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 · Nov 2016
Randomized Controlled TrialRandomized controlled trial comparing ondansetron and placebo for the reduction of spinal anesthesia-induced hypotension during elective cesarean delivery in Egypt.
To evaluate the effect of prophylactic ondansetron on spinal anesthesia-induced hypotension and bradycardia among patients undergoing elective cesarean deliveries. ⋯ Prophylactic intravenous ondansetron significantly reduced hypotension and heart-rate fluctuations among patients undergoing elective cesarean deliveries under spinal anesthesia. Pan African Clinical Trials Registry: PACTR 201601001397193.
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Int J Gynaecol Obstet · Nov 2016
ReviewUsing routine health data and intermittent community surveys to assess the impact of maternal and neonatal health interventions in low-income countries: A systematic review.
There is a need to provide increased evidence on effective interventions to reduce maternal and neonatal mortality in low- and middle-income countries (LMICs). ⋯ RHIS and ICS data should be increasingly used for impact studies on maternal and neonatal health in LMICs.
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Int J Gynaecol Obstet · Oct 2016
Establishment of a national severe maternal morbidity preventability review in New Zealand.
Severe maternal morbidity (SMM) review is an accepted quality measure to evaluate maternity care standards. Assessment of the potential preventability of SMM enables identification of factors and themes to inform clinical training and policy to improve maternal outcomes. The present report outlines the introduction of a national/regional external case review system using multidisciplinary panels to assess potential preventability of SMM, to assist other health jurisdictions to establish similar processes. ⋯ This process established a quality monitoring tool to quantitate potential preventability of SMM, and identify practice and policy themes that can be reported locally and nationally for quality improvement. To our knowledge, this is the first national SMM preventability review using an internationally validated tool enabling intercountry comparisons. On the basis of this research, the New Zealand Ministry of Health funded the translation of the process to ongoing SMM national preventability review.
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Int J Gynaecol Obstet · Sep 2016
ReviewCervical cancer screening programs and guidelines in low- and middle-income countries.
Screening reduces cervical cancer incidence and mortality. ⋯ Work must continue to improve the implementation of affordable, relevant, and achievable methods to improve screening coverage in LMICs.
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Int J Gynaecol Obstet · Sep 2016
Randomized Controlled TrialRandomized controlled trial comparing carbetocin, misoprostol, and oxytocin for the prevention of postpartum hemorrhage following an elective cesarean delivery.
To compare the effectiveness and safety of carbetocin, misoprostol, and oxytocin for the prevention of postpartum hemorrhage following cesarean deliveries. ⋯ Additional uterotonics were needed less frequently by patients treated with carbetocin. Carbetocin was comparable to oxytocin and superior to misoprostol in the prevention of uterine atony following an elective cesarean delivery. ClinicalTrials.gov: NCT02053922.