BJOG : an international journal of obstetrics and gynaecology
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Randomized Controlled Trial
Transversus abdominis plane block under laparoscopic guide versus port-site local anaesthetic infiltration in laparoscopic excision of endometriosis: a double-blind randomised placebo-controlled trial.
To compare the efficiency of laparoscopically guided transversus abdominis plane block (LTAP) versus port-site local anaesthetic infiltration (LAI) in reducing postoperative pain following laparoscopic excision of endometriosis. ⋯ TAP block and port-site local infiltration are both effective in reducing postoperative pain in major gynaecological laparoscopic surgery.
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Recent progesterone trials call for an update of previous syntheses of interventions to prevent preterm birth. ⋯ In updated NMA, vaginal progesterone consistently reduced PTB in overall at-risk pregnancies and in women with previous PTB.
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Randomized Controlled Trial
Cost-effectiveness of incisional negative pressure wound therapy compared with standard care after caesarean section in obese women: a trial-based economic evaluation.
To evaluate the cost-effectiveness of incisional negative pressure wound therapy (iNPWT) in preventing surgical site infection in obese women after caesarean section. ⋯ Prophylactic incisional NPWT reduces the risk of SSI after caesarean section and is probably dominant compared with standard dressings #healtheconomics.
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Randomized Controlled Trial
Absorbable subcuticular staples versus suture for caesarean section closure: a randomised clinical trial.
To compare outcomes of efficiency, safety, patient, and surgeon satisfaction between absorbable subcuticular staples and subcuticular suture for caesarean section skin closure. ⋯ Absorbable subcuticular staples associated with a similar total operative time compared with suture.
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To assess the external validity of all published first-trimester prediction models based on routinely collected maternal predictors for the risk of small- and large-for-gestational-age (SGA and LGA) infants. Furthermore, the clinical potential of the best-performing models was evaluated. ⋯ The clinical relevance of prediction models for the risk of small- and large-for-gestational-age is limited.