Acta obstetricia et gynecologica Scandinavica
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Acta Obstet Gynecol Scand · Jun 2015
Risk factors for persistent pain and its influence on maternal wellbeing after cesarean section.
To investigate the overall incidence and risk factors for persistent pain and its interference with daily life after cesarean section. ⋯ Several factors, including severe postoperative pain, were shown to influence the risk for persistent pain after cesarean section. Long-term pain markedly affected women's wellbeing.
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Acta Obstet Gynecol Scand · May 2015
Informed consent in medical decision-making in commercial gestational surrogacy: a mixed methods study in New Delhi, India.
To investigate ethical issues in informed consent for decisions regarding embryo transfer and fetal reduction in commercial gestational surrogacy. ⋯ Clinical procedural decisions were primarily made by the doctors. Surrogate mothers were not adequately informed. There is a need for regulation on decision-making procedures to safeguard the interests of surrogate mothers.
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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.