Acta obstetricia et gynecologica Scandinavica
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Acta Obstet Gynecol Scand · Apr 2014
Randomized Controlled Trial Multicenter StudySingle-dose tranexamic acid in advanced ovarian cancer surgery reduces blood loss and transfusions: double-blind placebo-controlled randomized multicenter study.
To determine whether single-dose tranexamic acid given intravenously immediately before surgery for presumed advanced ovarian cancer reduces perioperative blood loss and blood transfusions. ⋯ A single dose of tranexamic acid given immediately before surgery reduces blood loss and transfusion rates significantly in advanced ovarian cancer surgery. Tranexamic acid may be recommended as standard prophylactic treatment in advanced ovarian cancer surgery.
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Acta Obstet Gynecol Scand · Apr 2014
Randomized Controlled TrialTransversus abdominis plane block after ambulatory total laparoscopic hysterectomy: randomized controlled trial.
To determine if transversus abdominis plane anesthetic blockage (TAP block) diminishes early postoperative pain scores and facilitates ambulatory management following total laparoscopic hysterectomy. ⋯ Although TAP block after a total laparoscopic hysterectomy reduced the pain score at discharge compared with placebo, its role in this setting is debatable due to the possible lack of clinical significance of the small difference found.
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Acta Obstet Gynecol Scand · Apr 2014
Observational StudyWomen's antenatal preferences for delivery route in a setting with high cesarean section rates and a medically dominated maternity system.
To assess birth preferences in a sample of Hungarian pregnant women and identify determinants of ambivalence or clear choices for cesarean section throughout pregnancy. ⋯ The majority of pregnant women preferred vaginal delivery to cesarean section. Neither a higher Wijma Delivery Expectancy/Experience Questionnaire A score nor sociodemographic differences were important determinants of a preference for cesarean section or for an uncertain preference. On the other hand, previous cesarean section and certain preconceived maternal attitudes towards delivery were characteristic for these women.
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Acta Obstet Gynecol Scand · Apr 2014
Prediction of postpartum hemorrhage in women with gestational hypertension or mild preeclampsia at term.
To assess whether postpartum hemorrhage can be predicted in women with gestational hypertension or mild preeclampsia at term. ⋯ In the assessment of performance of a prediction model, calibration is more important than discriminative capacity. Our prediction model shows that for women with gestational hypertension or mild preeclampsia at term, distinction between low and high risk of developing postpartum hemorrhage is possible when antepartum and intrapartum variables are combined.