The Australian & New Zealand journal of obstetrics & gynaecology
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Aust N Z J Obstet Gynaecol · Apr 2004
Review Comparative StudySystematic review of the treatment of ovulatory infertility with clomiphene citrate and intrauterine insemination.
Controlled ovarian hyperstimulation (COH) with clomiphene citrate (CC) combined with intrauterine insemination (IUI) is often used as treatment for ovulatory infertility which includes unexplained, male, cervical, endometriosis, and tubal infertility. ⋯ Clomiphene citrate combined with IUI is more effective than timed intercourse in the natural cycle at achieving pregnancy in couples with ovulatory infertility. However, treatment with gonadotrophins and IUI is superior to CC and IUI.
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Aust N Z J Obstet Gynaecol · Dec 2003
Randomized Controlled Trial Comparative Study Clinical TrialMaternal satisfaction with childbirth and intrapartum analgesia in nulliparous labour.
To assess maternal satisfaction with childbirth and intrapartum pain relief in nulliparous women labouring at term. ⋯ Maternal satisfaction with intrapartum analgesia was significantly higher with epidural analgesia than non-epidural analgesic techniques. Overall satisfaction scores for labour and delivery were high regardless of analgesic approach, reflecting the multiple issues other than pain relief that are involved in the childbirth experience.
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Aust N Z J Obstet Gynaecol · Oct 2003
Randomized Controlled Trial Clinical TrialImpact of intrapartum epidural analgesia on breast-feeding duration.
Although the labour and delivery outcomes of epidural analgesia have been investigated extensively, the effects on breast-feeding success are not clearly identified. ⋯ Nulliparous women have a high use of epidural analgesia in labour. Nulliparous women who choose epidural analgesia are more likely to breast-feed for shorter durations. Further exploration of the factors underlying this association should be undertaken.