Acta obstetricia et gynecologica Scandinavica
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Acta Obstet Gynecol Scand · Oct 2015
Guideline-based development of quality indicators for prevention and management of postpartum hemorrhage.
To systematically develop a set of guideline-based quality indicators for postpartum hemorrhage (PPH) as a tool to measure guideline adherence in actual PPH care. ⋯ This study describes a stepwise systematic development of 22 performance and organizational indicators to use for measuring the whole care process of prevention and management of PPH.
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Acta Obstet Gynecol Scand · Sep 2015
Comparative Study Clinical TrialPatient satisfaction between remifentanil patient-controlled analgesia and epidural analgesia for labor pain.
The aim of this study was to compare patient satisfaction between remifentanil patient-controlled analgesia (RPCA) and epidural analgesia (EA) for labor pain. ⋯ Both self-selected groups did not differ in general satisfaction with labor and delivery at all three time points after birth despite a significantly higher experienced pain in the RPCA group.
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Acta Obstet Gynecol Scand · Sep 2015
Neonatal outcome of singleton term breech deliveries in Norway from 1991 to 2011.
The objective of this study was to examine the association between planned mode of delivery and neonatal outcomes in breech deliveries. ⋯ Overall intrapartum and neonatal mortality decreased during the entire period. Higher mortality in planned vaginal delivery relative to planned cesarean delivery in the second period was not statistically significant. However, neonatal morbidity was significantly higher in planned vaginal than planned cesarean deliveries in both periods. This warrants continuous surveillance of breech deliveries.
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Acta Obstet Gynecol Scand · Aug 2015
Curriculum development for a national cardiotocography education program: a Delphi survey to obtain consensus on learning objectives.
To define learning objectives for a national cardiotocography (CTG) education program based on expert consensus. ⋯ National consensus on CTG learning objectives was achieved using the Delphi methodology. This was an initial step in developing a valid CTG education program. A prioritized list of objectives will clarify which topics to emphasize in a CTG education program.