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 · Aug 2008
Male sex and pre-existing diabetes are independent risk factors for stillbirth.
To determine whether the risk of stillbirth is associated with male fetal sex, fetal growth and maternal factors in an Australian population. ⋯ Male fetal sex and pre-existing diabetes are independent risk factors for stillbirth. Diabetes remains a significant risk for stillbirth even with contemporary monitoring and clinical management. Those diabetic pregnancies where the fetus is male require appropriate monitoring and timely interventions to achieve an optimal outcome.
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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 · 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.