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 · Sep 2013
Physician and patient use of and attitudes toward complementary and alternative medicine in the treatment of infertility.
To determine use of and attitudes toward complementary and alternative medicine (CAM) among infertility patients and subspecialty physicians. ⋯ Significant discrepancies exist between subfertile patients and physicians in attitudes toward the use of CAM. The current prevalence of CAM use among infertility patients requires greater physician attention and justifies further study on the risks and benefits of integrating CAM into the biomedical treatment of infertility.
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Int J Gynaecol Obstet · Sep 2013
Randomized Controlled TrialEffect of a single preoperative dose of sublingual misoprostol on intraoperative blood loss during total abdominal hysterectomy.
To investigate whether use of preoperative misoprostol can reduce blood loss during total abdominal hysterectomy (TAH). ⋯ The results showed that a single dose of misoprostol administered before abdominal hysterectomy resulted in a significant reduction of blood loss with minimal adverse effects. Clinical Trial Registry India (www.ctri.nic.in): CTRI/2011/091/000216.
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Int J Gynaecol Obstet · Aug 2013
Multicenter StudyA case-control study of risk factors for ileus and bowel obstruction following benign gynecologic surgery.
To identify risk factors leading to the development of postoperative ileus and small-bowel obstruction (SBO) after benign gynecologic surgery. ⋯ Lysis of adhesions, concomitant bowel surgery, and perioperative complications such as blood transfusion and cystotomy were found to be risk factors for the development of ileus and/or SBO after benign gynecologic surgery.
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Int J Gynaecol Obstet · Aug 2013
Reproductive health information and abortion services: standards developed by the European Court of Human Rights.
In 3 recent judgments, the European Court of Human Rights addressed the issue of access to abortion and related reproductive health services. In 2 of the judgments, the Court declared that the state violated women's rights by obstructing access to legal health services, including abortion. ⋯ In the third case, the Court showed its unwillingness to declare access to abortion a human right per se, which is troubling from the perspective of women's right to health and dignity. The present article outlines the relevance of these cases for the reproductive health profession and argues that medical professional societies can influence human rights courts by developing and enforcing medical standards, not only for the benefit of abortion rights domestically but also for the advancement of women's human rights worldwide.
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Int J Gynaecol Obstet · Jul 2013
Comparative Study Controlled Clinical TrialLidocaine versus ropivacaine for perineal infiltration post-episiotomy.
To evaluate maternal analgesia after an episiotomy during delivery. ⋯ Analgesia and maternal satisfaction were improved during the period when ropivacaine was used as opposed to lidocaine. The effect lasted for up to 48 hours.