The Australian & New Zealand journal of obstetrics & gynaecology
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Aust N Z J Obstet Gynaecol · Oct 2005
Randomized Controlled TrialOronasopharyngeal suction versus no suction in normal, term and vaginally born infants: a prospective randomised controlled trial.
This prospective randomised controlled trial aimed to compare the effects of oronasopharyngeal suction with those of no suction in normal, term and vaginally born infants and was performed at a Turkish tertiary hospital from June 2003 to January 2004. A total of 140 newborns were enrolled in the trial (n = 70 per group). The no suction group showed lower mean heart rates through the 3rd and 6th minutes and higher SaO(2) values through the first 6 mins of life (P < 0.001). The maximum time to reach SaO2 of >or= 92% (6 vs. 11 min) and >or= 86% (5 vs. 8 min) were shorter in the no suction group (P < 0.001).
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Aust N Z J Obstet Gynaecol · Oct 2005
Transvaginal cervical length measurement; its current application in a regional Australian level II maternity hospital.
To evaluate the impact of cervical length (CL) measurements in pregnant women at risk for preterm delivery on intervention and pregnancy outcome. ⋯ For patients with a high-risk obstetrical history, a first cervical length measurement at the time of foetal morphology scan followed by one measurement at about 24 weeks would result in a timely diagnosis of almost all cases of clinically relevant cervical shortening. Just having a twin pregnancy, in the absence of other risk factors for preterm birth, does not require cervical length monitoring. Having a twin pregnancy plus additional risk factors clearly identifies a group requiring cervical length measurement and intervention. Previous LLETZ procedures or >or= 3 preceding curettages were not found to be a major risk factor for preterm birth.