Research Topics
| P J SteerSummaryAffiliation: Imperial College Country: UK Publications
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Detail Information
Publications
Gender gap in undergraduate experience and performance in obstetrics and gynaecology: analysis of clinical experience logsJenny Higham
Academic Department of Obstetrics and Gynaecology, Faculty of Medicine, Imperial College, London W2 1NY
BMJ 328:142-3. 2004
The management of large and small for gestational age fetusesPhilip Steer
Division of Paediatrics, Obstetrics, and Gynecology, Department of Obstetrics and Gynaecology, Imperial College, London, UK
Semin Perinatol 28:59-66. 2004..Antenatal detection of both very small and very large babies is difficult and imprecise. Expectant management is therefore preferable unless there are very specific indications for emergency or operative delivery...
Maternal blood pressure in pregnancy, birth weight, and perinatal mortality in first births: prospective studyPhilip J Steer
Academic Department of Obstetrics and Gynaecology, Imperial College London, Faculty of Medicine, Chelsea and Westminster Hospital, London SW10 9NH
BMJ 329:1312. 2004..To investigate the relation of diastolic blood pressure in pregnancy with birth weight and perinatal mortality...
The epidemiology of preterm labor--a global perspectivePhilip Steer
Department of Obstetrics and Gynecology, Faculty of Medicine, Imperial College London, UK
J Perinat Med 33:273-6. 2005..Without this, medical intervention tends to increase the rate of preterm birth without corresponding improvement in outcomes...
Surveillance during labourPhilip J Steer
Academic Department of Obstetrics and Gynaecology, Imperial College Faculty of Medicine, Chelsea and Westminster Hospital, London, UK
J Perinat Med 37:451-6. 2009..It may be that as with aircraft navigation, the safest solution is to replace human judgement with the obstetric equivalent of automatic pilots...
Prematurity or immaturity?P J Steer
Division of Surgery, Oncology, Reproductive Biology and Anaesthetics, Faculty of Medicine, Imperial College London, London, UK
BJOG 113:136-8. 2006..Preterm black African babies have lower gestation-specific perinatal mortality than white European babies, while at term and beyond the reverse is true. Preterm birth may have evolved partly as a response to disproportion...
Has electronic fetal heart rate monitoring made a differencePhilip J Steer
Division of Surgery, Oncology, Reproductive Medicine and Anaesthesia, Imperial College Faculty of Medicine, Chelsea and Westminster Hospital, 369 Fulham Road, London SW10 9NH, UK
Semin Fetal Neonatal Med 13:2-7. 2008..Computerised expert systems for the analysis of FHR patterns may be more successful at avoiding poor outcomes...
Myth: Group B streptococcal infection in pregnancy: comprehended and conqueredP J Steer
Division of Surgery and Oncology, Imperial College London, UK
Semin Fetal Neonatal Med 16:254-8. 2011..There is no systematic screening in the UK, where the incidence continues to rise...
A longitudinal study of maternal plasma insulin-like growth factor binding protein-1 concentrations during normal pregnancy and pregnancies complicated by pre-eclampsiaN Anim-Nyame
Department of Maternal Fetal Medicine, Division of Paediatrics Obstetrics and Gynaecology, Chelsea and Westminster Hospital, London, SW10 9NH, UK
Hum Reprod 15:2215-9. 2000..Thus, it is suggested that IGFBP-1-induced inhibition of IGF activity is unlikely to be responsible for the impaired trophoblast invasion observed in pre-eclampsia...
Longitudinal analysis of maternal plasma leptin concentrations during normal pregnancy and pre-eclampsiaN Anim-Nyame
Department of Maternal Fetal Medicine, Division of Paediatrics, Obstetrics and Gynaecology, Imperial College School of Medicine, Chelsea and Westminster Hospital, London, UK
Hum Reprod 15:2033-6. 2000..This study confirms that plasma leptin concentrations are increased in established pre-eclampsia and reports for the first time that leptin concentrations are elevated before pre-eclampsia is clinically evident...
A longitudinal study of resting peripheral blood flow in normal pregnancy and pregnancies complicated by chronic hypertension and pre-eclampsiaN Anim-Nyame
Department of Maternal and Fetal Medicine, Division of Paediatrics, Obstetrics and Gynaecology, Imperial College School of Medicine, Chelsea and Westminster Hospital, 369 Fulham Road, SW10 9NH, London, UK
Cardiovasc Res 50:603-9. 2001..Objectives: To investigate the hypothesis that reduced resting tissue blood flow precedes the clinical onset of pre-eclampsia in women at risk of the disease...
