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 · Jul 2012
Randomized Controlled Trial Comparative StudyIntravenous infusion of paracetamol versus intravenous pethidine as an intrapartum analgesic in the first stage of labor.
To evaluate the efficacy and adverse effects of an intravenous infusion of 1000 mg of paracetamol as compared with an intravenous injection of 50mg of pethidine hydrochloride for intrapartum analgesia. ⋯ The effectiveness of intravenous paracetamol was comparable to that of intravenous pethidine, but paracetamol had fewer maternal adverse effects.
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Int J Gynaecol Obstet · Jul 2012
Harm reduction, human rights, and access to information on safer abortion.
A harm reduction and human rights approach, grounded in the principles of neutrality, humanism, and pragmatism, supports women's access to information on the safer self- use of misoprostol in diverse legal settings. Neutrality refers to a focus on the risks and harms of abortion rather than its legal or moral status. ⋯ Pragmatism accepts the historical reality that women will engage in unsafe abortion, including self-induction, while addressing factors that render them vulnerable to this reality, and requires assessment of interventions to reduce abortion-related harms on evidence of their real rather than intended effect. Criminal law reform is a necessary conclusion to a harm reduction and human rights approach.
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Int J Gynaecol Obstet · Jun 2012
The association between pelvic girdle pain and urinary incontinence among pregnant women in the second trimester.
To examine the association among pelvic girdle pain (PGP), urinary incontinence (UI), and pelvic floor muscle (PFM) function in pregnant women in the second trimester. ⋯ There was an association between PGP and UI and between UI and PFM weakness among the study participants. Lack of PFM weakness in women with PGP during pregnancy may reflect acuity of pain or measurement error.
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Int J Gynaecol Obstet · May 2012
Predictive factors for failure of pelvic arterial embolization for postpartum hemorrhage.
To assess the efficacy of pelvic embolization in women with postpartum hemorrhage (PPH) and to determine factors associated with embolization failure. ⋯ Predictive factors significantly associated with failed pelvic arterial embolization were the presence of placenta accreta, biologic factors, and transfusional factors. Delay due to inter-hospital transfer did not affect the outcome of embolization.