BJOG : an international journal of obstetrics and gynaecology
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Randomized Controlled Trial Comparative Study Clinical Trial
A randomised controlled trial of epidural compared with non-epidural analgesia in labour.
To investigate possible short and long term side effects of epidural analgesia, compared with non-epidural analgesia for pain relief in labour. ⋯ This study provided no evidence to support the suggestion of a direct association between the use of epidural anaesthesia in labour and the incidence of long term backache. Despite a significant proportion of women in each group not receiving their allocated analgesia, a significant difference in terms of instrumental delivery rates remained. Satisfaction in both groups of women was high.
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Randomized Controlled Trial Clinical Trial
The effect of an intrauterine application of two percent lignocaine gel on pain perception during Vabra endometrial sampling: a randomised double-blind, placebo-controlled trial.
To determine whether two percent lignocaine gel can reduce the perception of pain during Vabra endometrial aspiration. ⋯ Intrauterine application of 2% lignocaine gel did not significantly reduce the frequency with which women experienced unacceptable levels of pain or anxiety during endometrial aspiration compared with placebo.
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Randomized Controlled Trial Comparative Study Clinical Trial
Three methods for hysterectomy: a randomised, prospective study of short term outcome.
To detect differences in clinical short term outcome between total abdominal hysterectomy, vaginal hysterectomy and laparoscopic assisted vaginal hysterectomy. ⋯ Traditional vaginal hysterectomy proved to be feasible and the faster operative technique compared with vaginal hysterectomy with laparoscopic assistance. The abdominal technique was somewhat faster, but time spent in theatre was not significantly shorter. Abdominal hysterectomy required on average a longer hospital stay of one day and one additional week of convalescence compared with traditional vaginal hysterectomy. Vaginal hysterectomy should be a primary method for uterine removal.
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Randomized Controlled Trial Comparative Study Clinical Trial
Subcutaneous versus intracutaneous injections of sterile water for labour analgesia: a comparison of perceived pain during administration.
To investigate whether, during injections of sterile water, there is any difference in perceived pain between intracutaneous and subcutaneous injections. ⋯ The findings suggest that the less painful subcutaneous injection technique should be used.
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Randomized Controlled Trial Comparative Study Clinical Trial
A double-blind placebo controlled randomised trial of misoprostol and oxytocin in the management of the third stage of labour.
To compare oral misoprostol 400 microg with intramuscular oxytocin 10 IU in the routine management of the third stage. ⋯ In low risk women oral misoprostol appears to be as effective in minimising blood loss in the third stage of labour as intramuscular oxytocin. Shivering was noted more frequently with misoprostol use, but no other side effects were noted. Misoprostol has great potential for use in the third stage of labour especially in developing countries.