Impaired retrograde transmission of vasodilatory signals via the endothelium in pre-eclampsia: a cause of reduced tissue blood flow?N Anim-Nyame
Academic Department of Obstetrics and Gynaecology, Faculty of Medicine, Imperial College of Science, Technology and Medicine, Chelsea and Westminster Hospital, 369 Fulham Road, London SW10 9NH, UK
Clin Sci (Lond) 106:19-25. 2004....
Resting peripheral blood flow in normal pregnancy and in pre-eclampsiaN Anim-Nyame
Department of Maternal Fetal Medicine, Division of Paediatrics, Obstetrics and Gynaecology, Imperial College School of Medicine, Chelsea and Westminster Hospital, 369 Fulham Road, London SW10 9NH, UK
Clin Sci (Lond) 99:505-10. 2000..We suggest that measurement of resting calf blood flow could give a non-invasive index of deterioration of nutritive blood flow to vital organs in pre-eclampsia...
Biochemical markers of maternal bone turnover are elevated in pre-eclampsiaN Anim-Nyame
Department of Maternal-Fetal Medicine, Imperial College School of Medicine, Chelsea and Westminster Hospital, London, UK
BJOG 108:258-62. 2001..CONCLUSIONS: These data suggest that bone turnover is increased in established pre-eclampsia compared with normal pregnancy. Further studies are required to investigate whether this precedes the onset of the disease...
Evidence of impaired microvascular function in pre-eclampsia: a non-invasive studyN Anim-Nyame
Department of Maternal and Fetal Medicine, Imperial College School of Medicine at Chelsea and Westminster Hospital, 369 Fulham Road, London SW10 9NH, U K
Clin Sci (Lond) 104:405-12. 2003..These data suggest that microvascular dysfunction occurs in pre-eclampsia, and that it is related to alterations in endothelial cell and neutrophil activation...
Tetralogy of Fallot: maternal and neonatal outcomesE Gelson
Academic Department of Obstetrics and Gynaecology, Imperial College London, Chelsea and Westminster Hospital, London, UK
BJOG 115:398-402. 2008..000001, Wilcoxon rank sum test). All women whose babies were <10th centile weight for gestational age had moderate to severe pulmonary regurgitation...
Insulin resistance and pre-eclampsia: a role for tumor necrosis factor-alpha?N Anim-Nyame
Department of Obstetrics and Gynaecology, Faculty of Medicine, Imperial College School of Science, Technology and Medicine, Chelsea and Westminster Hospital, London, UK
Gynecol Endocrinol 18:117-23. 2004..These data suggest that insulin resistance in pre-eclampsia precedes the clinical onset of the disease, but that it is not related to elevated levels of TNF-alpha...
The effect of maternal characteristics and gestational diabetes on birthweightM Makgoba
Academic Department of Obstetrics and Gynaecology, Imperial College Faculty of Medicine, Chelsea and Westminster Hospital, London, UK
BJOG 119:1091-7. 2012..To examine the effect of maternal characteristics, including advancing maternal age, body mass index (BMI), racial origin and development of gestational diabetes mellitus (GDM), on birthweight and the interactions between these factors...
Ethnicity and fetal heart rate variationO Ogueh
Division of Paediatrics, Obstetrics and Gynaecology, Imperial College School of Medicine at Chelsea and Westminster Hospital, London, United Kingdom
Obstet Gynecol 91:324-8. 1998..To determine the effect of ethnicity on fetal heart rate (FHR) variation...
The effect of exclusion of cases with unrecorded best estimate of gestational age on the estimates of preterm birth rateI Balchin
University College London Institute for Women s Health, London, UK
BJOG 116:1218-24. 2009..To investigate the effect of excluding cases with unrecorded best estimate of gestational age at birth on pregnancy outcome reporting and to determine the reasons for unrecorded gestational age data...
