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 · Aug 2016
From risk and harm reduction to decriminalizing abortion: The Uruguayan model for women's rights.
To describe public policies, social actions, particularly those of obstetricians/gynecologists, and changes in abortion-related legislation in the different historical periods between 1990 and 2015, and to analyze temporal correlations with a reduction in maternal mortality. ⋯ Changes in public policies and health actions such as the model for reducing the risk and harm of unsafe abortions coincided with a marked reduction in abortion-related maternal mortality. The challenges still to be faced include managing second trimester abortions, ensuring the creation of multidisciplinary teams, and offering postabortion contraception.
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Int J Gynaecol Obstet · Jun 2016
Multicenter Study Comparative StudyMulticenter analysis comparing robotic, open, laparoscopic, and vaginal hysterectomies performed by high-volume surgeons for benign indications.
To compare perioperative outcomes between robotic-assisted benign hysterectomies and abdominal, vaginal, and laparoscopic hysterectomies when performed by high-volume surgeons. ⋯ When performed by gynecologic surgeons with relevant high-volume experience, robotic-assisted benign hysterectomy provided improved outcomes compared with abdominal, vaginal, and laparoscopic hysterectomy.
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Int J Gynaecol Obstet · Jun 2016
Editorial Historical ArticleAnnouncing the winner of the John J. Sciarra IJGO Prize Paper Award for 2015.
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Int J Gynaecol Obstet · Jun 2016
Randomized Controlled TrialRandomized controlled trial of tranexamic acid among parturients at increased risk for postpartum hemorrhage undergoing cesarean delivery.
To assess the effects of tranexamic acid among patients undergoing cesarean delivery who were at high risk of postpartum hemorrhage. ⋯ Intravenous tranexamic acid, administered before skin incision, significantly reduced the requirement for additional uterotonics among women at increased risk for postpartum hemorrhage. Clinical Trials Registry India: CTRI/2015/05/005752.
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Int J Gynaecol Obstet · May 2016
Randomized Controlled TrialA randomized controlled trial of abdominal binders for the management of postoperative pain and distress after cesarean delivery.
To determine whether abdominal binders effectively control pain and distress after cesarean delivery. ⋯ Postoperative pain and distress scores after cesarean delivery were not affected by abdominal binders. ClinicalTrials.gov:NCT02129894.