British journal of obstetrics and gynaecology
-
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.
-
Br J Obstet Gynaecol · Aug 1999
Randomized Controlled Trial Comparative Study Clinical TrialMisoprostol for induction of labour at term: a more effective agent than dinoprostone vaginal gel.
To compare the efficacy of vaginal misoprostol and dinoprostone vaginal gel for induction of labour at term. ⋯ Misoprostol 50 microg vaginally is a more effective induction agent than 1 mg dinoprostone vaginal gel, with no apparent adverse effects on mode of delivery, or on the fetus. The higher pain scores in the misoprostol group must be balanced against the reduction in time spent having labour induced, and the reduction in need for intravenous oxytocin augmentation. Further randomised studies must continue to exclude the possibility of rare adverse side effects.
-
Br J Obstet Gynaecol · Jul 1999
Randomized Controlled Trial Clinical TrialLabour pain treated with cutaneous injections of sterile water: a randomised controlled trial.
To evaluate the relief of pain in labour with subcutaneous and intracutaneous injections of sterile water, compared with placebo. ⋯ The new subcutaneous method of administering sterile water, as well as the earlier described intracutaneous injection method, were effective for the relief of pain in labour.
-
Br J Obstet Gynaecol · Jun 1999
Randomized Controlled Trial Clinical TrialIs the provision of information leaflets before colposcopy beneficial? A prospective randomised study.
To assess the usefulness of a leaflet distributed to women before colposcopy designed to reduce their anxiety and psychosexual morbidity by providing information. ⋯ This study suggests that the provision of sending an information leaflet prior to colposcopy is not beneficial in isolation. Other approaches need to be considered.
-
Br J Obstet Gynaecol · May 1999
Randomized Controlled Trial Clinical TrialThe white coat effect in hypertensive pregnancy: much ado about nothing?
To determine the prevalence of white coat hypertension and white coat effect among hypertensive pregnant women and to assess whether the presence of a significant white coat effect was associated with adverse pregnancy outcome when clinical management was based upon standard sphygmomanometric blood pressure recordings. ⋯ White coat hypertension is an infrequent occurrence in mildly hypertensive pregnant women. Although a white coat effect is present more often, this is associated with clinical outcomes similar to women who do not exhibit this phenomenon. Using ABPM to identify a white coat effect in women presenting with hypertension in the second half of their pregnancy does not appear to be clinically useful.