Acta obstetricia et gynecologica Scandinavica
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Acta Obstet Gynecol Scand · Jan 2009
Lumbopelvic pain associated with catastrophizing and fear-avoidance beliefs in early pregnancy.
To examine and compare levels of catastrophizing, fear-avoidance beliefs, physical ability, and health-related quality of life in women with and without lumbopelvic pain (LP and NLP) in early pregnancy. ⋯ It is important to consider exaggerated negative thoughts about pain experiences and fear-avoidance beliefs when treating women with LP during pregnancy and to be aware of the great impact lumbopelvic pain has on women's lives during early pregnancy.
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Acta Obstet Gynecol Scand · Jan 2009
Randomized Controlled TrialEffectiveness of subcutaneous injection of sterile water to the lower back for pain relief in labor.
The analgesic efficacy of subcutaneous injection of sterile water compared to isotonic saline was investigated in a randomized, controlled study on a total of 100 women in the active phase of labor and who complained of low back pain. Pain perception was rated on a numerical rating scale before and at 10 and 45 minutes after the injection. The initial pain score was the same in both groups and pain relief was expressed by both groups irrespective of the solution injected, but the sterile water group had significantly higher relief scores compared to those receiving saline. This was not influenced by maternal age, parity, education, body mass index, cervical dilatation at intervention or fetal size, suggesting that subcutaneous injection of sterile water to the lower back provides relief from back pain during labor.
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Maternal lifestyle factors are potential predictors of pregnancy complications. We examined relations between modifiable factors and delivery complications. ⋯ Pre-gestational physical inactivity increased the risk of perineal lacerations and male infants were associated with higher risk of vaginal operative delivery.
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Acta Obstet Gynecol Scand · Jan 2009
Predictive social factors in relation to preterm birth in a metropolitan region.
Preterm birth is an important indicator of neonatal wellbeing. Infants born preterm are at higher risk for severe morbidity and mortality. Apart from medical risk factors, social factors are also associated with preterm birth. This study aims to provide knowledge on factors which have a predictive role in relation to preterm birth. ⋯ Being a teenage or single mother are important social risk factors for preterm birth. We hypothesize that the increased risk is related to prenatal care trajectories. To obtain a better understanding of preterm birth occurrences, further research should focus on mapping these trajectories and specifically targeting the most vulnerable groups.
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Acta Obstet Gynecol Scand · Jan 2009
Controlled Clinical TrialDiscontinuation of oxytocin in the active phase of labor.
To show that early discontinuation of oxytocin will not increase the mean duration of the active labor phase in a clinically significant way. ⋯ Discontinuation of oxytocin at the onset of the active phase prolongs labor. We found no argument for discontinuing the infusion of oxytocin at the onset of the active phase.