Acta obstetricia et gynecologica Scandinavica
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Acta Obstet Gynecol Scand · Jul 2010
Multicenter Study Comparative StudyCesarean delivery in Finland: maternal complications and obstetric risk factors.
To assess the rate of maternal complications related to cesarean section (CS) and to compare morbidity between elective, emergency and crash-emergency CS. To establish risk factors associated with maternal CS morbidity. ⋯ Maternal complications are frequent in CS, and although performing CS electively reduces the occurrence of complications, the frequency is still high. The complication rate depends on the degree of emergency, and increases with maternal obesity, older age and pre-eclampsia.
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Acta Obstet Gynecol Scand · Jul 2010
Randomized Controlled Trial Comparative StudyEffects of intrapartum epidural analgesia at high altitudes: maternal, fetal, and neonatal outcomes. A randomized controlled trial of two formulations of analgesics.
To investigate whether intrapartum epidural analgesics (bupivacaine or ropivacaine) have an influence (safety and efficacy) on mothers, fetuses, or newborns at high altitudes (2,200 m above the sea level). ⋯ At high altitudes, no major advantage was found for epidural ropivacaine over bupivacaine in addition to fentanyl for labor analgesia and no harmful effects of the medications were found on mothers, fetuses, or newborns.
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Acta Obstet Gynecol Scand · Jul 2010
Maternal super-obesity (body mass index > or = 50) and adverse pregnancy outcomes.
To determine if pregnancy complications are increased in super-obese (a body mass index (BMI) of 50 or more) compared to other, less obese parturients. ⋯ Super-obesity is associated with higher rates of pregnancy complications compared to women of all other BMI classes, including other obese women.