ORCID Profile
0000-0002-3943-4610
Current Organisations
Royal College of Obstetricians and Gynaecologists
,
Royal Australian and New Zealand College of Obstetricians and Gynaecologists
,
Central Coast Local Health District
,
Australian National University Medical School
,
Royal Hobart Hospital
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Publications
From culdoscopy to peritoneoscopy: a century of advancement in laparoscopy for minimal-access surgery in gynaecology
Publisher: Wiley
Date: 23-12-2017
Diabetes and pregnancy: Time to rethink the focus on type 2 diabetes
Publisher: Wiley
Date: 08-02-2014
DOI: 10.1111/AJO.12186
The Prevalence of Anemia In Pregnancy In A Developed Country – How Well Understood Is It?
Publisher: OMICS Publishing Group
Date: 2016
The morbidly adherent placenta-a continuing diagnostic and management challenge
Publisher: Wiley
Date: 26-10-2015
Effectiveness of a regional prepregnancy care program in women with type 1 and type 2 diabetes: Benefits beyond glycemic control
Publisher: American Diabetes Association
Date: 12-2010
DOI: 10.2337/DC10-1113
Abstract: To implement and evaluate a regional prepregnancy care program in women with type 1 and type 2 diabetes. Prepregnancy care was promoted among patients and health professionals and delivered across 10 regional maternity units. A prospective cohort study of 680 pregnancies in women with type 1 and type 2 diabetes was performed. Primary outcomes were adverse pregnancy outcome (congenital malformation, stillbirth, or neonatal death), congenital malformation, and indicators of pregnancy preparation (5 mg folic acid, gestational age, and A1C). Comparisons were made with a historical cohort (n = 613 pregnancies) from the same units during 1999–2004. A total of 181 (27%) women attended, and 499 women (73%) did not attend prepregnancy care. Women with prepregnancy care presented earlier (6.7 vs. 7.7 weeks P & 0.001), were more likely to take 5 mg preconception folic acid (88.2 vs. 26.7% P & 0.0001) and had lower A1C levels (A1C 6.9 vs. 7.6% P & 0.0001). They had fewer adverse pregnancy outcomes (1.3 vs. 7.8% P = 0.009). Multivariate logistic regression confirmed that in addition to glycemic control, lack of prepregnancy care was independently associated with adverse outcome (odds ratio 0.2 [95% CI 0.05–0.89] P = 0.03). Compared with 1999–2004, folic acid supplementation increased (40.7 vs. 32.5% P = 0.006) and congenital malformations decreased (4.3 vs. 7.3% P = 0.04). Regional prepregnancy care was associated with improved pregnancy preparation and reduced risk of adverse pregnancy outcome in type 1 and type 2 diabetes. Prepregnancy care had benefits beyond improved glycemic control and was a stronger predictor of pregnancy outcome than maternal obesity, ethnicity, or social disadvantage.
Long live Lind: the history of the randomised controlled trial
Publisher: Wiley
Date: 13-06-2019
The alleviation of pain: a surgical revolution
Publisher: Wiley
Date: 11-09-2018
Before Louise: the history of infertility
Publisher: Wiley
Date: 11-12-2019
Understanding the human microbiome: new icing on an old cake
Publisher: Wiley
Date: 05-06-2020
Pregnancy after endometriosis: a new challenge?
Publisher: Wiley
Date: 24-01-2017
From a finger on the pulse to modern technology-the transformation of healthcare in China
Publisher: Wiley
Date: 09-2016
Geographic variation in management of patients with placenta accreta spectrum: An international survey of experts (GPASS)
Publisher: Wiley
Date: 28-10-2021
DOI: 10.1002/IJGO.13960
Abstract: To describe global geographic variations in the diagnosis and management of placenta accreta spectrum (PAS). An international cross‐sectional study was conducted among PAS experts practicing at medical institutions in member states of the United Nations. Survey questions focused on diagnostic evaluation and management strategies for PAS. A total of 134 centers participated. Participating centers represented each of the United Nations' designated regions. Of those, 118 (88%) reported practicing in a medium‐volume or high‐volume center. First‐trimester PAS screen was reported in 35 (26.1%) centers. Respondents consistently implement guideline‐supported care practices, including utilization of ultrasound as the primary diagnostic modality (134, 100%) and implementation of multidisciplinary care teams (115, 85.8%). Less than 10% of respondents reported routinely managing PAS without hysterectomy these centers were predominantly located in Europe and Africa. Antepartum management and availability of mental health support for PAS patients varied widely. Worldwide, there is a strong adherence to PAS care guidelines however, regional variations do exist. Comparing variations in care to outcomes will provide insight into the clinically significant practice variability.
