BJOG : an international journal of obstetrics and gynaecology
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Randomized Controlled Trial
Superior hypogastric plexus block as a new method of pain relief after abdominal hysterectomy: double-blind, randomised clinical trial of efficacy.
To determine whether superior hypogastric plexus block performed during abdominal hysterectomy decreases postoperative opioid consumption and pain. ⋯ Superior hypogastric plexus block during abdominal hysterectomy lowers opioid consumption.
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Randomized Controlled Trial Multicenter Study
Diagnostic workup for postmenopausal bleeding: a randomised controlled trial.
To evaluate the effectiveness of hysteroscopy for the detection and treatment of endometrial polyps versus expectant management in women with postmenopausal bleeding (PMB), a thickened endometrium and benign endometrial sampling. ⋯ In women with PMB, hysteroscopy does not reduce recurrent bleeding but is warranted to detect focal malignancy.
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The contraceptive injectable is a safe and effective method that is used worldwide. With the variety of injectable delivery systems, there is potential for administration by the woman herself. Self-administration of the contraceptive injectable is the subject of this systematic review. ⋯ This review assessed the continuation rates and safety of self-administration of the contraceptive injection.
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To ascertain the incidence of massive transfusion (MT) in obstetrics in the UK, and describe its management and clinical outcomes. ⋯ Massive transfusion due to postpartum haemorrhage is associated with high rates of morbidity and hysterectomy.
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To evaluate whether in symptomatic women, the combination of quantitative fetal fibronectin (fFN) testing and cervical length (CL) improves the prediction of preterm delivery (PTD) within 7 days compared with qualitative fFN and CL. ⋯ Quantitative fFN testing adds value to qualitative fFN testing with CL measurement in the prediction of PTD.