The Australian & New Zealand journal of obstetrics & gynaecology
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Aust N Z J Obstet Gynaecol · Feb 2009
Randomized Controlled TrialA comparison of tramadol and pethidine analgesia on the duration of labour: a randomised clinical trial.
The ideal obstetric analgesia should provide analgesic efficacy without attenuation of uterine contractions. ⋯ Both 100 mg tramadol and 50 mg pethidine provide moderate analgesia in first stage of labour. Tramadol seems to cause a shorter duration of labour and lower incidence of maternal side-effects. However, its analgesic efficacy was not found to be as effective as pethidine, especially in the second stage of labour.
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Aust N Z J Obstet Gynaecol · Feb 2008
Randomized Controlled TrialProgesterone for maintenance tocolytic therapy after threatened preterm labour: a randomised controlled trial.
Women with preterm labour that is arrested with tocolytic therapy are at increased risk of recurrent preterm labour. The efficacy of maintenance tocolytic therapy after successful arrest of preterm labour remains controversial. ⋯ The use of vaginal progesterone suppository after successful parenteral tocolysis associated with a longer latency preceding delivery but failed to reduce the incidence of readmission for preterm labour.
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Aust N Z J Obstet Gynaecol · Oct 2007
Randomized Controlled TrialDoes postoperative misoprostol use induce intestinal motility? A prospective randomised double-blind trial.
Misoprostol has been shown to increase colonic activity and decrease colonic transit time in chronic constipation patients. ⋯ Rectally administered misoprostol does not improve intestinal motility in the early postoperative period and thus, it is not effective in providing early oral food intake. On the contrary, it causes distention that requires additional analgesics and vomiting that naturally limits oral diet intake.
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Aust N Z J Obstet Gynaecol · Aug 2007
Randomized Controlled Trial Comparative StudyRandomised comparative trial of thermal balloon ablation and levonorgestrel intrauterine system in patients with idiopathic menorrhagia.
To compare the effectiveness of thermal balloon ablation (TBA) and levonorgestrel intrauterine system (LNG-IUS) in the management of idiopathic menorrhagia and changes in pictorial blood loss assessment chart (PBAC) scores in patients who had failed on oral medical treatment. ⋯ Both TBA and LNG-IUS achieved significant decreases in PBAC scores, with those for the LNG-IUS being significantly greater at 12 months. However, prolonged days of bleeding resulted in fewer women continuing with the LNG-IUS at two years.
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Aust N Z J Obstet Gynaecol · Feb 2007
Randomized Controlled TrialThe effects of acupuncture during labour on nulliparous women: a randomised controlled trial.
Acupuncture is as an ancient system of diagnosis and treatment. It is regarded as a complementary tool for pain management. ⋯ Acupuncture could reduce pain experience, active phase duration and oxytocin units. Patients were satisfied and no adverse effects were noted.