A paradigm shift in the origin of ovarian cancer: the ovary is no longer to blame
Publisher: Wiley
Date: 21-04-2017
Increasing Incidence Rate of Cervical Cerclage in Pregnancy in Australia: A Population-Based Study
Publisher: MDPI AG
Date: 12-09-2016
Immunisation in pregnancy
Publisher: Elsevier BV
Date: 10-2021
Intrapartum care for obese and morbidly obese women
Publisher: Elsevier
Date: 2020
Influenza A H1N1 2009 (Swine Flu) and Pregnancy
Publisher: Springer Science and Business Media LLC
Date: 08-2011
Colposcopy: a closer look into its past, present and future
Publisher: Wiley
Date: 17-01-2019
Pandemic H1N1 2009 (swine flu) and pregnancy
Publisher: Elsevier BV
Date: 04-2010
Preventing early births in a regional tertiary maternity unit: Evaluating preterm and early term birth rates before and after implementation of the Preterm Birth Prevention Initiative in the Australian Capital Territory
Publisher: Wiley
Date: 24-03-2021
DOI: 10.1111/AJO.13328
Abstract: A multifaceted preterm birth (PTB) prevention initiative was launched in the Australian Capital Territory (ACT) in 2019. The aim of this initiative was to safely lower the rate of early births across the ACT and the surrounding areas in New South Wales. Modelled on the Western Australian PTB Prevention Initiative, the program included new clinical guidelines and a new PTB prevention clinic at the main tertiary hospital. To evaluate the initiative and its effects on preterm and early term birth rates at the main tertiary hospital after 16 months of implementation. A before and after intervention study was conducted. Rates of preterm and early term birth before (previous five years) and after 16 months of implementation of the ACT PTB Prevention Initiative were evaluated. At the main tertiary hospital in The Canberra Hospital, the rate of PTB was significantly reduced by 10% after 16 months of implementation of the initiative. Rates of PTB were lower than any of the preceding five years and resulted in 45 averted or delayed PTBs. The number of planned early term births with no medical indication was significantly reduced by 34.5% and resulted in 77 averted or delayed early term births. The multifaceted PTB Prevention Initiative safely lowered the rates of early birth in the ACT context. These results highlight the importance of prioritising early birth prevention, education, research and expanding the initiative nationwide.
Epidemiology of Placenta Accreta Spectrum: A Comprehensive Review of Current Evidence
Publisher: Springer International Publishing
Date: 30-11-2023
Plastic operations or the transvaginal mesh. Are we going full circle?
Publisher: Wiley
Date: 13-11-2018
Immunisation against influenza during pregnancy
Publisher: BMJ
Date: 02-05-2012
DOI: 10.1136/BMJ.E3091
Obesity in pregnancy: not such a new problem
Publisher: Wiley
Date: 29-12-2016
McDonald transvaginal cervical cerclage since 1957: from its roots in Australia into worldwide contemporary practice
Publisher: Wiley
Date: 22-07-2014
Contraception - of potions, pills and social change
Publisher: Wiley
Date: 22-11-2017
Homebirth after caesarean section: a choice too far?
Publisher: Wiley
Date: 27-01-2015
Life after death: posthumous sperm procurement. Whose right to decide?
Publisher: Wiley
Date: 27-01-2015
Placenta Previa Increta in an Unscarred Uterus With Marked Thinning of Myometrium in the Entire Uterus in a Patient With Systemic Lupus Erythematosus
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 03-2018
DOI: 10.1097/PGP.0000000000000397
Abstract: A 36-yr-old woman, G5P2, who had a background history of systemic lupus erythematosus (SLE) was found to have placenta previa and placenta accreta on second trimester ultrasound scan. She had previous 3 spontaneous miscarriages but there was no history of gynecologic interventions. Apart from SLE, there was no other explanation for her recurrent miscarriage. The patient had ongoing thrombocytopenia in this pregnancy. The patient was taken for elective lower uterine segment cesarean section at 36 wk+5 d gestation. Balloon catheters were placed in the anterior branches of the internal iliac arteries before the operation. Despite this and aggressive medical management, she experienced significant bleeding requiring peripartum hysterectomy. Histologic examination showed placenta increta with marked thinning of the myometrium. The myometrium was mm thick in most of the uterus except for lower uterine segment without any evidence of uterine rupture or perforation. This paper presents this unusual case of diffuse marked thinning of myometrium in the uterus as well as presence of placenta previa increta, without any prior history of gynecologic intervention in a patient with SLE.
Are we steering full circle in our methods of labour induction?
Publisher: Wiley
Date: 21-04-2017
Induction of labour and intrapartum care in obese women
Publisher: Elsevier BV
Date: 04-2015
Keeping the ureters watertight in gynaecological surgery – Stents or coloured jets?
Publisher: Wiley
Date: 08-02-2023
The effects of a severe perineal trauma prevention program in an Australian tertiary hospital: An observational study
Publisher: Elsevier BV
Date: 07-2020
DOI: 10.1016/J.WOMBI.2019.07.301
Abstract: Severe perineal trauma during childbirth is associated with significant morbidity and rates internationally, are on the rise. To determine the impact of a prevention program on severe perineal trauma in a nulliparous population at a tertiary hospital in Australia. Routinely collected maternity data were used comparing outcomes in two time periods two years before and two years after the introduction of the program. Categorical data were compared using the Chi Squared statistic and continuous data Student's t-test. Logistic regression examined the association between independent and dependent variables using unadjusted and adjusted odds ratios, with 95% confidence intervals and p -values with significance set at 0.05. The main outcome of interest is severe perineal trauma. The proportion of women in this nulliparous population experiencing severe perineal trauma during vaginal birth decreased from 8.8% in the first time period to 5.6% in the second. Reductions were achieved in all modes of vaginal birth but were most pronounced in vacuum births. Rates of episiotomy increased between time periods and further analysis found that this was protective of severe perineal trauma in all modes of birth for women of Asian country of birth and only in forceps birth for non-Asian women. Factors found to contribute to severe perineal trauma in this population were Asian country of birth, neonatal weight ≥4000gm, forceps birth and maternal age. The prevention program is associated with reduced rates of severe perineal trauma. The challenge for the service is to maintain this positive change.
Related Organisations
Royal College Of Obstetricians And Gynaecologists
Location: United Kingdom of Great Britain and Northern Ireland
Royal Australian And New Zealand College Of Obstetricians And Gynaecologists
Location: Australia
Related Funding Activities
No related grants have been discovered for Boon Lim.