Archives of gynecology and obstetrics
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Arch. Gynecol. Obstet. · Jul 2015
Comparative Study Controlled Clinical TrialLess postoperative pain after laparoscopic hysterectomy than after vaginal hysterectomy.
To find out whether the severity of acute postoperative pain differs between laparoscopic (LH) or laparoscopically assisted vaginal hysterectomy (LAVH) and vaginal hysterectomy. ⋯ In this study, LH was associated with reduced need of analgesics and lower acute postoperative pain scores than VH.
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Arch. Gynecol. Obstet. · Jun 2015
Randomized Controlled TrialThe effect of mefenamic acid and ginger on pain relief in primary dysmenorrhea: a randomized clinical trial.
The aim of the study was to compare the effect of mefenamic acid and ginger on pain management in primary dysmenorrhea. ⋯ Ginger is as effective as mefenamic acid on pain relief in primary dysmenorrhea. Ginger does not have adverse effects and is an alternative treatment for primary dysmenorrhea.
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Arch. Gynecol. Obstet. · Jun 2015
Systematic assessment of surgical complications in 438 cases of vaginal native tissue repair for pelvic organ prolapse adopting Clavien-Dindo classification.
To systematically review surgical complications of vaginal native tissue prolapse repair using Clavien-Dindo classification and to show whether concomitant surgery leads to increased complication rates. ⋯ Surgery was associated with low rate of CD grade III complications. Re-operation rate was 0.9%. The authors suggest introduction of CD classification for comparability of prolapse surgery.
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Arch. Gynecol. Obstet. · May 2015
Personality, fear of childbirth and birth outcomes in nulliparous women.
This study was aimed at investigating the delivery continuum starting from constant personality variables and their association with Fear of childbirth (FOC) pre-partum, following the association of FOC pre-partum with the delivery process (as measured by birth outcome variables and subjective experience) and the effect of all of these variables over FOC post-partum. ⋯ The difference between FOC levels pre- and post-partum was associated with personality variables and birth outcomes resulting in a model describing the variance in FOC post-partum by all of the above mentioned variables. As the implications of FOC over delivery outcomes are evident, women suffering from FOC pre-partum should be screened routinely before delivery and offered proper care.
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Arch. Gynecol. Obstet. · May 2015
ReviewThe use of intravenous magnesium in non-preeclamptic pregnant women: fetal/neonatal neuroprotection.
To review the effect of intravenous magnesium in obstetrics on fetal/neonatal neuroprotection. ⋯ Intravenous magnesium significantly reduces the risk for cerebral palsy in preterm birth. Open questions remain the optimal dosing schedule, whether or not repeating when delivery has been successfully postponed and a new episode of preterm labor occurs. Some concern has been raised on a too optimistic value for random error which might have led to over-optimistic conclusions in classic meta-analysis. Randomized trials comparing different doses and individual patient data meta-analysis might resolve these issues.