The Australian & New Zealand journal of obstetrics & gynaecology
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Aust N Z J Obstet Gynaecol · Aug 2008
ReviewSterile water injections as treatment for low-back pain during labour: a review.
Some women have severe low-back pain during childbirth. It has been shown that sterile water injections reduce this pain. This method, which is easy to learn and very cheap can be a good pain relief alternative primarily in countries with limited available pain relief options. ⋯ Sterile water injections seem to be a good alternative for low-back pain during childbirth.
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Aust N Z J Obstet Gynaecol · Feb 2008
ReviewVaricella and the pregnant woman: prevention and management.
Infection with varicella zoster virus (VZV) is often considered a childhood 'right of passage'; however, primary infection occurring in women of child-bearing age can have significant adverse consequences both for the mother and for her fetus. During the first trimester, primary VZV infection may result in stillbirth or a baby born with the stigmata of the congenital varicella syndrome, while infection in the peripartum period can result in neonatal varicella, which carries a significant mortality rate despite appropriate antiviral therapy. ⋯ Determining a woman's serostatus prior to pregnancy is advised, as effective vaccines are now available and should be administered to non-pregnant seronegative women of child-bearing age. Clinical practice guidelines for management of a pregnant woman exposed to VZV are presented.
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Aust N Z J Obstet Gynaecol · Dec 2004
Review Meta Analysis Comparative StudyImpact of first-stage ambulation on mode of delivery among women with epidural analgesia.
New techniques for administering epidural analgesia allow increased mobility for labouring women with epidurals. ⋯ Although ambulation in the first stage of labour for women with epidural analgesia provided no clear benefit to delivery outcomes or satisfaction with analgesia, neither were there are any obvious harms.
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Aust N Z J Obstet Gynaecol · Oct 2004
Review Meta AnalysisVaginal birth after Caesarean versus elective repeat Caesarean for women with a single prior Caesarean birth: a systematic review of the literature.
To assess the benefits and harms of planned elective repeat Caesarean section with planned vaginal birth after Caesarean section (VBAC). ⋯ There is a paucity of quality information available to assist women and their caregivers regarding optimal mode of birth for women with a single prior Caesarean section in their next pregnancy.
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Aust N Z J Obstet Gynaecol · Apr 2004
Review Comparative StudySystematic review of the treatment of ovulatory infertility with clomiphene citrate and intrauterine insemination.
Controlled ovarian hyperstimulation (COH) with clomiphene citrate (CC) combined with intrauterine insemination (IUI) is often used as treatment for ovulatory infertility which includes unexplained, male, cervical, endometriosis, and tubal infertility. ⋯ Clomiphene citrate combined with IUI is more effective than timed intercourse in the natural cycle at achieving pregnancy in couples with ovulatory infertility. However, treatment with gonadotrophins and IUI is superior to CC and IUI.