Gynecologic and obstetric investigation
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Gynecol. Obstet. Invest. · Jan 2006
Randomized Controlled TrialOronasopharyngeal suction versus no suction in normal and term infants delivered by elective cesarean section: a prospective randomized controlled trial.
There are controversies about the routine use of oronasopharyngeal suction (ONPS) in healthy infants. This study aimed to compare the effects of oronasopharyngeal suction with those of no suction in normal, term infants delivered by cesarean section. ⋯ Although findings remained on statistical level and did not lead to clinically adverse outcomes, there is no statistical or physiological basis for oronasopharyngeal suction as a systematic procedure in healthy, term infants delivered by cesarean section.
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Gynecol. Obstet. Invest. · Jan 2006
Randomized Controlled TrialOpioid analgesia for hysterosalpingography: controlled double-blind prospective trial with remifentanil and placebo.
A hysterosalpingogram is an integral part of the evaluation of infertility, however, it is often painful. ⋯ Remifentanil infusion during HSG is superior to placebo for relief of pain with minimal opioid side effects.
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Gynecol. Obstet. Invest. · Jan 2004
Randomized Controlled Trial Comparative Study Clinical TrialA double-blinded, randomized controlled trial of oxytocin at the beginning versus the end of the third stage of labor for prevention of postpartum hemorrhage.
The objective of this study was to compare the administration of oxytocin at the beginning and end of the third stage of labor for the prevention of postpartum hemorrhage. ⋯ In our study, postpartum hemorrhage was less frequent when oxytocin administration was delayed until after placenta delivery.
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Gynecol. Obstet. Invest. · Jan 2003
Randomized Controlled Trial Comparative Study Clinical TrialComparison of neonatal effects of epidural and general anesthesia for cesarean section.
We assessed the influence of anesthetic technique for cesarean section on neonatal outcome. Thirty parturient women (ASA I/II) were randomly allocated into two groups. In Group GA general anesthesia was induced with 4 mg.kg(-1) thiopental and 1.5 mg.kg(-1) succinylcholine. ⋯ In terms of blood gas values, umbilical arterial pH and pO(2) values were higher in group EA (p < 0.05 and p < 0.001, respectively). The first breast-feeding intervals were found to be shorter in group EA (p < 0.001). We conclude that in terms of better Apgar and NAC scores, acid-base status and earlier initiation of breast-feeding, the epidural anesthesia may be preferred to general anesthesia in cesarean section.
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Gynecol. Obstet. Invest. · Jan 1996
Randomized Controlled Trial Clinical TrialEffect of second-stage 0.25% epidural bupivacaine on the outcome of labor.
To evaluate the effect of second-stage epidural bupivacaine on the outcome of labor. ⋯ The administration of continuous epidural bupivacaine (0.25%) throughout labor and delivery does not seem to affect the outcome of labor.