BJOG : an international journal of obstetrics and gynaecology
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Randomized Controlled Trial Multicenter Study
Prediction of escape red blood cell transfusion in expectantly managed women with acute anaemia after postpartum haemorrhage.
To determine clinical predictors of escape red blood cell (RBC) transfusion in postpartum anaemic women, initially managed expectantly, and the additional predictive value of health-related quality of life (HRQoL) measures. ⋯ In postpartum anaemic women, several clinical variables predict the need for escape RBC transfusion. Adding HRQoL-scores improves model performance. After external validation, the extended model may be an important tool for counselling and decision making in clinical practice.
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Randomized Controlled Trial Multicenter Study
Self-hypnosis for intrapartum pain management in pregnant nulliparous women: a randomised controlled trial of clinical effectiveness.
(Primary) To establish the effect of antenatal group self-hypnosis for nulliparous women on intra-partum epidural use. ⋯ Allocation to two-third-trimester group self-hypnosis training sessions did not significantly reduce intra-partum epidural analgesia use or a range of other clinical and psychological variables. The impact of women's anxiety and fear about childbirth needs further investigation.
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Multicenter Study
Is the increased risk of preterm birth following excision for cervical intraepithelial neoplasia restricted to the first birth post treatment?
To explore whether the increased risk of preterm birth following treatment for cervical disease is limited to the first birth following colposcopy. ⋯ The increased risk of preterm birth following treatment for cervical disease is not restricted to the first birth post colposcopy; it remains for second and subsequent births. These results suggest that once a woman has a deep treatment she remains at higher risk of a preterm birth throughout her reproductive life.
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Randomized Controlled Trial Multicenter Study Comparative Study
Routine labour epidural analgesia versus labour analgesia on request: a randomised non-inferiority trial.
To assess the effect on mode of delivery of the routine use of labour epidural analgesia (EA) compared with analgesia on request. ⋯ Non-inferiority of routine EA could not be demonstrated in this trial. Routine EA use is likely to lead to more operative deliveries and more maternal adverse effects. The results of our study do not justify routine use of EA.
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Multicenter Study
Maternal depression from early pregnancy to 4 years postpartum in a prospective pregnancy cohort study: implications for primary health care.
To describe the prevalence of maternal depression from pregnancy to 4 years postpartum, and the risk factors for depressive symptoms at 4 years postpartum. ⋯ Maternal depression is more common at 4 years postpartum than at any time in the first 12 months postpartum, and women with one child at 4 years postpartum report significantly higher levels of depressive symptoms than women with subsequent children. There is a need for scaling up of current services to extend surveillance of maternal mental health to cover the early years of parenting.