American journal of obstetrics and gynecology
-
Am. J. Obstet. Gynecol. · Jan 2013
Review Meta AnalysisVaginal progesterone vs. cervical cerclage for the prevention of preterm birth in women with a sonographic short cervix, previous preterm birth, and singleton gestation: a systematic review and indirect comparison metaanalysis.
No randomized controlled trial has compared vaginal progesterone and cervical cerclage directly for the prevention of preterm birth in women with a sonographic short cervix in the mid trimester, singleton gestation, and previous spontaneous preterm birth. We performed an indirect comparison of vaginal progesterone vs cerclage using placebo/no cerclage as the common comparator. ⋯ Based on state-of-the-art methods for indirect comparisons, either vaginal progesterone or cerclage are equally efficacious in the prevention of preterm birth in women with a sonographic short cervix in the mid trimester, singleton gestation, and previous preterm birth. Selection of the optimal treatment needs to consider adverse events, cost and patient/clinician preferences.
-
Am. J. Obstet. Gynecol. · Dec 2012
Randomized Controlled TrialOxytocin discontinuation during active labor in women who undergo labor induction.
The purpose of this study was to determine whether there is an increase in the cesarean delivery rate in women who undergo induction when oxytocin is discontinued in the active phase of labor. ⋯ Discontinuation of oxytocin in active labor after labor induction does not increase the cesarean delivery rate significantly.