An analysis of the interrelationship between maternal age, body mass index and racial origin in the development of gestational diabetes mellitusM Makgoba
Academic Department of Obstetrics and Gynaecology, Imperial College Faculty of Medicine, Chelsea and Westminster Hospital, London, UK
BJOG 119:276-82. 2012..To examine the individual association between advancing maternal age, body mass index (BMI) and racial origin with the development of gestational diabetes mellitus (GDM) and the interaction between these factors...
The relationship between insulin and insulin-like growth factor binding protein-1 is modified by pre-eclampsiaN Anim-Nyame
Department of Maternal and Fetal Medicine, Division of Paediatrics, Obstetrics and Gynaecology, Imperial College of Science, Technology and Medicine, Chelsea and Westminster Hospital, 369 Fulham Road, London SW10 9NH, UK
Gynecol Endocrinol 17:471-6. 2003..These data suggest that whereas the inverse relationship between insulin and IGFBP-1 is maintained during normal pregnancy, this relationship is reversed in women who develop pre-eclampsia...
Hemoglobin concentration in pregnancy and perinatal mortality: a London-based cohort studyMark P Little
Department of Epidemiology and Public Health, Imperial College London, Faculty of Medicine, St Mary s Campus, Norfolk Place, United Kingdom
Am J Obstet Gynecol 193:220-6. 2005..The objective of the study was to determine the association between maternal hemoglobin concentration during pregnancy and perinatal mortality...
Pulmonary hypertension and pregnancy--a review of 12 pregnancies in nine womenR A Curry
Academic Department of Obstetrics and Gynaecology, Faculty of Medicine, Imperial College London, Chelsea and Westminster NHS Foundation Trust, London, UK
BJOG 119:752-61. 2012..To report outcomes in a recent series of pregnancies in women with pulmonary hypertension (PH)...
Seasonal patterns and preterm birth: a systematic review of the literature and an analysis in a London-based cohortS J Lee
London School of Hygiene and Tropical Medicine, Infectious and Tropical Diseases, Infectious Disease Epidemiology Unit, London, UK
BJOG 113:1280-8. 2006..The objectives of this study included a systematic review of the countries in which a seasonal pattern of preterm birth has been reported and an analysis on the seasonal variability of preterm birth in a London-based cohort...
Factors associated with fall in neonatal intubation rates in the United Kingdom--prospective studyM P Little
Department of Epidemiology and Public Health, Imperial College Faculty of Medicine, St Mary s Campus, and Paediatric Department, St Mary s Hospital, London, UK
BJOG 114:156-64. 2007..To investigate the trend of neonatal resuscitation by intubation or mask ventilation over time and to assess its association with changes in prevalence of caesarean section and use of general anaesthesia in labour...
Is bacterial vaginosis associated with cervical intraepithelial neoplasia?D C M Boyle
Academic Department of Obstetrics and Gynaecology, Imperial College School of Medicine, Chelsea and Westminster Hospital, London, UK
Int J Gynecol Cancer 13:159-63. 2003..We thus found that BV is not associated with CIN...
Timing of planned cesarean delivery by racial groupImelda Balchin
Department of Obstetrics and Gynaecology, Elizabeth Garrett Anderson Institute for Women s Health, University College London, London, United Kingdom
Obstet Gynecol 111:659-66. 2008..To estimate the incidence of newborn respiratory distress syndrome (RDS) and transient tachypnea of the newborn (TTN) in relation to gestational age and planned cesarean delivery in white, South Asian, and black women...
Race, prematurity and immaturityImelda Balchin
Department of Obstetrics and Gynaecology, University College London Hospitals Trust, Elizabeth Garrett Anderson and Obstetric Hospital, London, UK
Early Hum Dev 83:749-54. 2007..These patterns remained significant even after adjusting for socioeconomic factors. This suggests that fetal maturity occurs earlier in gestation in Blacks and South Asians when compared to white European babies...
The epidemiology of preterm labour--why have advances not equated to reduced incidence?P J Steer
Division of Surgery, Oncology, Reproductive Biology and Anaesthetics, Faculty of Medicine, Imperial College London, London, UK
BJOG 113:1-3. 2006....
Could a cervical occlusion suture be effective at improving perinatal outcome?M Noori
Academic Department of Obstetrics and Gynaecology, Faculty of Medicine, Imperial College London, Chelsea and Westminster Hospital, London, UK
BJOG 114:532-6. 2007..In this review, we examine the background of traditional cervical cerclage and introduce the concept of the occlusion suture and its potential benefit in reducing the risk of recurrent preterm prelabour rupture of membranes...
