Acta obstetricia et gynecologica Scandinavica
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Acta Obstet Gynecol Scand · Oct 1999
Randomized Controlled Trial Clinical TrialEffect of atracurium or pancuronium on the anemic fetus during and directly after intravascular intrauterine transfusion. A double blind randomized study.
To determine the effect of atracurium or pancuronium on onset and duration of fetal paralysis, movements and heart rate parameters directly after transfusion, using computer analyzed fetal heart rate recording (c-FHR). ⋯ Neuromuscular blockade with atracurium produces sufficient paralysis for intrauterine transfusion with minimal disturbance of the parameters used to monitor fetal wellbeing after the procedure. Although the routine use of fetal paralysis during IUT may be questionable, we believe that when it is necessary the use of atracurium is the better choice.
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Acta Obstet Gynecol Scand · Oct 1998
Randomized Controlled Trial Clinical TrialPain and pulmonary function following laparoscopic and abdominal hysterectomy: a randomized study.
The aim of this study was to evaluate pain and pulmonary function the first two days after abdominal and laparoscopic hysterectomy. ⋯ Laparoscopic hysterectomy results in less pain and less impairment of respiratory function compared to abdominal hysterectomy.
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Acta Obstet Gynecol Scand · Feb 1998
Randomized Controlled Trial Comparative Study Clinical TrialRandomized comparison of rectal misoprostol with Syntometrine for management of third stage of labor.
The search for an effective, easily stored, affordable uterotonic agent in preventing postpartum hemorrhage is of importance, especially in the developing world. The objective of this study was to randomly compare the effectiveness of rectal misoprostol with Syntometrine in the management of the third stage of labor. ⋯ Misoprostol rectally for management of the third stage of labor merits further investigation.
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Acta Obstet Gynecol Scand · Oct 1997
Review Randomized Controlled Trial Comparative Study Clinical TrialOral contraceptive use among female elite athletes and age-matched controls and its relation to low back pain.
Exogenous and endogenous female sex steroids may influence the risk of low back pain. The fact that back pain is a very common symptom during pregnancy supports this theory. Back pain is also more common among female than male athletes. Oral contraceptives have been suggested to increase the risk of low back pain. ⋯ This study does not support the theory that low back pain is affected by the use of oral contraceptives. Instead, constitutional factors and mechanical stress during intense physical activity is probably more important.
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Acta Obstet Gynecol Scand · Jan 1997
Randomized Controlled Trial Clinical TrialEffective obstetric paracervical block with reduced dose of bupivacaine. A prospective randomized double-blind study comparing 25 mg (0.25%) and 12.5 mg (0.125%) of bupivacaine.
To study whether paracervical block (PCB) with 12.5 mg (0.125%) of bupivacaine is as effective as with 25 mg (0.25%) and if there are differences in fetal heart rate (FHR) patterns between the doses. ⋯ Paracervical block with 12.5 mg of bupivacaine is an effective method to relieve pain during labor. Fetal heart rate changes seemed to appear less frequently with this reduced dose. It seems that by lowering the dose of bupivacaine it is possible to reduce fetal side-effects without losing analgesic effect.