International journal of gynaecology and obstetrics : the official organ of the International Federation of Gynaecology and Obstetrics
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To determine the incidence of covert and overt postpartum urinary retention (PUR) after vaginal delivery and to determine obstetric variables contributing to PUR. ⋯ Covert retention of urine was significantly associated with parturients who had an instrumental delivery and a duration of labor of more than 700 minutes.
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Int J Gynaecol Obstet · Feb 2011
Randomized Controlled Trial Multicenter StudyA double-blind, randomized, placebo-controlled trial of misoprostol and routine uterotonics for the prevention of postpartum hemorrhage.
To assess the effects of 400-μg sublingual misoprostol plus routine uterotonics on postpartum hemorrhage. ⋯ Misoprostol plus routine uterotonics resulted in modest reductions of blood loss in the third stage of labor, but the effects did not reach statistical significance. Larger studies are recommended.
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Int J Gynaecol Obstet · Feb 2011
Randomized Controlled Trial Multicenter StudyAdministration of 400 μg of misoprostol to augment routine active management of the third stage of labor.
To assess the effectiveness and safety of the administration of misoprostol, an orally active prostaglandin, in addition to routine uterotonic therapy as part of the active management of the third stage of labor. ⋯ The present study did not confirm a beneficial effect of administering 400 μg of misoprostol, in addition to routine uterotonic therapy, during the third stage of labor, but was consistent with other trials showing a cumulative modest benefit. Where routine uterotonics are available for prophylactic use, any potential benefit of misoprostol might not outweigh the likelihood of adverse effects.
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Int J Gynaecol Obstet · Jan 2011
A study of 579 pregnant women with premature rupture of membranes at term.
To determine the best management for women with premature rupture of membranes at term. ⋯ In women at term, induction should be performed immediately after PROM is diagnosed, as it is likely to fail when labor does not begin within 12 hours of oxytocin administration.