Acta obstetricia et gynecologica Scandinavica
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Acta Obstet Gynecol Scand · Jan 2008
Improved accuracy of postpartum blood loss estimation as assessed by simulation.
Caregivers underestimate the amount of blood loss, but this almost five decades-old assumption has not been validated. We aimed at assessing the accuracy of estimated blood loss by obstetrical teams during a simulated Postpartum hemorrhage (PPH) scenario. ⋯ Accuracy of blood loss estimations by a simulation-based PPH scenario was 50-60%. Measurements at predetermined intervals significantly improved accuracy of these estimations. Our study suggests that implementation of periodic estimations of blood loss in the management of PPH might improve clinical judgment.
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Acta Obstet Gynecol Scand · Jan 2008
Randomized Controlled Trial Multicenter Study Comparative StudyA 12-week randomised study comparing intravenous iron sucrose versus oral ferrous sulphate for treatment of postpartum anemia.
To analyze the effect of intravenous ferrous sucrose compared with oral ferrous sulphate on hematological parameters and quality of life in women with postpartum anemia. ⋯ Women who received 600 mg intravenous iron sucrose followed by standard oral iron after four weeks, replenished their iron stores more rapidly and had a more favorable development of the fatigue score indicating improved quality of life.
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Acta Obstet Gynecol Scand · Jan 2008
ReviewDietary and lifestyle interventions to limit weight gain during pregnancy for obese or overweight women: a systematic review.
To assess the benefits and harm of dietary and lifestyle interventions during pregnancy to improve maternal and infant outcomes for pregnant women who are overweight or obese. ⋯ There is limited information available assessing the benefits and harm associated with dietary and lifestyle interventions for overweight and obese pregnant women. Further evaluation through randomized trials with adequate power is required.
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Acta Obstet Gynecol Scand · Jan 2008
Randomized Controlled TrialAcupuncture versus subcutaneous injections of sterile water as treatment for labour pain.
Two methods for pain relief and relaxation during labour are sterile water injections and acupuncture. In several studies, sterile water injections have been shown to provide good pain relief, particularly for low back pain during labour. The acupuncture studies for pain relief during labour are not as concordant. Therefore, the aim of this study was to explore if there were any differences between acupuncture and sterile water injections regarding pain relief and relaxation during labour. ⋯ Women given sterile water injection experience less labour pain compared to women given acupuncture.
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Acta Obstet Gynecol Scand · Jan 2008
Term perinatal mortality and morbidity in monochorionic and dichorionic twin pregnancies: a retrospective study.
Perinatal mortality and morbidity in monochorionic (MC) twins appears to be increasing compared to dichorionic (DC) twins. The aim of our study was to determine the difference in perinatal mortality and morbidity in MC and DC twins born after 37 weeks' gestation. ⋯ At term, MC twins have a higher risk for perinatal mortality and a higher admission rate to the neonatal nursery compared to DC twins. Given the increased mortality, a prospective study is needed to determine the effects of elective delivery in uncomplicated MC twin pregnancies at around 37 weeks' gestation.