BJOG : an international journal of obstetrics and gynaecology
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Randomized Controlled Trial
The role of individually targeted information to reduce anxiety before colposcopy: a randomised controlled trial.
We investigated whether providing targeted information on an individual level by mail and by phone reduces anxiety in women referred to the colposcopy clinic. ⋯ Anxiety levels before primary colposcopy are surprisingly high, and are not reduced following individually targeted information given before colposcopy.
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Randomized Controlled Trial
Acupuncture for pain relief during induced labour in nulliparae: a randomised controlled study.
To assess the role of acupuncture for analgesia during labour. ⋯ Using the protocols studied, there was no analgesic benefit with acupuncture for pain relief during induced labour in nulliparae.
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Randomized Controlled Trial Multicenter Study
The impact of mode of anaesthesia on postoperative recovery from fast-track abdominal hysterectomy: a randomised clinical trial.
to determine whether the duration of hospital stay after abdominal hysterectomy in a fast-track setting differed between women operated under general anaesthesia or in spinal anaesthesia with intrathecal morphine. ⋯ in a fast-track model the duration of hospitalisation after abdominal hysterectomy was < 50 hours, independent of the mode of anaesthesia. Spinal anaesthesia reduced the need for postoperative morphine compared with general anaesthesia. In order to improve patient recovery after gynaecological surgery further studies based on fast-track programmes are needed.
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Randomized Controlled Trial
Administration of misoprostol by trained traditional birth attendants to prevent postpartum haemorrhage in homebirths in Pakistan: a randomised placebo-controlled trial.
to determine if misoprostol is safe and efficacious in preventing postpartum haemorrhage (PPH) when administered by trained traditional birth attendants (TBA) at home deliveries. ⋯ postpartum administration of 600 microg oral misoprostol by trained TBAs at home deliveries reduces the rate of PPH by 24%. Given its ease of use and low cost, misoprostol could reduce the burden of PPH in community settings where universal oxytocin prophylaxis is not feasible. Continual training and skill-building for TBAs, along with monitoring and evaluation of programme effectiveness, should accompany any widespread introduction of this drug.
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Randomized Controlled Trial Multicenter Study
More to teamwork than knowledge, skill and attitude.
To assess whether team performance in simulated eclampsia is related to the knowledge, skills and attitudes of individual team members. ⋯ The knowledge, manual skills and attitudes of the individuals comprising each team, measured by established methods, did not correlate in this study with the team's clinical efficiency in the management of simulated eclampsia. The inference is that unidentified characteristic(s) play a crucial part in the efficiency of teams managing emergencies. Any emphasis of training programmes to promote individual knowledge, skills and attitudes alone may have to be re-examined. This highlights a need to understand what makes a team efficient in dealing with clinical emergencies.