECTIVE IN THE DELIVERY OF PERINATAL HEALTHCARE SERVICES TO REDUCE PERINATAL MORBIDITY/ MORTALITY IN SOUTH AFRICA? A CRITICAL REVIEW (ABSTRACT).

Dr Donald HA Amoko 94


BEST PRACTICE GUIDELINE DEVELOPMENT – WHAT DOES IT MEAN AND HOW IS IT DEVELOPED? (ABSTRACT). Dr Welma Lubbe 95
DOES TECHNOLOGY ONLY MEAN MACHINES AND EQUIPMENT? - BPG GUIDELINES TO DIRECT NDSC AS MODEL OF CARE IN THE SA CONTEXT (ABSTRACT).

Dr Welma Lubbe 96


WHERE AND WHY DO INFANTS DIE? Dr M Kunneke 98
REDUCING MATERNAL AND PERINATAL DEATHS: A RANDOMISED CONTROL TRIAL STUDYING EFFECTS OF THE COPPER INTRAUTERINE DEVICE AND INJECTABLE PROGESTOGEN CONTRACEPTIVE ON DEPRESSION AND SEXUAL FUNCTIONING OF POSTPARTUM WOMEN IN THE EASTERN CAPE. Mandisa Singata 101
MATERNAL DEATHS AT CHRIS HANI BARAGWANATH, 1997-2012. EJ Buchmann 106
THE IMPACT ON THE MATERNAL AND FETAL OUTCOMES OF LOWER RESPIRATORY TRACT INFECTIONS IN PREGNANCY (ABSTRACT). M Machetela 111
A CLINICAL AUDIT OF PROVIDER INITIATED HIV COUNSELLING AND TESTING IN A GYNAECOLOGICAL WARD OF A DISTRICT HOSPITAL,IN KWAZULU-NATAL, SOUTH AFRICA.

Bryan M 112


THE INCIDENCE OF HIV SEROCONVERSION DURING PREGNANCY AT PELONOMI HOSPITAL ANTENATAL CLINIC (ABSTRACT). Kgasane T 118
A RANDOMISED COMPARATIVE TRIAL COMPARING THE EFFICACY OF INFANT PERI-EXPOSURE PROPHYLAXIS WITH LOPINAVIR/RITONAVIR (LPV/R) VERSUS LAMIVUDINE TO PREVENT HIV-1 TRANSMISSION BY BREASTFEEDING. THE ANRS 12174 PROMISE PEP TRIAL. Kim Harper 119
AVAILABILITY of HUMAN RESOURCES and INFRASTRUCTURE for EARLY INFANT DIAGNOSIS (EID): RESULTS from a NATIONAL SITUAUTION ASSESSMENT, 2010. Nobuntu Noveve 124
HAEMORRHAGE AT OR FOLLOWING CAESAREAN SECTION. Dr U Wessels 128
UNECESSARY CAESAREAN SECTION: A MAJOR FACTOR CONTRIBUTING TO MATERNAL DEATHS FROM OBSTETRIC HAEMORRHAGE IN KZN. Neil F Moran 133
SAFETY VERSUS ACCESSIBILITY: A DILEMMA IN MATERNITY CARE IN SOUTH AFRICA (ABSTRACT). RC Pattinson 138
ON-SITE PRIMARY CARE MIDWIFE BIRTH UNIT: A NEW MODEL FOR SAFE PRIMARY CARE CHILDBIRTH. G Justus Hofmeyr 139
PRE- AND POST-TEST RESULTS AT ESMOE SATURATION TRAINING IN SIX PRIORITY DISTRICTS. E Buchmann 143
Scaling up of ESMOE in South Africa: What is it going to cost and what type of training are we going to use? (ABSTRACT). CM Bezuidenhout 147
THE IMPACT OF ONSITE ESMOE TRAINING ON CAESAREAN SECTION RATE AND COMPLICATIONS IN THREE DISTRICT HOSPITALS IN NKANGALA DISTRICT, MPUMALANGA PROVINCE SOUTH AFRICA (ABSTRACT). Dr Donald HA Amoko 149
A REALIST REVIEW OF PARTOGRAPH USE. Lavender T 150
DELIVERY OF WOMEN WITH A PREVIOUS UNEXPLAINED INTRA-UTERINE FETAL DEATH AT TERM: A PROSPECTIVE COHORT STUDY AT TYGERBERG HOSPITAL, SOUTH AFRICA. L Oberholzer 151
A DECADE OF AVOIDABLE FACTORS; ARE WE TAKING SUFFICIENT HEED? Monica Engelbrecht 155
EARLY INFANT FEEDING PRACTICES IN HIV EXPOSED AND UNEXPOSED INFANTS: RESULTS FROM THE SOUTH AFRICAN PMTCT EVALUATIONS, 2010 AND 2011. Dudu Nsibande 160
Increased CONGENITAL CYTOMEGALOVIRUS Co-Infection with In Utero-Acquired HIV-Infection. GB Theron 166
BIRTH PREVALENCE OF CONGENITAL CMV (CCMV) IN HIV EXPOSED INFANTS IN SOUTH AFRICA. Dr AM van Niekerk 169
FEATURES OF TUBERCULOSIS (TB) EXPOSED NEONATES AND EFFECTIVENESS OF TB CHEMOPROPHYLAXIS USING RIFAMPICIN AND ISONIAZID AT CHRIS HANI BARAGWANATH ACADEMIC HOSPITAL. KT Mathivha 177

NATIONAL BIRTH DEFECTS DATA: 2006-2012 (ABSTRACT). Vuyiswa Mtyongwe 180
THE NUMBERS, CHARACTERISTICS AND OUTCOME OF TERM / NEAR-TERM INFANTS WITH INTRAPARTUM ASPHYXIA ADMITTED AT CHRIS HANI BARAGWANATH HOSPITAL .

E Bruckmann 181


THE INFLUENCE OF BIRTH SITE ON SHORT-TERM OUTCOMES OF ENCEPHALOPATHIC NEWBORN INFANTS TREATED WITH THERAPEUTIC HYPOTHERMIA AT GROOTE SCHUUR HOSPITAL, CAPE TOWN, SOUTH AFRICA (ABSTRACT). Victoria Nakibuuka 185
MEDICO-LEGAL ISSUES WITH RESPECT TO INTRAUTERINE HYPOXIA (BIRTH ASPHYXIA).

Peter Cooper 186


LEADERSHIP EFFECTIVENESS FOR MATERNAL, NEWBORN AND CHILD HEALTH (ABSTRACT). Voce AS 189
IS THERE A NEED FOR DEBRIEFING FOLLOWING CATASTROPHIC LABOUR WARD EVENTS?

K Frank 190


PSYCHOSOCIAL IMPLICATIONS OF STILLBIRTH FOR THE MOTHER AND HER FAMILY: A CRISIS-SUPPORT APPROACH. Melanie Human 192
PATIENT CENTRED MATERNITY CARE. S Fawcus 198



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