Journal of perinatal medicine
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Meta Analysis
Labour epidural analgesia and anti-infectious management of the neonate: a meta-analysis.
A known side effect of labour epidural analgesia (EDA) is maternal fever. It is unclear whether this has effects on the anti-infectious management of the neonate. ⋯ Our data suggest that EDA-related maternal hyperthermia results in an increased likelihood of sepsis workup and antibiotic treatment of the infant. A crucial question is whether EDA-related maternal hyperthermia is truly infectious. If not, administration of antibiotics would not be justified and may be dangerous.
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To study fetal acid-base status and its implications under different modes of anaesthesia for caesarean sections. ⋯ This study provided evidence of the advantages of spinal anaesthesia over epidural and general anaesthesia. Our findings are in contrast with recent evidence in the literature.
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Teaching intrapartum care is one of the most challenging tasks in undergraduate medical education. High-fidelity obstetric simulators might support students' learning experience. The specific educational impact of these simulators compared with traditional methods of model-based obstetric teaching has not yet been determined. ⋯ This study provides first data on the impact of high-fidelity simulation in an undergraduate setting.