Acta obstetricia et gynecologica Scandinavica
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Acta Obstet Gynecol Scand · Jan 2016
Review Meta Analysis Comparative StudyST waveform analysis versus cardiotocography alone for intrapartum fetal monitoring: a systematic review and meta-analysis of randomized trials.
ST waveform analysis was introduced to reduce metabolic acidosis at birth and avoid unnecessary operative deliveries relative to conventional cardiotocography. Our objective was to quantify the efficacy of ST waveform analysis vs. cardiotocography and assess the quality of the evidence using the Grading of Recommendations Assessment, Development and Evaluation tool. ⋯ Absolute effects of ST waveform analysis were minor, and the clinical significance of the observed reduction in metabolic acidosis is questioned. There is not enough evidence to justify the use of ST waveform analysis in contemporary obstetrics.
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Acta Obstet Gynecol Scand · Jan 2016
Review Meta Analysis Comparative StudyST waveform analysis versus cardiotocography alone for intrapartum fetal monitoring: a systematic review and meta-analysis of randomized trials.
ST waveform analysis was introduced to reduce metabolic acidosis at birth and avoid unnecessary operative deliveries relative to conventional cardiotocography. Our objective was to quantify the efficacy of ST waveform analysis vs. cardiotocography and assess the quality of the evidence using the Grading of Recommendations Assessment, Development and Evaluation tool. ⋯ Absolute effects of ST waveform analysis were minor, and the clinical significance of the observed reduction in metabolic acidosis is questioned. There is not enough evidence to justify the use of ST waveform analysis in contemporary obstetrics.
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Acta Obstet Gynecol Scand · Jul 2015
ReviewHemostatic resuscitation in postpartum hemorrhage - a supplement to surgery.
Postpartum hemorrhage is a potentially life-threatening albeit preventable condition that persists as a leading cause of maternal death. Identification of safe and cost-effective hemostatic treatment options remains crucial as a supplement to surgery and uterotonic agents. ⋯ Despite the lack of conclusive evidence for optimal hemostatic resuscitation in postpartum hemorrhage, the use of viscoelastic hemostatic assays, fibrinogen, tranexamic acid and balanced transfusion therapy may prove to be potentially pivotal in the treatment of postpartum hemorrhage.
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Acta Obstet Gynecol Scand · Apr 2015
Review Meta AnalysisCerclage for short cervix in twin pregnancies: systematic review and meta-analysis of randomized trials using individual patient-level data.
To evaluate the efficacy of cerclage for preventing preterm birth in twin pregnancies with a short cervical length. ⋯ Based on these Level 1 data, cerclage cannot currently be recommended for clinical use in twin pregnancies with a maternal short cervical length in the second trimester. Large trials are still necessary.
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Acta Obstet Gynecol Scand · Apr 2015
Review Meta AnalysisCerclage for short cervix in twin pregnancies: systematic review and meta-analysis of randomized trials using individual patient-level data.
To evaluate the efficacy of cerclage for preventing preterm birth in twin pregnancies with a short cervical length. ⋯ Based on these Level 1 data, cerclage cannot currently be recommended for clinical use in twin pregnancies with a maternal short cervical length in the second trimester. Large trials are still necessary.