European journal of obstetrics, gynecology, and reproductive biology
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Eur. J. Obstet. Gynecol. Reprod. Biol. · Feb 2012
The surgical rectus sheath block for post-operative analgesia: a modern approach to an established technique.
To describe the surgical rectus sheath block for post-operative pain relief following major gynaecological surgery. ⋯ The surgical rectus sheath block appears to provide effective post-operative analgesia for patients undergoing major gynaecological surgery. A randomised controlled clinical trial is required to assess its efficacy further.
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Eur. J. Obstet. Gynecol. Reprod. Biol. · Feb 2012
First trimester ultrasound estimation of gestational age in pregnancies conceived after in vitro fertilization.
To evaluate BPD as an alternative to CRL for the estimation of gestation age in late first trimester pregnancies (between 9th and 13th gestational weeks), and to construct a first trimester reference chart of fetal BPD growth. ⋯ Biparietal diameter shares similar accuracy with crown rump length in late first trimester ultrasound estimation, with additional advantages of lower random measurement errors.
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Eur. J. Obstet. Gynecol. Reprod. Biol. · Feb 2012
Introduction of metformin for gestational diabetes mellitus in clinical practice: Has it had an impact?
The aim of the study was to compare maternal and neonatal outcomes in women with gestational diabetes mellitus (GDM) treated with metformin in addition to the dietary and lifestyle advice versus those treated traditionally with dietary and lifestyle advice only. ⋯ Metformin is safe and effective in the treatment of GDM in our experience. It is well tolerated and reduces the requirement for supplementary insulin. Women treated with metformin had a significantly lower incidence of macrosomic and large for gestational age neonates as well as a reduced caesarean section rate.