Acta obstetricia et gynecologica Scandinavica
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Acta Obstet Gynecol Scand · Apr 2015
Review Meta AnalysisCerclage for short cervix in twin pregnancies: systematic review and meta-analysis of randomized trials using individual patient-level data.
To evaluate the efficacy of cerclage for preventing preterm birth in twin pregnancies with a short cervical length. ⋯ Based on these Level 1 data, cerclage cannot currently be recommended for clinical use in twin pregnancies with a maternal short cervical length in the second trimester. Large trials are still necessary.
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Acta Obstet Gynecol Scand · Apr 2015
Lowered national cesarean section rates after a concerted action.
To evaluate national cesarean section (CS) rates and other obstetric indicators after a concerted action to reduce CS rates was undertaken in Portugal from 2010 onwards. This action was based on the transmission of information and training of healthcare professionals, together with the inclusion of CS rates as a criterion for hospital funding. ⋯ A concerted action based on the transmission of information and training of healthcare professionals, together with the inclusion of CS rates as a criterion for hospital funding, was followed by a significant reduction in national CS rates, as well as an improvement in most related obstetric indicators. There may be an association between the reported intervention and the observed changes.