Clin Exp Obstet Gyn
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Clin Exp Obstet Gyn · Jan 2015
Randomized Controlled TrialEffect of hypertonic sodium chloride hydroxyethyl starch 40 on ET, TXB2, 6-keto-PGF1α, and ANP of preeclampsia in caesarean section.
Preeclampsia is a unique disease of pregnancy. Delivery via caesarean section is the most important way of terminating the pregnancy and treating preeclampsia. Perioperative fluid therapy is performed to maintain the circulatory volume and reduce tissue edema. This study evaluated the effects of hypertonic sodium chloride hydroxyethyl starch 40 (HSH40) as perioperative fluid therapy for preeclampsia patients. ⋯ Low-dose HSH40 lowers the plasma levels of vasoconstrictor substances (ET and TXB2) and increases the levels of vasodilator substances (6-keto-PGF1α and ANP) during preeclampsia. It effectively maintains and stabilizes the circulating blood volume, increasing renal blood flow, which improves renal function and increases urine output.
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Clin Exp Obstet Gyn · Jan 2015
Randomized Controlled TrialThe safety and acceptability of intravenous fentanyl versus intramuscular pethidine for pain relief during labour.
This trial aimed to ascertain the relative efficacy, adverse effects, and acceptability of fentanyl versus pethidine for pain relief during labour. ⋯ Fentanyl is comparable to pethidine for pain relief during labour regarding efficacy and acceptability, but with more neonates with low Apgar scores at one minute and higher need for neonatal resuscitation and naloxone administration. Further larger trials are needed to confirm its safety.
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Clin Exp Obstet Gyn · Jan 2015
Randomized Controlled TrialEffect of skin contact between mother and child in pain relief of full-term newborns during heel blood collection.
The aim was to investigate the effect of skin contact between mother and child in pain relief of full-term newborns during heel blood collection. ⋯ During heel blood collection, skin contact between the mother and child can relieve pain, reduce changes in heart rate, improve neonatal heel blood oxygen saturation, and enhance the emotional communication between the mother and child.
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Clin Exp Obstet Gyn · Jan 2014
Randomized Controlled TrialA randomized-clinical trial examining a neoprene abdominal binder in gynecologic surgery patients.
Pain control and early ambulation are two important postoperative goals. Strategies that decrease morphine use while increasing ambulation have the potential to decrease postoperative complications. In this study the authors sought to determine the effect of an abdominopelvic binder on postoperative morphine use, pain, and ambulation in the first day after surgery. ⋯ The binder increased ambulations in the subset of patients at the highest risk for postoperative complications: elderly, cancer patients, and vertical incisions. Routine use of the binder may benefit particularly high-risk gynecologic surgical patients.
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Clin Exp Obstet Gyn · Jan 2013
Randomized Controlled Trial Comparative StudyInvestigation on delivery analgesia effect of combined spinal epidural anesthesia plus Doula and safety of mother and baby.
To explore the effect of patient-controlled lumbar epidural combined anesthesia with Doula for labor analgesia with ropivacaine and sufentanil, and its influence on the progress of labor, and outcomes of mother and infant. ⋯ Labor analgesia by patient-controlled lumbar epidural combined anesthesia accompanied with Doula with ropivacaine and sufentanil is effective, safe, reliable, has no adverse effects, and reduces cesarean section rate.