The Australian & New Zealand journal of obstetrics & gynaecology
-
Aust N Z J Obstet Gynaecol · Dec 2003
Randomized Controlled Trial Comparative Study Clinical TrialMaternal satisfaction with childbirth and intrapartum analgesia in nulliparous labour.
To assess maternal satisfaction with childbirth and intrapartum pain relief in nulliparous women labouring at term. ⋯ Maternal satisfaction with intrapartum analgesia was significantly higher with epidural analgesia than non-epidural analgesic techniques. Overall satisfaction scores for labour and delivery were high regardless of analgesic approach, reflecting the multiple issues other than pain relief that are involved in the childbirth experience.
-
Aust N Z J Obstet Gynaecol · Oct 2003
Randomized Controlled Trial Clinical TrialImpact of intrapartum epidural analgesia on breast-feeding duration.
Although the labour and delivery outcomes of epidural analgesia have been investigated extensively, the effects on breast-feeding success are not clearly identified. ⋯ Nulliparous women have a high use of epidural analgesia in labour. Nulliparous women who choose epidural analgesia are more likely to breast-feed for shorter durations. Further exploration of the factors underlying this association should be undertaken.
-
Aust N Z J Obstet Gynaecol · Oct 2003
Randomized Controlled Trial Clinical TrialHysteroscopy under general anaesthesia, a near painless procedure.
Anecdotally, hysteroscopy and curettage under general anaesthesia causes crampy postoperative pain. A randomised, double-blind trial to investigate whether intrauterine lignocaine could decrease such pain was initiated by us. ⋯ Of the remainder, most rated pain as either 'mild', or less. For most women, hysteroscopy, dilatation and curettage causes either none or very little pain postoperatively.
-
Aust N Z J Obstet Gynaecol · Nov 2002
Randomized Controlled Trial Comparative Study Clinical TrialAnalgesic efficacy of continuous delivery of bupivacaine by an elastomeric balloon infusor after abdominal hysterectomy: a prospective randomised controlled trial.
To investigate the analgesic efficacy and morphine-sparing effect of continuous bupivacaine wound infiltration after abdominal hysterectomy. ⋯ That continuous infusion of the incisional wound with 0.5% bupivacaine did not confer additional analgesia over PCA morphine after abdominal hysterectomy
-
Aust N Z J Obstet Gynaecol · Nov 2002
Randomized Controlled Trial Clinical TrialRandomised controlled trial of glove perforation in single and double-gloving methods in gynaecologic surgery.
To assess the value of double-gloving in gynaecological surgery. ⋯ The double-gloving methods significantly reduced the risk of surgeons' hands contacting blood, when compared with the single-gloving method, in TAH with/or without BSO.