The Australian & New Zealand journal of obstetrics & gynaecology
-
Aust N Z J Obstet Gynaecol · Nov 2002
Randomized Controlled Trial Comparative Study Clinical TrialAnalgesic efficacy of continuous delivery of bupivacaine by an elastomeric balloon infusor after abdominal hysterectomy: a prospective randomised controlled trial.
To investigate the analgesic efficacy and morphine-sparing effect of continuous bupivacaine wound infiltration after abdominal hysterectomy. ⋯ That continuous infusion of the incisional wound with 0.5% bupivacaine did not confer additional analgesia over PCA morphine after abdominal hysterectomy
-
Aust N Z J Obstet Gynaecol · Nov 2002
Randomized Controlled Trial Clinical TrialRandomised controlled trial of glove perforation in single and double-gloving methods in gynaecologic surgery.
-
Aust N Z J Obstet Gynaecol · Oct 2002
Postpartum urinary retention: assessment of contributing factors and long-term clinical impact.
To investigate the relationships between various obstetric parameters and postpartum urinary retention, and to offer some clinical guidance for resolution of urinary retention problems. ⋯ Nulliparity, longer labour course, instrumental delivery, extensive vaginal and perineal laceration and use of epidural analgesia were contributing obstetric factors to postpartum urinary retention. Long-term follow-up showed that the problems of all but three of the 114 women, who complained of persistent minor urinary symptoms, were eventually resolved.
-
Aust N Z J Obstet Gynaecol · Oct 2002
Who remains undelivered more than seven days after a single course of prenatal corticosteroids and gives birth at less than 34 weeks?
Minimal information exists as to how women who give birth more than seven days after initial corticosteroid treatment, who may benefit from repeat prenatal corticosteroids, differ from women who give birth within seven days, at < 34 weeks gestation. ⋯ Women who give birth very preterm, who remain undelivered more than seven days after prenatal corticosteroids, differ in the reasons for and timing of their first course from women who give birth within seven days.
-
Aust N Z J Obstet Gynaecol · Aug 2002
Randomized Controlled Trial Clinical TrialA prospective randomised double-blind placebo controlled trial to assess whether gas drains reduce shoulder pain following gynaecological laparoscopy.
To assess the effects on patient discomfort of an intraabdominal passive gas drain left for four hours postoperatively following gynaecologic laparoscopic surgery. ⋯ No complications were attributed to the presence and withdrawal of the drain tube. Shoulder pain following operative or diagnostic laparoscopy was significantly reduced for 12, 24, 48 and 72 hours by the presence of a patent passive gas drain for the first four hours postoperatively. The drains were easy to use and had no associated morbidity We recommend that in the absence of the need for an active drain, all patients undergoing laparoscopy should have a gas drain inserted for a period of four hours after the completion of the procedure.