Archives of gynecology and obstetrics
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Arch. Gynecol. Obstet. · Dec 2011
Randomized Controlled TrialThe effects of preoperative intravenous acetaminophen in patients undergoing abdominal hysterectomy.
Although intravenous acetaminophen is commonly used for the management of postoperative pain, very limited evidence supports the usefulness of preoperative administration. The aim of this study was to determine the analgesic effect of preoperative acetaminophen on opioid consumption, pain scores, and side effects in patients receiving an elective abdominal hysterectomy. ⋯ Premedication with acetaminophen reduced hydromorphone consumption and opioid-related side effect in patients undergoing abdominal hysterectomy, but did not significantly reduce pain intensity.
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Arch. Gynecol. Obstet. · Nov 2011
Randomized Controlled TrialUmbilical vein oxytocin in the management of retained placenta: an alternative to manual removal of placenta?
Retained placenta is potentially life threatening due to possible complications associated with manual removal. Our aim was to determine whether umbilical vein injection of oxytocin in saline reduces the need for manual removal of placenta. ⋯ Intra-umbilical vein oxytocin injection is clinically effective for the management of a retained placenta.
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Arch. Gynecol. Obstet. · Nov 2011
Randomized Controlled TrialEffect of anesthesiological strategies on neonatal bilirubin levels during cesarean section: a prospective and randomized trial.
Neonatal jaundice, a frequent problem in neonatology, can be influenced by many factors. Here, we sought to clarify the role of anesthesia and to compare the effects of various anesthesiological strategies on neonatal bilirubin levels during cesarean section. ⋯ EA and SA at cesarean section seem to be better among the four anesthesia techniques considering neonatal hyperbilirubinemia. Our findings are consistent with the idea that anesthesia may be a risk factor for hyperbilirubinemia. Although anesthesia may not significantly increase the need for interventions such as phototherapy, it may increase the burden of time, labor and cost.
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Arch. Gynecol. Obstet. · May 2011
Randomized Controlled TrialUmbilical cord blood acid-base and gas analysis after early versus delayed cord clamping in neonates at term.
To compare umbilical cord acid-base status and blood gas analysis between umbilical cords clamped within 10 s and at 2 min of delivery. ⋯ A delay of 2 min before umbilical cord clamping does not significantly change acid-base and gas analysis results, with the exception of a higher mean umbilical artery pO(2) value in the delayed clamping group.
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Arch. Gynecol. Obstet. · May 2011
Randomized Controlled Trial Comparative StudyRectal versus oral misoprostol for active management of third stage of labor: a randomized controlled trial.
To test that rectal misoprostol is effective for active management of third stage of labor, and probably with less side effects than oral misoprostol. ⋯ Rectal misoprostol is effective in the management of third stage of labor, and with a significant decrease in side effects. Lesser dose and other routes could be explored in the future.