British journal of obstetrics and gynaecology
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Br J Obstet Gynaecol · May 1999
Randomized Controlled Trial Multicenter Study Clinical TrialThe effect of indomethacin tocolysis in preterm labour on perinatal outcome: a randomised placebo-controlled trial.
To determine whether indomethacin tocolysis in preterm labour is associated with a better perinatal outcome than placebo. ⋯ There is no evidence that indomethacin tocolysis is beneficial, and further trials are needed to assess the impact of indomethacin tocolysis in preterm labour.
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Br J Obstet Gynaecol · Apr 1999
Randomized Controlled Trial Clinical TrialParacervical anaesthesia in outpatient hysteroscopy: a randomised double-blind placebo-controlled trial.
To evaluate the efficacy and safety of paracervical anaesthesia in reducing pain during outpatient hysteroscopy and endometrial biopsy. ⋯ Paracervical anaesthesia not only fails to reduce pain during outpatient hysteroscopy and endometrial biopsy, but also carries a risk of inducing bradycardia and hypotension, which is probably a result of inadvertent intravascular injection.
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Br J Obstet Gynaecol · Apr 1999
Randomized Controlled Trial Comparative Study Clinical TrialA randomised trial of endometrial ablation versus hysterectomy for the treatment of dysfunctional uterine bleeding: outcome at four years. Aberdeen Endometrial Ablation Trials Group.
To assess the long term impact of initial management by endometrial ablation for women with dysfunctional uterine bleeding who would otherwise have had a hysterectomy. ⋯ While about two out of every five women allocated to endometrial ablation eventually received further surgical treatment, hysterectomy with its associated morbidity was still avoided by 76% of women with dysfunctional uterine bleeding who would otherwise have had a hysterectomy. At four years, the difference in the costs of endometrial ablation and hysterectomy policies had narrowed.
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Br J Obstet Gynaecol · Oct 1998
Randomized Controlled Trial Clinical TrialEffects of psychosocial support during labour and childbirth on breastfeeding, medical interventions, and mothers' wellbeing in a Mexican public hospital: a randomised clinical trial.
To evaluate the effects of psychosocial support during labour, delivery and the immediate postpartum period provided by a female companion (doula). ⋯ Psychosocial support by doulas had a positive effect on breastfeeding and duration of labour. It had a more limited impact on medical interventions, perhaps because of the strict routine in hospital procedures, the cultural background of the women, the short duration of the intervention, and the profile of the doulas. It is important to include psychosocial support as a component of breastfeeding promotion strategies.
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Br J Obstet Gynaecol · Oct 1998
Randomized Controlled Trial Clinical TrialUterine exteriorisation at caesarean section: influence on maternal morbidity.
To compare the influence on caesarean section morbidity of uterine exteriorisation or in situ repair. ⋯ We have demonstrated that uterine exteriorisation and in situ repair have similar effects on peri-operative caesarean section morbidity. Intra-operative pain reflected adequacy of anaesthesia, while vomiting reflected adequacy of pre-operative preparation of patients. Exteriorising the uterus at caesarean section is a valid option.