Archives of gynecology and obstetrics
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Arch. Gynecol. Obstet. · Oct 2012
Randomized Controlled Trial Comparative StudyType of axial analgesia does not influence time to vaginal delivery in a Proportional Hazards Model.
To create a Proportional Hazards Model of prospective factors associated with time-to-vaginal-delivery (TTVD). ⋯ Parity, labor augmentation, induction of labor and fetal weight determine TTVD; axial analgesia-related factors do not contribute to the model.
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Arch. Gynecol. Obstet. · Sep 2012
Clinical TrialInhaled intrapartum analgesia using a 50-50 % mixture of nitrous oxide-oxygen in a low-income hospital setting.
To analyze the benefits of an inhaled analgesia procedure over intrapartum pain and the degree of satisfaction of using this method. ⋯ Inhaled intrapartum analgesia using a N(2)O-O(2) 50-50 % mixture provided rapid pain alleviation. It is an appealing, effective and safe method for the management of pain during labor, most useful at institutions with infrastructure and personnel limitations.
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Arch. Gynecol. Obstet. · Sep 2012
Comparative StudyBlood loss after caesarean section: depending on the management of oxytocin application?
Oxytocin donation in caesarean section is used to reduce postpartum blood loss. Cardiovascular side effects such as tachycardia, hypotension and decreased cardiac output are known and seem to depend on the way of application, whereas the blood loss is said to be similar. We aimed to examine that extent of haemorrhage in our own patients. ⋯ We recommend to do further studies to clarify the advantage and contraindications of using oxytocin boluses and until to use the oxytocin bolus again in healthy patients but to avoid it in patients with cardiovascular risk.
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The study was aimed to identify risk factors for neonatal brachial plexus paralysis. ⋯ In our population, shoulder dystocia, macrosomia, labor dystocia, vacuum delivery and vaginal breech deliveries were significant risk factors for neonatal brachial plexus paralysis, while maternal characteristics such as obesity and diabetes were not. Despite our growing knowledge concerning the risk factors associated with brachial plexus paralysis, unfortunately, this condition cannot be predicted or prevented.