Acta obstetricia et gynecologica Scandinavica
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Acta Obstet Gynecol Scand · Oct 2011
Randomized Controlled Trial Comparative StudyLocal infiltration analgesia in urogenital prolapse surgery: a prospective randomized, double-blind, placebo-controlled study.
To evaluate the analgesic effect of high-volume infiltration analgesia in urogenital prolapse surgery and provide a detailed description of the infiltration technique. ⋯ Systematic high-volume infiltration analgesia is an effective analgesic technique in patients undergoing posterior wall repair and perineorraphy, and improves early recovery.
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Acta Obstet Gynecol Scand · Oct 2011
Comparative StudyEvaluation of the discrepancy between pH and lactate in combined fetal scalp blood sampling.
To evaluate the rate of discrepancy between pH and lactate values in fetal blood sampling (FBS). To evaluate differences in obstetric management in response to combined tests (pH and lactate) and single tests (pH or lactate). ⋯ In the combined test, discrepancies were common and occurred in half of the samples with an abnormality. Obstetric management was influenced by the discrepancy between test results with respect to ODFD rates and the time interval from the last FBS to delivery.
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Evaluation of elective cesarean section for twin delivery as a standard of care. ⋯ II.
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Acta Obstet Gynecol Scand · Oct 2011
Comparative StudyInduction of labor and the risk for emergency cesarean section in nulliparous and multiparous women.
To assess the risk for emergency cesarean section among women in whom labor was induced in gestational week ≥41 and to evaluate if parity and mode of induction affected this association. ⋯ Compared to spontaneous onset of delivery, induction of labor is associated with an increased risk for emergency cesarean section both among nulliparous and multiparous women. When labor is induced, the high risk for emergency cesarean must be kept in mind.
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Acta Obstet Gynecol Scand · Sep 2011
Randomized Controlled TrialSwedish randomized controlled trial of cardiotocography only versus cardiotocography plus ST analysis of fetal electrocardiogram revisited: analysis of data according to standard versus modified intention-to-treat principle.
To undertake a renewed analysis of data from the previously published Swedish randomized controlled trial on intrapartum fetal monitoring with cardiotocography (CTG-only) vs. CTG plus ST analysis of fetal electrocardiogram (CTG+ST), using current standards of intention-to-treat (ITT) analysis and to compare the results with those of the modified ITT (mITT) and per protocol analyses. ⋯ Re-analysis of data according to the ITT principle showed that regardless of the method of analysis, the Swedish randomized controlled trial maintained its ability to demonstrate a significant reduction in metabolic acidosis rate when using CTG+ST analysis for fetal surveillance in labor.