The Australian & New Zealand journal of obstetrics & gynaecology
-
Aust N Z J Obstet Gynaecol · May 2002
Comparative StudyA prospective study of the short-term outcomes of hysterectomy with and without oophorectomy.
To determine the symptom profile and satisfaction rate for women undergoing hysterectomy with and without oophorectomy ⋯ Although levels of satisfaction with the procedure of hysterectomy were high, new symptoms and regrets about the loss of fertility were commonly reported.
-
Aust N Z J Obstet Gynaecol · May 2002
Comparative StudyTrends in labour and birth interventions among low-risk women in New South Wales.
To examine recent trends in obstetric intervention rates among women at low-risk of poor pregnancy outcome. ⋯ Increased use of epidural analgesia for labour has been a feature of the management of birth at term during the 1990s. The decline in the strength of association between epidural analgesia and instrumental birth may reflect improved epidural techniques and management of epidural labour, and recognition of the adverse maternal outcomes associated with forceps and vacuum births.
-
Aust N Z J Obstet Gynaecol · Feb 2002
Randomized Controlled Trial Comparative Study Clinical TrialThe impact of intrapartum analgesia on labour and delivery outcomes in nulliparous women.
To determine if nulliparous women intending to have epidural analgesia have a similar labour profile and delivery outcome to women who intend to have their labour managed using alternative forms of pain relief. ⋯ Nulliparous women have a high usage of epidural analgesia, regardless of their prelabour intentions. In women who do not intend to use epidural analgesia, the temporal delay in insertion compared with those who use epidural analgesia as their primary analgesic modality is associated with a small but statistically significant reduction in overall labour duration and operative delivery rates.
-
Aust N Z J Obstet Gynaecol · Nov 2001
Randomized Controlled Trial Comparative Study Clinical TrialA randomised controlled trial comparing a dilating vaginal speculum with a conventional bivalve speculum.
Cervical smears are traditionally taken with the aid of a metal or disposable plastic bivalve speculum. Many women complain of discomfort with these specula. This study compares the efficacy and women's experiences of a new 'dilating speculum' called the Veda-scope, with a conventional metal bivalve speculum (Pederson). ⋯ Cytologists were blinded as to which speculum was used for cervical sampling. Of women examined, 7-83% of women found Veda-scope examinations comfortable, compared to 38-62% of women who found examinations with the bivalve comfortable; 94% of the women preferred the 'comfort' of the Veda-scope. The Veda-scope was as good as the bivalve speculum in providing samples for cytological analysis following the initial learning curve, and also provided markedly superior magnified views of the cervix and vaginal fornices.
-
Aust N Z J Obstet Gynaecol · Nov 2001
Randomized Controlled Trial Clinical TrialActive management of the third stage at caesarean section: a randomised controlled trial of misoprostol versus syntocinon.
The objective of this trial was to investigate whether 500 microg oral misoprostol given immediately after delivery of the neonate at Caesarean section is as effective as a bolus intravenous injection of 10 iu Syntocinon in stimulating uterine contractions and thereby reducing blood loss. Forty women undergoing elective or emergency Caesarean section were included in a placebo-controlled randomised trial. Group 1 received oral misoprostol and a placebo intravenous bolus and Group 2 received intravenous Syntocinon and oral placebo tablets. ⋯ We concluded that oral misoprostol could be used as an alternative oxytocic agent for the third stage at Caesarean section. However, there is an obvious need for a larger randomised controlled trial to be undertaken. Previous published studies have concentrated on vaginal births and further studies should be extended to Caesarean deliveries.