BJOG : an international journal of obstetrics and gynaecology
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Randomized Controlled Trial Comparative Study Clinical Trial
A randomised comparison of microwave endometrial ablation with transcervical resection of the endometrium; follow up at a minimum of five years.
To compare long term outcomes following microwave endometrial ablation (MEA) or transcervical resection of the endometrium (TCRE). ⋯ Both techniques achieve significant and comparable improvements in menstrual symptoms, and health-related quality of life. While high rates of satisfaction with treatment and acceptability of treatment are achieved by TCRE, these are significantly lower than levels following MEA. These long term data, when combined with the trials' operative findings and known costs of both procedures, now inform us that MEA is a more effective and efficient treatment for heavy menstrual loss than TCRE.
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Randomized Controlled Trial Clinical Trial
A randomised controlled trial of vitamin E in the treatment of primary dysmenorrhoea.
To study the effect of vitamin E in the treatment of primary dysmenorrhoea. ⋯ Vitamin E relieves the pain of primary dysmenorrhoea and reduces blood loss.
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Randomized Controlled Trial Multicenter Study Clinical Trial
Fetal heart rate patterns and ECG ST segment changes preceding metabolic acidaemia at birth.
To compare the rates of abnormal ST segment patterns of the ECG and cardiotocographic (CTG) abnormalities in fetuses with metabolic acidaemia at birth and controls. To evaluate the inter-observer agreement in interpretation of ST analysis and CTG. ⋯ The inter-observer agreement rate was higher for a decision to intervene based on CTG + ST than on CTG alone.
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Randomized Controlled Trial Comparative Study Clinical Trial
A randomised double-blind comparison of epidural fentanyl versus fentanyl and bupivicaine for pain relief in the second stage of labour.
To compare the effectiveness of two different methods for epidural analgesia in the second stage of labour-fentanyl alone versus the usual mixture of bupivicaine and fentanyl. ⋯ Second stage epidural analgesia with fentanyl did not alter delivery outcomes or labour duration but resulted in poorer analgesia.
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Randomized Controlled Trial Comparative Study Clinical Trial
Diamorphine for pain relief in labour : a randomised controlled trial comparing intramuscular injection and patient-controlled analgesia.
To compare the efficacy of diamorphine administered by a patient-controlled pump (patient-controlled analgesia) with intramuscular administration for pain relief in labour. ⋯ Patient-controlled analgesia administration of diamorphine for the relief of pain in labour offers no significant advantages over intramuscular administration. The results also suggest that diamorphine is a poor analgesic for labour pain irrespective of the mode of administration.