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 · Nov 2019
Meta AnalysisA systematic review and meta-analysis of randomized controlled trials comparing 17-alpha-hydroxyprogesterone caproate versus placebo for the prevention of recurrent preterm birth.
Preterm birth causes an increased risk for perinatal morbidity and mortality. ⋯ CDR42017082190.
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Int J Gynaecol Obstet · Oct 2019
Meta AnalysisA systematic review and meta-analysis of thermal coagulation compared with cryotherapy to treat precancerous cervical lesions in low- and middle-income countries.
Thermal coagulation is gaining popularity for treating cervical intraepithelial neoplasia (CIN) in screening programs in low- and middle-income countries (LMICs) due to unavailability of cryotherapy. ⋯ Both cryotherapy and thermal coagulation are effective treatment modalities for CIN lesions in LMICs.
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Int J Gynaecol Obstet · Oct 2019
Development of a training program for the ultrasound screening of placenta accreta spectrum disorders.
To evaluate the impact of a training program using a systematic protocol on ultrasound signs of placenta accreta spectrum (PAS). ⋯ Additional training in detecting the ultrasound signs associated with PAS using a standardized protocol improves the diagnostic accuracy of operators with only a basic obstetric ultrasound training.
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Int J Gynaecol Obstet · Jun 2019
Observational StudyGranisetron reduces the need for uterotonics but not sympathomimetics during cesarean delivery.
To assess the effect of a 5-hydroxytryptamine-3 receptor antagonist (granisetron) on the use of sympathomimetic (cafedrine/theodrenaline) and uterotonic (oxytocin) agents after spinal anesthesia during cesarean delivery. ⋯ Treatment with granisetron immediately before cesarean delivery did not reduce the perioperative requirement for sympathomimetics but did reduce the need for uterotonics. REGISTERED AT CLINICALTRIALS.GOV (NCT03318536).