BJOG : an international journal of obstetrics and gynaecology
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Randomized Controlled Trial
Labour pain with remifentanil patient-controlled analgesia versus epidural analgesia: a randomised equivalence trial.
Women are more satisfied with pain relief with labour epidural analgesia than with remifentanil PCA.
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Randomized Controlled Trial
A comparison of fentanyl with pethidine for pain relief during childbirth: a randomised controlled trial.
To compare the efficacy of fentanyl administered via the subcutaneous (s.c.) or intranasal (i.n.) route with intramuscular (i.m.) pethidine in labouring women requesting analgesia. ⋯ Fentanyl administered by s.c. and i.n. routes is as efficacious in relieving labour pain as i.m. pethidine, but resulted in greater satisfaction, less sedation, shorter labour, fewer nursery admissions, and fewer difficulties in establishing breastfeeding. Fentanyl appears to be a suitable alternative to pethidine when providing parenteral pain relief to labouring women.
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Randomized Controlled Trial Multicenter Study
Intramuscular oxytocin versus Syntometrine® versus carbetocin for prevention of primary postpartum haemorrhage after vaginal birth: a randomised double-blinded clinical trial of effectiveness, side effects and quality of life.
To compare intramuscular oxytocin, Syntometrine® and carbetocin for prevention of postpartum haemorrhage after vaginal birth. ⋯ IM carbetocin does not reduce additional uterotonic use compared with IM Syntometrine or oxytocin.
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Multicenter Study
Obstetric admissions to intensive care units in Australia and New Zealand: a registry-based cohort study.
Describe the epidemiology of obstetric patients admitted to an Intensive Care Unit (ICU). ⋯ Obstetric patients in Australia/New Zealand ICUs have a short length of ICU stay and low mortality.
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To explore the modifications to maternity services across the UK, in response to the coronavirus disease 2019 (COVID-19) pandemic, in the context of the pandemic guidance issued by the Royal College of Obstetricians and Gynaecologists (RCOG), Royal College of Midwives (RCM) and NHS England. ⋯ A national survey showed that UK maternity services were modified extensively and heterogeneously in response to COVID-19.