Archives of gynecology and obstetrics
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Arch. Gynecol. Obstet. · Jun 2013
Comparative StudyCarbetocin in comparison with oxytocin in several dosing regimens for the prevention of uterine atony after elective caesarean section in the Netherlands.
The aim of the study was to compare the prophylactic effects of carbetocin with those of oxytocin for the prevention of uterine atony in patients undergoing elective caesarean section (CS) in the Netherlands. The primary endpoint was the need for additional uterotonic medication. ⋯ Compared with oxytocin, prophylaxis of uterine atony with carbetocin after an elective CS diminished the need for additional uterotonics by more than 50 %.
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Arch. Gynecol. Obstet. · Jun 2013
Comparative StudySecond stage disorders in patients following a previous cesarean section: vacuum versus repeated cesarean section.
To investigate whether vacuum extraction due to failure of labor to progress (dystocia) during the second stage in a delivery following a previous cesarean section (CS) is related to increased adverse maternal and perinatal outcomes as compared with repeated CS. ⋯ When managing second stage labor disorders, vacuum extraction does not seem to be an unsafe procedure in patients with a previous CS.