International journal of gynaecology and obstetrics : the official organ of the International Federation of Gynaecology and Obstetrics
-
Int J Gynaecol Obstet · Dec 2014
ReviewDefining the anesthesia gap for reproductive health procedures in resource-limited settings.
In resource-limited settings, severe shortages of anesthetists and anesthesiologists lead to surgical delays that increase maternal and neonatal mortality and morbidity. ⋯ A shortage of trained anesthesia providers, equipment, supplies, medications, and infrastructure, along with limitations in transportation in resource-limited settings have produced a wide gap between available anesthesia services and the demand for them for reproductive health surgeries and procedures. Safe, affordable, and scalable solutions to address the anesthesia gap are urgently needed.
-
Int J Gynaecol Obstet · Dec 2014
Randomized Controlled TrialA randomized trial of chewing gum to prevent postoperative ileus after laparotomy for benign gynecologic surgery.
To assess whether chewing gum prevents postoperative ileus after laparotomy for benign gynecologic surgery. ⋯ Chewing gum after laparotomy for gynecologic surgery is safe and lowers the incidence of postoperative ileus and nausea. ClinicalTrials.gov:NCT01579175.
-
Int J Gynaecol Obstet · Nov 2014
Randomized Controlled Trial Comparative StudyA randomized controlled trial of uterine exteriorization versus in situ repair of the uterine incision during cesarean delivery.
To compare extra-abdominal repair of the uterine incision at cesarean delivery with in situ repair. ⋯ In situ uterine closure is more advantageous than extra-abdominal repair in terms of surgery duration, postoperative pain and need for additional analgesia, and return of bowel movement. ClinicalTrials.gov:NCT01723605.
-
Int J Gynaecol Obstet · Nov 2014
Randomized Controlled TrialProspective randomized trial of oxytocin administration for active management of the third stage of labor.
To determine the most efficient route and timing of oxytocin administration for active management of the third stage of labor. ⋯ Although postpartum blood loss was similar in all groups, early intravenous administration seemed to have beneficial effects. ClinicalTrials.gov: NCT01954186.