BJOG : an international journal of obstetrics and gynaecology
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Multicenter Study
Variations in policies for management of the third stage of labour and the immediate management of postpartum haemorrhage in Europe.
The EUropean Project on obstetric Haemorrhage Reduction: Attitudes, Trial, and Early warning System (EUPHRATES) is a set of five linked projects, the first component of which was a survey of policies for management of the third stage of labour and immediate management of postpartum haemorrhage following vaginal birth in Europe. ⋯ Considerable variations were observed between and within countries in policies for management of the third stage of labour. Variations were observed, but to a lesser extent, in policies for the immediate management of postpartum haemorrhage after vaginal birth. In both cases, policies about the pharmacological agents to be used varied widely.
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Randomized Controlled Trial Multicenter Study
The Control of Hypertension In Pregnancy Study pilot trial.
To determine whether 'less tight' (versus 'tight') control of nonsevere hypertension results in a difference in diastolic blood pressure (dBP) between groups. ⋯ The CHIPS pilot trial confirms the feasibility and importance of a large definitive trial to determine the effects of less tight control on serious perinatal and maternal complications.
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To investigate the cause of a recent increase in hysterectomies for postpartum haemorrhage in Canada. ⋯ There has been a recent, unexplained increase in the frequency, and possibly the severity, of atonic postpartum haemorrhage in Canada.
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To describe a 10-year trend in preterm birth. ⋯ Over the 10-year period of 1994-03, the rate of spontaneous preterm birth among low-risk women having a live singleton birth has risen in Australia.
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To establish whether women's preference for elective caesarean section (ELCS) changes as gestation advances. ⋯ Many women changed from preferring ELCS to preferring VD as their pregnancy approached term. The partner's preference was a significant determinant for the women's choice. If a decrease in the proportion of women preferring ELCS is desired, the intervention programme should target the women and their partners who hold such a preference at 20 weeks.