Does endothelial cell activation occur with intrauterine growth restriction?M R Johnson
Department of Maternal Fetal Medicine, Imperial College School of Medicine, Chelsea and Westminster Hospital, London, UK
BJOG 109:836-9. 2002....
Racial variation in the association between gestational age and perinatal mortality: prospective studyImelda Balchin
Academic Department of Obstetrics and Gynaecology, Imperial College Faculty of Medicine, Chelsea and Westminster Hospital, London SW10 9NH
BMJ 334:833. 2007..The most important factor associated with antepartum stillbirth among white women was placental abruption, but among South Asian and black women it was birth weight below 2000 g...
Maternal temperature monitoring during labor: concordance and variability among monitoring sitesSujoy Banerjee
Academic Department of Obstetrics and Gynecology, the Bagrit Centre for Bioengineering, Faculty of Medicine, Imperial College London, Chelsea and Westminster Hospital, 369 Fulham Road, London, United Kingdom
Obstet Gynecol 103:287-93. 2004..The purpose of this study was to ascertain the most reliable noninvasive method of temperature monitoring in labor that would best reflect changes in intrauterine temperature...
Cardiac disease in pregnancyRuth Curry
Academic Department of Obstetrics and Gynaecology, Imperial College London, Chelsea and Westminster Hospital, London SW10 9NH, UK
Curr Opin Obstet Gynecol 21:508-13. 2009..This review updates the reader on these important conditions...
Are reported preterm birth rates reliable? An analysis of interhospital differences in the calculation of the weeks of gestation at delivery and preterm birth rateImelda Balchin
Academic Department of Obstetrics and Gynaecology, Imperial College Faculty of Medicine, Chelsea and Westminster Hospital, London, UK
BJOG 111:160-3. 2004..Calculation of estimated gestational age varied between hospitals due to inconsistencies in 'rounding' and 'truncating' the weeks of gestation at delivery. This resulted in preterm birth misclassification rates of up to 10.1%...
Cardiac disease in pregnancyMartin Lupton
Department of Obstetrics/Gynaecology, Chelsea and Westminster Hospital, London, UK
Curr Opin Obstet Gynecol 14:137-43. 2002..Care throughout pregnancy and in the puerperium should be multidisciplinary and include cardiologists, obstetricians and midwives with experience of such cases, preferably in a tertiary centre...
Controversies in pregnancy and congenital heart diseaseLorna Swan
Department of Cardiology, Western Infirmary, Glasgow, UK
Congenit Heart Dis 1:27-34. 2006..This article highlights, through the use of case histories, some of these contentious areas, reflecting the different manifestations of congenital maternal cardiac disease and highlighting the limitations of our knowledge...
Pregnancy and congenital heart diseaseAnselm Uebing
Adult Congenital Heart Disease Unit, Royal Brompton and Harefield NHS Trust and National Heart and Lung Institute at Imperial College, London SW3 6NP
BMJ 332:401-6. 2006
Low molecular weight heparin (tinzaparin) therapy for moderate risk thromboprophylaxis during pregnancy. A pharmacokinetic studyLucy A Norris
Coagulation Research Laboratory, Department of Obstetrics and Gynaecology, Trinity Centre for Health Sciences, St James s Hospital, Dublin 8, Ireland
Thromb Haemost 92:791-6. 2004..Larger studies are required to determine whether an increased tinzaparin dose (75 IU/kg) would be more effective in the prevention of thrombosis during pregnancy than 50 IU/kg...
Tinzaparin sodium for thrombosis treatment and prevention during pregnancyMark P Smith
Reference Centre for Haemostatic and Thrombotic Disorders, St Thomas Hospital, Dublin, Ireland
Am J Obstet Gynecol 190:495-501. 2004..This study was undertaken to assess the pharmacodynamic profile, safety, and efficacy of tinzaparin during pregnancy...
A time-series analysis of any short-term effects of meteorological and air pollution factors on preterm births in London, UKSue J Lee
London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, UK
Environ Res 106:185-94. 2008..This large study, covering 13 years, suggests that there is no association between preterm births and recent exposure to ambient air pollution or recent changes in the weather...
Giving steroids before elective caesarean sectionPhilip J Steer
BMJ 331:645-6. 2005
