Archives of gynecology and obstetrics
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Arch. Gynecol. Obstet. · Aug 2018
Randomized Controlled TrialIntravenous carbetocin versus intravenous oxytocin for preventing atonic postpartum hemorrhage after normal vaginal delivery in high-risk singleton pregnancies: a triple-blind randomized controlled trial.
To compare the effectiveness of intravenous carbetocin to that of intravenous oxytocin for prevention of atonic postpartum hemorrhage (PPH) after vaginal delivery in high-risk singleton pregnancies. ⋯ TCTR20160715004.
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Arch. Gynecol. Obstet. · Aug 2018
The impact of distractions and interruptions during Cesarean Sections: a prospective study in a London teaching hospital.
During Cesarean Sections, distractions which interrupt task specific activities include auditory, equipment, theatre traffic, and irrelevant communication. Aims of this study were to investigate frequency and types of distractions and to assess impact on patient safety and theatre efficiency. ⋯ Distractions did not culminate in perioperative complications, but disrupted surgeons' task activity, prolonging mean procedure duration by 26.8%. Recognising sources and effects of distractions will enable measures to be taken to improve theatre productivity and patient safety.
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Arch. Gynecol. Obstet. · Aug 2018
Complicated primary cesarean delivery increases the risk for uterine rupture at subsequent trial of labor after cesarean.
To evaluate whether cesarean delivery (CD) indication, labor status, and other primary CD characteristics affect the risk for uterine rupture in subsequent deliveries. ⋯ Postpartum hemorrhage and infection, in primary CD, seem to be associated with increased risk for uterine rupture during subsequent TOLAC.