Acta obstetricia et gynecologica Scandinavica
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Acta Obstet Gynecol Scand · Mar 2015
Randomized Controlled TrialAnalgesic effect of ultrasound-guided transversus abdominis plane block after total abdominal hysterectomy: a randomized, double-blind, placebo-controlled trial.
To assess the effect of bilateral ultrasound-guided transversus abdominis plane block with ropivacaine compared with placebo as part of a multimodal analgesic regimen. ⋯ There was no reduction in 24-h morphine consumption when using an ultrasound-guided transversus abdominis plane block in women undergoing total abdominal hysterectomy. As part of a multimodal regimen the transversus abdominis plane block showed some effect on pain scores at rest only in the early postoperative period.
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Acta Obstet Gynecol Scand · Mar 2015
Can inter-professional simulation training influence the frequency of blood transfusions after birth?
To investigate whether inter-professional simulation training influenced the rate of red blood cell (RBC) transfusions after birth. ⋯ We found a significant reduction in RBC transfusions after birth, which might be associated with mandatory simulation training. A causal link cannot be documented because of complex interactions of several variables.
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Acta Obstet Gynecol Scand · Mar 2015
Comparative StudyMaternal Asian ethnicity and the risk of anal sphincter injury.
To examine associations between maternal Asian ethnicity (South Asian and South East/East Asian) and anal sphincter injury. ⋯ There are ethnic differences in the rates of anal sphincter injury not fully explained by known risk factors for such trauma. This may have implications for care provision.
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Acta Obstet Gynecol Scand · Feb 2015
Randomized Controlled TrialThe added predictive value of biphasic events in ST analysis of the fetal electrocardiogram for intrapartum fetal monitoring.
To study the predictive value of biphasic ST-events for interventions for suspected fetal distress and adverse neonatal outcome, when using ST-analysis of the fetal electrocardiogram (FECG) for intrapartum fetal monitoring. ⋯ The presence of significant biphasic events did not discriminate in the prediction of interventions for fetal distress or adverse outcome. Therefore, biphasic events in relation to ST-analysis monitoring during birth should be omitted if future studies confirm our findings.