European journal of obstetrics, gynecology, and reproductive biology
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Eur. J. Obstet. Gynecol. Reprod. Biol. · Feb 2012
Introduction of metformin for gestational diabetes mellitus in clinical practice: Has it had an impact?
The aim of the study was to compare maternal and neonatal outcomes in women with gestational diabetes mellitus (GDM) treated with metformin in addition to the dietary and lifestyle advice versus those treated traditionally with dietary and lifestyle advice only. ⋯ Metformin is safe and effective in the treatment of GDM in our experience. It is well tolerated and reduces the requirement for supplementary insulin. Women treated with metformin had a significantly lower incidence of macrosomic and large for gestational age neonates as well as a reduced caesarean section rate.
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Eur. J. Obstet. Gynecol. Reprod. Biol. · Feb 2012
The surgical rectus sheath block for post-operative analgesia: a modern approach to an established technique.
To describe the surgical rectus sheath block for post-operative pain relief following major gynaecological surgery. ⋯ The surgical rectus sheath block appears to provide effective post-operative analgesia for patients undergoing major gynaecological surgery. A randomised controlled clinical trial is required to assess its efficacy further.
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Eur. J. Obstet. Gynecol. Reprod. Biol. · Jan 2012
Sexual and reproductive health status and related knowledge among female migrant workers in Guangzhou, China: a cross-sectional survey.
The objective of this study was to investigate the current sexual and reproductive health (SRH) status including SRH-related knowledge and associated factors, self-reported symptoms of reproductive tract infection (RTI), medical assistance seeking behavior, sexual experience and contraceptive use, reproductive information approach and reproductive service utilization among female migrant workers in Huangpu district, Guangzhou city, China. ⋯ A high prevalence of self-reported RTI symptoms and a low knowledge level were found among young female migrant workers. Unmarried migrant workers are more vulnerable to SRH problems. Those findings demand more specific interventions targeting female migrants and in particular the unmarried.
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Eur. J. Obstet. Gynecol. Reprod. Biol. · Dec 2011
Tinzaparin use in pregnancy: an international, retrospective study of the safety and efficacy profile.
This study audited pregnancies where the mother received tinzaparin (at any stage before delivery), with a primary objective of determining the maternal safety of this low molecular weight heparin when administered as treatment and/or prophylaxis; the secondary objective was to audit fetal and neonatal safety in this cohort. Efficacy outcomes were also recorded. ⋯ These data provide reassuring maternal and fetal outcome information in pregnancies exposed to tinzaparin.