British journal of obstetrics and gynaecology
-
Br J Obstet Gynaecol · Dec 1999
Randomized Controlled Trial Multicenter Study Comparative Study Clinical TrialA randomised controlled trial comparing transvaginal ultrasound, outpatient hysteroscopy and endometrial biopsy with inpatient hysteroscopy and curettage.
To compare the use of outpatient and inpatient procedures in the investigation of abnormal uterine bleeding. ⋯ Transvaginal sonography and endometrial biopsy can safely be used as the initial investigations in the management of abnormal uterine bleeding. Hysteroscopy can be used as a second line investigation. Outpatient hysteroscopy with local anaesthesia is well tolerated although general anesthesia may occasionally be necessary.
-
Br J Obstet Gynaecol · Dec 1999
Randomized Controlled Trial Clinical TrialDoes an inflatable obstetric belt facilitate spontaneous vaginal delivery in nulliparae with epidural analgesia?
To assess whether an inflatable obstetric belt, synchronised to apply uniform fundal pressure during a uterine contraction, reduces operative delivery rates when used in the second stage of labour. ⋯ The inflatable obstetric belt did not significantly reduce operative delivery rates when used in this clinical setting in the second stage of labour.
-
Br J Obstet Gynaecol · Nov 1999
Congenital diaphragmatic hernia: prenatal diagnosis, outcome and continuing morbidity in survivors.
To improve counselling by investigating the prenatal diagnosis, outcome and morbidity in survivors of congenital diaphragmatic hernia. ⋯ The survival for infants born alive with congenital diaphragmatic hernia was 56% (13/23), 61% of whom have persistent disorders. Despite advances in neonatology there is a high mortality and morbidity with congenital diaphragmatic hernia. Prenatal counselling should reflect this.
-
Br J Obstet Gynaecol · Nov 1999
Randomized Controlled Trial Comparative Study Clinical TrialIntramuscular opioids for maternal pain relief in labour: a randomised controlled trial comparing pethidine with diamorphine.
To compare the pain relief and side effects of intramuscular pethidine with intramuscular diamorphine in labour. ⋯ Intramuscular diamorphine in labour appears to have some benefits, compared with intramuscular pethidine, but the trial was small and further research, particularly into alternative opioids and long term effects on the infants is still needed.