European journal of obstetrics, gynecology, and reproductive biology
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Eur. J. Obstet. Gynecol. Reprod. Biol. · Jan 2004
Comparative StudyCriteria for transfusion in severe postpartum hemorrhage: analysis of practice and risk factors.
To analyze the accuracy of postpartum hemorrhage risk factors to determine patients at risk of severe postpartum hemorrhage and transfusion. ⋯ The percentage of patients transfused has probably decreased markedly with improved prevention, surveillance and treatment. This study emphasizes that the transfusion risk in the presence of anomalous placental insertion justifies special obstetrical and anesthetic management.
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Eur. J. Obstet. Gynecol. Reprod. Biol. · Dec 2003
Flemish obstetricians' personal preference regarding mode of delivery and attitude towards caesarean section on demand.
To assess Flemish obstetricians' preferences about mode of delivery for themselves or their partners and to determine the frequency of caesarean section on demand in Flanders. ⋯ The attitude of Flemish gynaecologist-obstetricians is clearly in favour of vaginal delivery both for themselves, their partners and their patients.
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Eur. J. Obstet. Gynecol. Reprod. Biol. · Nov 2003
Do prophylactic prostaglandins reduce the transfusion rate at cesarean section in high-order multiple pregnancies?
Cesarean section is the more usual mode of delivery in high-order multiple pregnancy (> or =3). Excessive uterine distension increases the risk of bleeding and the need for transfusion. The aim of this study was to investigate if prophylactic use of prostaglandins at cesarean section for high-order multiple pregnancies reduces blood loss and transfusion requirement based on historic data. ⋯ In our experience, prophylactic prostaglandin infusion at cesarean section in high-order multiple pregnancy is associated with a lower need for per operative red cell transfusion and a higher postoperative hemoglobin level. This observation merits confirmation in larger studies.
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Eur. J. Obstet. Gynecol. Reprod. Biol. · Oct 2003
Single-shot intrathecal sufentanil with bupivacaine in late labour--analgesic quality and obstetric outcome.
To investigate the analgesic effect and obstetric outcome after single-shot intrathecal sufentanil with bupivacaine in late labour. ⋯ Intrathecal block with sufentanil 7.5 microg in combination with bupivacaine 2 mg is a very effective pain relief in late labour. Due to its limited duration it is important to select women in rapid progress of labour, and active obstetric management is necessary. It is also very important that the obstetrician is aware of the risk of non-reassuring fetal heart rate changes after intrathecal block.
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Eur. J. Obstet. Gynecol. Reprod. Biol. · Sep 2003
ReviewCurrent status of intrapartum fetal monitoring: cardiotocography versus cardiotocography + ST analysis of the fetal ECG.
Two randomized controlled trials (RCT) on intrapartum fetal monitoring with cardiotocography (CTG) only versus CTG combined with automatic ST segment waveform analysis of the fetal ECG have been performed. In altogether 6826 randomized cases, the odds ratio for operative delivery for fetal distress (ODFD) was 0.65 (95% confidence interval 0.53-0.78) and for metabolic acidosis at birth 0.39 (0.21-0.72), in favor of the CTG+ST method. CTG combined with ST analysis increases the ability of obstetricians to identify fetal hypoxia and to intervene more appropriately, resulting in an improved perinatal outcome.