Acta obstetricia et gynecologica Scandinavica
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Acta Obstet Gynecol Scand · Aug 2010
Randomized Controlled TrialA randomized controlled trial comparing vaginal misoprostol versus Foley catheter plus oxytocin for labor induction.
To compare effectiveness and safety of 25 microg vaginal misoprostol versus Foley catheter and oxytocin for cervical ripening and labor induction in pregnant women with unripe cervices. ⋯ Vaginal misoprostol is more effective than and as safe as Foley catheter and oxytocin for induction of labor in term and post-term pregnancy.
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Acta Obstet Gynecol Scand · Jul 2010
Multicenter Study Comparative StudyCesarean delivery in Finland: maternal complications and obstetric risk factors.
To assess the rate of maternal complications related to cesarean section (CS) and to compare morbidity between elective, emergency and crash-emergency CS. To establish risk factors associated with maternal CS morbidity. ⋯ Maternal complications are frequent in CS, and although performing CS electively reduces the occurrence of complications, the frequency is still high. The complication rate depends on the degree of emergency, and increases with maternal obesity, older age and pre-eclampsia.
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Acta Obstet Gynecol Scand · Jul 2010
Randomized Controlled Trial Comparative StudyEffects of intrapartum epidural analgesia at high altitudes: maternal, fetal, and neonatal outcomes. A randomized controlled trial of two formulations of analgesics.
To investigate whether intrapartum epidural analgesics (bupivacaine or ropivacaine) have an influence (safety and efficacy) on mothers, fetuses, or newborns at high altitudes (2,200 m above the sea level). ⋯ At high altitudes, no major advantage was found for epidural ropivacaine over bupivacaine in addition to fentanyl for labor analgesia and no harmful effects of the medications were found on mothers, fetuses, or newborns.
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Acta Obstet Gynecol Scand · Jul 2010
Maternal super-obesity (body mass index > or = 50) and adverse pregnancy outcomes.
To determine if pregnancy complications are increased in super-obese (a body mass index (BMI) of 50 or more) compared to other, less obese parturients. ⋯ Super-obesity is associated with higher rates of pregnancy complications compared to women of all other BMI classes, including other obese women.
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Acta Obstet Gynecol Scand · May 2010
Comparative StudyMacrosomia: mode of delivery and pregnancy outcome.
To assess associations between birthweight and selected adverse outcomes in vaginal and cesarean deliveries and to clarify to which extent macrosomic births are delivered by cesarean section or are centralized to larger maternity units. ⋯ Macrosomic births involved excess risks of a series of adverse pregnancy outcomes, the births were not centralized to larger maternity units and planned cesarean section was not more frequent in macrosomic births.