British journal of obstetrics and gynaecology
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Br J Obstet Gynaecol · Jun 1993
Randomized Controlled Trial Multicenter Study Comparative Study Clinical TrialA randomised prospective study comparing the new vacuum extractor policy with forceps delivery.
To compare assisted vaginal delivery by forceps with delivery by vacuum extractor, where a new vacuum extractor policy was employed which dictated the cup to be used in specific situations. ⋯ Assisted vaginal delivery using the new vacuum extractor policy is associated with significantly less maternal trauma than with forceps. Further studies are required to assess neonatal morbidity adequately.
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Br J Obstet Gynaecol · May 1993
Randomized Controlled Trial Clinical TrialVaginal delivery after previous caesarean section: is X-ray pelvimetry necessary?
To determine whether antepartum X-ray pelvimetry (XRP) reliably identified women suitable for a trial labour or repeat elective caesarean section after one previous section. ⋯ Antepartum XRP is not necessary prior to a trial labour in women with one previous caesarean section. It increases the caesarean section rate and is a poor predictor of the outcome of labour.
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Br J Obstet Gynaecol · Sep 1992
Randomized Controlled Trial Comparative Study Clinical TrialA comparative study of the use of epoprostenol and dihydralazine in severe hypertension in pregnancy.
To compare the antihypertensive effects of epoprostenol sodium (prostacyclin) with that of dihydralazine in acute hypertensive crises of pregnancy. ⋯ The place of epoprostenol in pregnancy might be in patients with severe hypertension and tachycardia and in those requiring acute control of severe hypertension on the operating table before general anaesthesia.
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Br J Obstet Gynaecol · Aug 1992
Randomized Controlled Trial Multicenter Study Clinical TrialGenital tract infections associated with the intrauterine contraceptive device can be reduced by inserting the threads into the uterine cavity.
To study the influence of the position of the threads of an intrauterine contraceptive device (IUCD) on the development of genital tract infection. ⋯ Infectious complications in women using an IUCD are more frequent if the threads lead from the uterine cavity to the vagina. This problem can be reduced by inserting the threads so that they remain entirely within the uterine cavity, a feasible procedure now that an effective instrument for IUCD thread retrieval is available.
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Br J Obstet Gynaecol · Jun 1992
Randomized Controlled Trial Clinical TrialIs transcutaneous electrical nerve stimulation of any value during cervical laser treatment?
To assess the value of transcutaneous electrical nerve stimulation (TENS) during cervical laser therapy. ⋯ Although there was considerable consumer satisfaction with TENS it provided no additional pain relieving effect in addition to direct infiltration of lignocaine and it is inferior to lignocaine alone. We are unable to advocate the use of TENS for laser treatment of the cervix.