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 · Oct 2009
Comparative StudyComparison of pregnancy outcomes in women with hypertensive disorders of pregnancy using 24-hour urinary protein and urinary microalbumin to creatinine ratio.
To determine the role of proteinuria estimated using the 24-hour urinary protein test and the spot urinary microalbumin to creatinine ratio on the outcomes of pregnancy in women with hypertensive disorders of pregnancy. ⋯ The spot urinary microalbumin to creatinine ratio dipstick is a good screening test to rule out clinically significant proteinuria.
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Int J Gynaecol Obstet · Sep 2009
Randomized Controlled TrialEffect of intra-abdominal instillation of lidocaine during minor laparoscopic procedures.
To assess the effect of intraperitoneal instillation of lidocaine on postoperative pain after minor gynecological laparoscopic surgery. ⋯ Intraperitoneal instillation of lidocaine was effective in reducing postoperative pain after minor gynecological laparoscopic procedures.
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Int J Gynaecol Obstet · Sep 2009
Randomized Controlled TrialAdverse effects of combined spinal-epidural versus traditional epidural analgesia during labor.
To compare two neuraxial block techniques during labor for maternal and fetal effects. ⋯ There were no differences in the rate of PD or other adverse outcomes. Hypotension occurred more frequently with CSE during labor at term. The study supports both EPI and CSE during labor as safe and effective techniques for neuraxial analgesia.
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Worldwide, one woman dies every minute as a result of being pregnant. This statistic highlights the denial of women's rights to safe motherhood in many parts of the world, particularly in low-resource countries where 98% all maternal deaths occur. The majority of pregnant women die because they deliver unattended by a properly trained birth professional. ⋯ Philanthropy is diverted by other competing needs, such as HIV prevention and treatment, or provision of urgent food supplies. Equity is denied because women's health is too often set as a low priority. Utilitarianism advocates that safe motherhood is an investment of societal shared interest.
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The Millennium Development Goals (MDGs) set very high targets for women's reproductive health through reductions in maternal and infant mortality, among other things. Reductions in maternal mortality and morbidity can be achieved through various different approaches, such as the confidential review of maternal deaths, use of evidence-based treatments and interventions, using a health systems approach, use of information technology, global and regional partnerships, and making pregnancy safer through initiatives that increase the focus on human rights. ⋯ This paper highlights some of the current global efforts on safer pregnancy with a focus on reproductive rights. We encourage readers to do more in every corner of the world to advocate for women's reproductive rights and, in this way, we may achieve the MDGs by 2015.