British journal of obstetrics and gynaecology
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Br J Obstet Gynaecol · Sep 1999
Randomized Controlled Trial Clinical TrialA randomised, controlled study of uterine exteriorisation and repair at caesarean section.
To determine the surgical and anaesthetic benefits and problems associated with the practice of routine exteriorisation of the uterus to facilitate repair at caesarean section. ⋯ With effective anaesthesia, exteriorisation of the uterus for repair following caesarean delivery is not associated with significant problems and is associated with less blood loss.
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Br J Obstet Gynaecol · Sep 1999
Randomized Controlled Trial Clinical TrialTwo dosing regimens for preinduction cervical priming with intravaginal dinoprostone pessary: a randomised clinical trial.
To compare the efficacy within 24 hours of a three-times-a-day intensive dosing regimen with a standard once daily dosing regimen using dinoprostone vaginal pessary in preinduction cervical priming. ⋯ Preinduction cervical priming with the intensive dosing regimen improves the chances of successful ripening within 24 hours for primigravidae with unfavourable cervical scores at full term singleton pregnancies, and shortens the interval from priming to induction, and priming to delivery. This regimen may be more cost effective by shortening the period of hospital stay. The overall incidence of adverse reactions to the mother and fetus during priming was low. However, close fetal surveillance must be maintained, particularly in pregnancies complicated with oligohydramnios.