European journal of obstetrics, gynecology, and reproductive biology
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Eur. J. Obstet. Gynecol. Reprod. Biol. · Jul 1990
Epidural analgesia and its effect on umbilical artery flow velocity waveform patterns in uncomplicated labour and labour complicated by pregnancy-induced hypertension.
Umbilical artery flow velocity waveforms were obtained using continuous-wave Doppler ultrasound to examine the effect of epidural analgesia on peak systolic/least diastolic ratio (A/B ratio) in 38 women in uncomplicated labour, and 12 women with pregnancy-induced hypertension (PIH). In the uncomplicated group there was no significant change in A/B ratio after epidural analgesia, but in the PIH group there was significant correlation between the fall in mean blood pressure and the fall in A/B ratio at 30 min after induction of epidural analgesia (r = 0.85, p less than 0.001). This suggests that epidural analgesia in PIH is associated with a reduction in placental resistance and may be beneficial to the fetus.
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Eur. J. Obstet. Gynecol. Reprod. Biol. · Mar 1990
Randomized Controlled Trial Comparative Study Clinical TrialMaternal opinion about analgesia in labour and delivery. A comparison of epidural blockade and intramuscular pethidine.
In a prospective randomized study we evaluated the opinion of 97 parturients on either epidural analgesia or parenteral pethidine with respect to analgesic efficacy, general feelings and symptoms during labour and delivery. The analgesic effect of the epidural block was significantly superior to pethidine with regard to the pain score (visual analogue scale (VAS)0 during the first stage of labour (mean VAS 11 contrasting 65). ⋯ Fewer side effects were registered in the epidural group compared to the pethidine group, however only significantly concerning sleepiness. It is concluded that in this study low-dose epidural analgesia during the first stage of labour was superior to parenteral pethidine regarding pain relief and side effects.
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Eur. J. Obstet. Gynecol. Reprod. Biol. · Nov 1989
Comparative StudyMiniature electronic blood pressure monitor compared with a blind-reading mercury sphygmomanometer in pregnancy.
The use of electronic blood pressure monitors is increasing, but they have received little evaluation in pregnancy. We compared an electronic monitor (Nissei D-175 Digital Monitor) with a London School of Hygiene blind-reading mercury sphygmomanometer in clinical conditions in 41 patients in the third trimester. ⋯ The coefficient of repeatability was similar for both instruments with systolic and diastolic readings. As much caution should be exercised with the use of the electronic monitor in late pregnancy as with the mercury sphygmomanometer, and practitioners should be aware of the marked differences that can occur between instruments.
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Eur. J. Obstet. Gynecol. Reprod. Biol. · Oct 1989
Case ReportsPregnancy in a patient with the Klippel-Trenaunay-Weber syndrome: a case report.
A rare case of pregnancy in a patient with the syndrome of Klippel-Trenaunay-Weber is described. The arterio-venous anomalies in this patient originally occurred in her right leg, but in the course of her first pregnancy she also developed circumscript angiomatosis at the left and right side of the uterus. Her pregnancy was uneventful. ⋯ A review of the scarce literature on diffuse uterine angiomatosis and angiomatosis occurring as a result of the syndrome of Klippel-Trenaunay-Weber is given. The clinical course and the risks of a pregnancy with this condition are discussed. It is concluded that the angiomatosis based on the syndrome of Klippel-Trenaunay-Weber is less hazardous than a diffuse angiomatosis of the uterus without this disease, the main risk being diffuse intravascular coagulation at or after delivery.
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Eur. J. Obstet. Gynecol. Reprod. Biol. · May 1988
Randomized Controlled Trial Clinical TrialOil or aqueous contrast media for hysterosalpingography: a prospective, randomized, clinical study.
In this prospective randomized clinical study the pregnancy rate and the quality of the images obtained by hysterosalpingography (HSG) in 175 women with fertility problems have been compared using an oil-soluble contrast medium and an aqueous contrast medium. After the HSG there was a follow-up period of 6 months. No statistically significant difference in pregnancy rate was found. ⋯ The oil-soluble contrast medium gave a more sharply outlined uterine cavity, the aqueous contrast medium showed more tubal details. Furthermore, the control picture with the aqueous contrast medium can be prepared after ten minutes. We conclude that the use of an aqueous contrast medium for routine HSG is preferable.