European journal of obstetrics, gynecology, and reproductive biology
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Eur. J. Obstet. Gynecol. Reprod. Biol. · Dec 2014
Epidural analgesia and operative delivery: a ten-year population-based cohort study in The Netherlands.
To describe trends in the use of epidural analgesia (EA) and to evaluate the association of EA with operative deliveries. ⋯ A near triplication of EA use in The Netherlands in ten years was accompanied by relatively stable rates of operative deliveries. The association between EA and operative delivery became weaker. This supports the idea that EA is not an important causal factor of operative deliveries.
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Eur. J. Obstet. Gynecol. Reprod. Biol. · Dec 2014
Comparative StudyProgestin-only contraception compared with extended combined oral contraceptive in women with migraine without aura: a retrospective pilot study.
To evaluate the effect of a desogestrel progestogen-only pill (POP) compared to continuous combined oral contraception (COC) on migraine patterns in women with migraine without aura. ⋯ Our preliminary data confirm that POP therapy improves migraine patterns and quality of life after 6 months' treatment in women with migraine without aura and it decreases the analgesic consumption with respect to an extended COC therapy. As POP represents a healthier opportunity, in terms of vascular risk, than combined contraception, its role in migrainous women deserves to be further investigated.
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Eur. J. Obstet. Gynecol. Reprod. Biol. · Dec 2014
Association of neutrophil extracellular traps with endometriosis-related chronic inflammation.
To study if neutrophil extracellular traps (NETs) are present in the peritoneal fluid of endometriosis patients. NETs play a crucial role in fighting against microorganisms. However, exaggerated NET production may lead to tissue damage in their vicinity in pathological conditions. Our study evaluates the presence of NETs in endometriosis peritoneal fluid. ⋯ This is the first study, which evaluated and described the presence of NETs in the PF of endometriosis patients. Our study shows, that NETs may be involved in the complex pathophysiology of endometriosis.
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Eur. J. Obstet. Gynecol. Reprod. Biol. · Dec 2014
Comparative StudyMultimodal pain control is associated with reduced hospital stay following open abdominal hysterectomy.
To study the association of a multimodal pain protocol (MMPC) and reduced hospital stay after open abdominal hysterectomy. ⋯ Multimodal pain control is associated with significantly reduced hospital stay after open abdominal hysterectomy.
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Eur. J. Obstet. Gynecol. Reprod. Biol. · Dec 2014
Randomized Controlled TrialSafety and efficacy of postoperative continuous intra-peritoneal wash with lactated Ringer's for minimizing post-myomectomy pelvic adhesions: a pilot clinical trial.
To assess efficacy and safety of post-operative intra-peritoneal wash with lactated Ringer's for 48h after myomectomy in reduction of adhesions compared to routine intra-operative irrigation. Study design A prospective, randomized trial that included 52 eligible participants who had undergone abdominal myomectomy. Participants were randomly allocated to a treatment group (n=26) which was subjected to continuous peritoneal wash for 48h via two intraperitoneal drains, and a control group (n=26). The incidence of de novo adhesions and their severity and extent were scored at a second-look laparoscopy 8-10 weeks postoperatively. Adhesions were graded using the local adhesion barrier scoring system score. Adverse effects were also assessed and reported. ⋯ Application of postoperative intraperitoneal wash with lactated Ringer's solution for 48h may have reasonable safety and efficacy in minimizing postoperative pelvic de novo adhesions following abdominal myomectomy.