Acta obstetricia et gynecologica Scandinavica
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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.
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Acta Obstet Gynecol Scand · Mar 2014
Randomized Controlled TrialEffect of systematic local infiltration analgesia on postoperative pain in vaginal hysterectomy: a randomized, placebo-controlled trial.
To assess the effect of systematic local infiltration analgesia on postoperative pain in vaginal hysterectomy, and describe the technique in detail. ⋯ Intra-operative systematic local infiltration analgesia reduces postoperative pain in patients undergoing vaginal hysterectomy, facilities mobilization and improves early recovery.
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Acta Obstet Gynecol Scand · Mar 2014
Helping mothers survive bleeding after birth: an evaluation of simulation-based training in a low-resource setting.
To evaluate "Helping Mothers Survive Bleeding After Birth" (HMS BAB) simulation-based training in a low-resource setting. ⋯ The HMS BAB simulation-based training has potential to contribute to education of health care providers. We recommend a full day of training and validation of the facilitators to improve the training.