The Australian & New Zealand journal of obstetrics & gynaecology
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Aust N Z J Obstet Gynaecol · Oct 2006
Randomized Controlled Trial Comparative StudyIntrapartum analgesia and its association with post-partum back pain and headache in nulliparous women.
The effect of intrapartum analgesia on post-partum maternal back and neck pain, headache and migraine, is uncertain. ⋯ This analysis supports previous research suggesting that epidural analgesia is not a significant risk factor for persisting post-partum back pain, headache or migraine.
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Aust N Z J Obstet Gynaecol · Aug 2006
Randomized Controlled TrialThe routine use of oxytocin after oral misoprostol for labour induction in women with an unfavourable cervix is not of benefit.
Induction of labour with misoprostol is often augmented with oxytocin with the possible consequence of uterine hypercontractility. It is important to determine whether the use of oxytocin in this circumstance has benefit as well as risk. ⋯ There was no benefit of routine addition of oxytocin after two doses of misoprostol. Reduced oxytocin requirement was observed when it was added only if needed. Both regimens achieved 85-87% vaginal deliveries with low incidence of hypercontractility.
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Aust N Z J Obstet Gynaecol · Oct 2005
Randomized Controlled TrialOronasopharyngeal suction versus no suction in normal, term and vaginally born infants: a prospective randomised controlled trial.
This prospective randomised controlled trial aimed to compare the effects of oronasopharyngeal suction with those of no suction in normal, term and vaginally born infants and was performed at a Turkish tertiary hospital from June 2003 to January 2004. A total of 140 newborns were enrolled in the trial (n = 70 per group). The no suction group showed lower mean heart rates through the 3rd and 6th minutes and higher SaO(2) values through the first 6 mins of life (P < 0.001). The maximum time to reach SaO2 of >or= 92% (6 vs. 11 min) and >or= 86% (5 vs. 8 min) were shorter in the no suction group (P < 0.001).
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Aust N Z J Obstet Gynaecol · Apr 2005
Randomized Controlled Trial Comparative Study Clinical TrialA randomised trial of surgical, medical and expectant management of first trimester spontaneous miscarriage.
Medical management and expectant care have been considered possible alternatives to surgical evacuation of the uterus for first trimester spontaneous miscarriage in recent years. ⋯ Expectant care appears to be sufficiently safe and effective to be offered as an option for women. Medical management might carry a higher risk of infection than surgical or expectant care.
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Aust N Z J Obstet Gynaecol · Apr 2004
Randomized Controlled Trial Multicenter Study Comparative Study Clinical TrialVeda-scope: More comfortable than the bivalve speculum and cytologically equivalent.
The aim of the present study was to confirm that the Veda-scope is equivalent to the bivalve speculum in the collection of endocervical cells, as confirmation of adequate cervical sampling for Pap smear testing. The study also aimed to assess the comfort level of the Veda-scope compared to the traditional bivalve speculum and the patient preference of the Veda-scope compared to the bivalve speculum. ⋯ The results of the present study show that Pap smear collections with the Veda-scope are of equal quality to those collected with the bivalve speculum, with an equivalent diagnostic outcome. A very strong preference for the Veda-scope was shown by the women enrolled in the present study based on the comfort levels experienced with the two devices.