European journal of obstetrics, gynecology, and reproductive biology
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Eur. J. Obstet. Gynecol. Reprod. Biol. · Feb 2004
Randomized Controlled Trial Multicenter Study Comparative Study Clinical TrialClinical observation of blood loss reduced by tranexamic acid during and after caesarian section: a multi-center, randomized trial.
To explore the efficacy and safety of tranexamic acid at caesarian section (CS). ⋯ Tranexamic acid statistically reduces the extent of bleeding from placental delivery to 2 h postpartum and its use was not associated with any side effects or complications. Thus, tranexamic acid can be used safely and effectively to reduce bleeding resulting from CS.
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Eur. J. Obstet. Gynecol. Reprod. Biol. · Feb 2004
Comparative StudyAnterior vaginal wall repair using local anaesthesia.
The purpose of the present study was to describe the possibility of surgical repair of anterior vaginal prolapse including amputation of the cervix using local anaesthesia. The description was made according to postoperative complication, recurrence rate, influence on urinary incontinence, and satisfaction of the patient. ⋯ The study illustrates an acceptable duration of the operation despite many different surgeons, a need of short time postoperative observation, low postoperative complication rate, low recurrence rate, and a high level of satisfaction reported by the patients. Surgical repair of anterior vaginal prolapse using local anaesthesia is described according to postoperative complication, recurrence rate, influence on urinary incontinence, and satisfaction of the patient. It is concluded that this way of handling anterior vaginal prolapse is suitable for all kinds of patients and in the out-patient clinic.
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Eur. J. Obstet. Gynecol. Reprod. Biol. · Feb 2004
Changes in perinatal care and survival in very preterm and extremely preterm infants in The Netherlands between 1983 and 1995.
To evaluate changes in obstetrical and neonatal care for very preterm and extremely preterm infants between 1983 and 1995 in The Netherlands and to evaluate the effect of those changes. ⋯ The short-term outcome for these very preterm and extremely preterm infants has improved. Long-term follow-up through to school age and adulthood of preterm infants is needed to investigate the changes in the sequelae of intensive obstetrical and neonatal care.