European journal of obstetrics, gynecology, and reproductive biology
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Eur. J. Obstet. Gynecol. Reprod. Biol. · Dec 2001
Clinical TrialThe effect of tranexamic acid on the quality of life of women with heavy menstrual bleeding.
To investigate whether medical treatment with tranexamic acid would increase the quality of life of women with heavy menstrual bleeding. ⋯ Medical treatment with tranexamic acid increases quality of life for women with heavy menstrual bleeding.
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Eur. J. Obstet. Gynecol. Reprod. Biol. · Dec 2001
Postoperative day 3 serum human chorionic gonadotropin decline as a predictor of persistent ectopic pregnancy after linear salpingotomy.
To evaluate the ability of preoperative clinical, ultrasonographic, intraoperative findings and pre-postoperative serum human chorionic gonadotropin (hCG) levels to predict persistent ectopic pregnancy (EP). ⋯ Postoperative serum hCG follow-up is important after salpingotomy to prevent persistent EP. A decline of less than 55% at day 3 predicts persistent EP and may select early cases for second line methotrexate therapy.
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Eur. J. Obstet. Gynecol. Reprod. Biol. · Oct 2001
A high rate of epidural analgesia with bupivacaine-sufentanil is consistent with a low rate of caesarean section and instrumental deliveries.
To prospectively evaluate if a high rate of epidural analgesia (EDA) with bupivacaine-sufentanil is consistent with a low rate of caesarean section, instrumental deliveries and dystocia and to evaluate maternal and fetal adverse effects of sufentanil. ⋯ A high rate of EDA, using low dose bupivacaine and sufentanil is consistent with a low rate of caesarean section and instrumental deliveries. No apparent negative effects on the neonates or mothers were observed.
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Eur. J. Obstet. Gynecol. Reprod. Biol. · Oct 2001
Randomized Controlled Trial Multicenter Study Comparative Study Clinical TrialTreatment of preterm labor with the oxytocin antagonist atosiban: a double-blind, randomized, controlled comparison with salbutamol.
To compare the efficacy and safety of atosiban and salbutamol in the treatment of preterm labor. ⋯ The oxytocin antagonist atosiban was found to be better tolerated by both mother and fetus than salbutamol, with a comparable neonatal and infant safety profile, and atosiban was as effective as salbutamol in delaying threatened preterm birth. This study supports the clinical use of atosiban in the treatment of preterm labor.
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Eur. J. Obstet. Gynecol. Reprod. Biol. · Oct 2001
Planned vaginal delivery versus elective caesarean section in singleton term breech presentation: a study of 1116 cases.
To compare neonatal and maternal morbidity and mortality between planned vaginal delivery and elective cesarean section for singleton term breech presentation. ⋯ Planned vaginal delivery in singleton term breech presentation increases the risk of death and of neonatal complications. Elective caesarean section increases the risk of only mild maternal complications. For these reasons, elective caesarean section should be preferred for singleton term breech presentations.