Acta obstetricia et gynecologica Scandinavica
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Acta Obstet Gynecol Scand · Mar 2005
Comparative StudyPostpartum hemorrhage: a prospective, comparative study in Angola using a new disposable device for oxytocin administration.
Postpartum hemorrhage (PPH) is the single most common cause of maternal death in the world, and oxytocin is known to be effective for its prevention and treatment. The use of syringes can be problematic in areas affected by HIV. The aim of this study was to introduce Uniject (a new disposable device for administration of 10 IU oxytocin) as part of active management of the third stage of labor (AMTL) and try to reduce PPH. ⋯ Uniject was well tolerated and offers an alternative for oxytocin administration. AMTL should be implemented also in resource-poor settings as a routine management to reduce PPH.
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Acta Obstet Gynecol Scand · Mar 2005
Randomized Controlled Trial Clinical TrialThe effect of placental removal method and site of uterine repair on postcesarean endometritis and operative blood loss.
Our purpose was to determine whether blood loss during cesarean section and postoperative endometritis rate were associated with the method of placental removal and site of uterine repair. ⋯ Manual removal of the placenta at cesarean delivery results in more operative blood loss and a higher incidence of postcesarean endometritis.
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Acta Obstet Gynecol Scand · Mar 2005
Normative values of Doppler velocimetry of five major fetal arteries as determined by color power angiography.
To produce normograms of Doppler indices of major fetal arteries and their ratios relative to the ascending aorta in a cohort of appropriately grown for gestational age fetuses. ⋯ The vascular resistance in the five fetal arteries decreased towards the end of pregnancy and the ratios of their indices relative to those of the ascending aorta decreased from 24 to 38 weeks' gestation. Early subtle changes in circulation in compromised fetuses may be identified early from deviations in these normograms.