International journal of gynaecology and obstetrics : the official organ of the International Federation of Gynaecology and Obstetrics
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Int J Gynaecol Obstet · Aug 2021
ReviewEradicating cervical cancer: Lessons learned from Rwanda and Australia.
Both Rwanda and Australia have made significant strides to eradicate cervical cancer. To understand the successes in Rwanda and Australia, a comparative policy analysis was conducted based on key informant interviews and a review of peer-reviewed literature and policy briefs. Notable findings were identified that offer lessons for countries across the income spectrum. ⋯ All countries can consider rolling out HPV vaccination by targeting the social and/or physical environment (e.g., a school-based vaccination program, as both Rwanda and Australia did). Cervical cancer is preventable, and eradication is within reach for countries across the income spectrum around the world. Cervical cancer screening programs are needed to minimize the incidence of and mortality from cervical cancer in the short term, and HPV vaccination programs are the best strategy to eradicate cervical cancer in the long term.
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Int J Gynaecol Obstet · Jul 2021
Meta AnalysisThe effectiveness of the abdominal binder in relieving pain after cesarean delivery: A systematic review and meta-analysis of randomized controlled trials.
Abdominal binder is a non-pharmacological method of relieving pain after surgical procedures. ⋯ The abdominal binder could be an effective, simple, non-pharmacological option of relieving pain and distress after CD.
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Int J Gynaecol Obstet · Jun 2021
Meta AnalysisTransversus abdominis plane block versus wound infiltration for post-cesarean section analgesia: A systematic review and meta-analysis of randomized controlled trials.
Transversus abdominis plane (TAP) block and wound infiltration (WI) with local anesthetics are used for postoperative analgesia after cesarean section (CS), reducing the need for administration of opioids. ⋯ There might be no significant advantages selecting TAP block over WI for post-CS analgesia.
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Int J Gynaecol Obstet · Oct 2020
Clinical characteristics, prognostic factors, and maternal and neonatal outcomes of SARS-CoV-2 infection among hospitalized pregnant women: A systematic review.
Pregnant women represent a potentially high-risk population in the COVID-19 pandemic. ⋯ Advanced gestation, maternal age, obesity, diabetes mellitus, and a combination of elevated D-dimer and interleukin-6 levels are predictive of poor pregnancy outcomes in COVID-19. The rate of iatrogenic preterm birth and cesarean delivery is high; vertical transmission may be possible but has not been proved.
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Int J Gynaecol Obstet · Jul 2020
ReviewDelivery in pregnant women infected with SARS-CoV-2: A fast review.
Few case reports and clinical series exist on pregnant women infected with SARS-CoV-2 who delivered. ⋯ The rate of vertical or peripartum transmission of SARS-CoV-2 is low, if any, for cesarean delivery; no data are available for vaginal delivery. Low frequency of spontaneous preterm birth and general favorable immediate neonatal outcome are reassuring.