Bmc Pregnancy Childb
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Bmc Pregnancy Childb · May 2018
Randomized Controlled Trial Multicenter StudyRisk factors for peripartum hysterectomy among women with postpartum haemorrhage: analysis of data from the WOMAN trial.
Peripartum hysterectomy can cause significant morbidity and mortality. Most studies of peripartum hysterectomy are from high income countries. This cohort study examined risk factors for peripartum hysterectomy using data from Africa, Asia, Europe and the Americas. ⋯ Placenta praevia/accreta is associated with a higher risk of peripartum hysterectomy. Other risk factors for hysterectomy are advanced maternal age, caesarean section and giving birth in Asia.
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Bmc Pregnancy Childb · May 2018
Randomized Controlled TrialThe treatment of booking gestational diabetes mellitus (TOBOGM) pilot randomised controlled trial.
We piloted a randomised controlled trial (RCT) comparing pregnancy outcomes among women with booking gestational diabetes (GDM) receiving immediate or deferred treatment. ⋯ An RCT deferring 'Booking GDM' treatment is feasible. Most women with untreated 'Booking GDM' in mid 2nd trimester had GDM at 24-28 weeks. Early treatment may have both benefits and harms. A full RCT is needed.