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 · Feb 2015
Multicenter StudyThe effect of antibiotic prophylaxis guidelines on surgical-site infections associated with cesarean delivery.
To evaluate the effect of Norwegian antibiotic prophylaxis guidelines on rates of superficial and deep surgical-site infections (SSIs) associated with cesarean delivery (CD). ⋯ Hospitals that provided antibiotic prophylaxis to all women undergoing CD reported high compliance and had reduced rates of superficial SSIs among planned CDs.
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To assess the severity of abortion complications in Malawi and to determine associated risk factors. ⋯ In 2009, many women seeking postabortion care in Malawi presented with complications. Advocacy is needed to influence policies that will allow expanded access to safe abortion services for women of all ages and in all areas.
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Int J Gynaecol Obstet · Feb 2015
Temporary balloon occlusion of the internal iliac arteries to prevent massive hemorrhage during cesarean delivery among patients with placenta previa.
To evaluate the effectiveness of temporary balloon occlusion of the internal iliac artery before uterine incision to prevent massive obstetric hemorrhage during cesarean delivery among patients with anterior placenta previa. ⋯ Temporary balloon occlusion of the internal iliac artery before uterine incision during cesarean delivery could potentially reduce blood loss among patients with anterior placenta previa. Large, randomized controlled trials are needed to confirm the results.
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Int J Gynaecol Obstet · Feb 2015
Multicenter StudySevere maternal morbidity and near miss due to postpartum hemorrhage in a national multicenter surveillance study.
To assess the occurrence of severe maternal complications owing to postpartum hemorrhage (PPH) and its associated factors. ⋯ PPH frequently leads to severe maternal morbidity. A surveillance system can identify the main causes of morbidity and could help to improve care, especially among women identified as being at high risk of PPH.