International journal of gynaecology and obstetrics : the official organ of the International Federation of Gynaecology and Obstetrics
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Int J Gynaecol Obstet · Mar 2014
Randomized Controlled TrialEfficacy of continuous wound infiltration of local anesthetic for pain relief after gynecologic laparoscopy.
To assess the efficacy of analgesia provided by continuous ropivacaine wound infiltration after gynecologic laparoscopy. ⋯ Continuous ropivacaine wound infiltration was found to be as effective as patient-controlled analgesia for postoperative pain relief after gynecologic laparoscopy. This technique provides good analgesia with less opioid analgesic requirement and few adverse effects.
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Int J Gynaecol Obstet · Mar 2014
Use of the "obstetric shock index" as an adjunct in identifying significant blood loss in patients with massive postpartum hemorrhage.
To establish the normal range for the "obstetric shock index" (OSI) after birth and to determine its usefulness as an aid to estimate blood loss in postpartum hemorrhage (PPH). ⋯ We recommend that the normal OSI range should be 0.7-0.9. An OSI of more than 1 seems to be a useful adjunct in estimating blood loss in cases of massive PPH and in predicting the need for blood and blood products.
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Int J Gynaecol Obstet · Mar 2014
A secondary analysis of the WHO Global Survey on Maternal and Perinatal Health for antibiotics used in vaginal deliveries.
To assess the rate of antibiotic administration following vaginal delivery and to determine whether maternal characteristics and healthcare system features affected antibiotic use during or immediately after delivery using data from the WHO Global Survey on Maternal and Perinatal Health in Latin America, Africa, and Asia. ⋯ Antibiotic use following vaginal delivery varies widely across geographic regions; however, approximately one-third of women undergoing vaginal delivery without documented indication for antibiotic administration appear to have received antibiotics.