British journal of obstetrics and gynaecology
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Br J Obstet Gynaecol · Nov 1996
Randomized Controlled Trial Clinical TrialEvaluation of post-operative analgesia following laparoscopic application of Filshie clips.
To evaluate the efficacy of injecting 1% lignocaine into the subserosal aspect of the cornual end of the fallopian tubes to control post-operative pain after laparoscopic Filshie clip application. ⋯ Lignocaine infiltration at the cornual end of the fallopian tubes during laparoscopic Filshie clip application is highly effective in producing post-operative pain relief.
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Br J Obstet Gynaecol · Nov 1996
Comparative StudyA prospective cohort study of oxytocin plus ergometrine compared with oxytocin alone for prevention of postpartum haemorrhage.
To determine the safety and efficacy of intramuscular oxytocin plus ergometrine compared to intravenous oxytocin for prevention of postpartum haemorrhage, and the significance of administration at the end of the second stage of labour compared with that after the third stage. ⋯ Administration of oxytocin alone is as effective as the use of oxytocin plus ergometrine in the prevention of postpartum haemorrhage, but associated with a significantly lower rate of unpleasant maternal side effects. Oxytocics administered after delivery of the fetal head compared with after the placental expulsion are associated with a significantly lower rate of postpartum haemorrhage.
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Br J Obstet Gynaecol · Nov 1996
Women's involvement with the decision preceding their caesarean section and their degree of satisfaction.
To assess the extent to which women contribute to the decision for caesarean section and their satisfaction with the decision and procedure. ⋯ Women undergoing caesarean section were well informed and took a considerable part in the decision-making process. This suggests that women's wishes may be playing a role in increasing caesarean section rates. High levels of satisfaction with both the decision and the procedure itself indicate that caesarean section is an acceptable method of delivery, particularly when an elective procedure.
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Br J Obstet Gynaecol · Oct 1996
Randomized Controlled Trial Clinical TrialLack of analgesic effect of systemically administered morphine or pethidine on labour pain.
To evaluate the true analgesic effect of morphine and pethidine on labour pain. ⋯ It is concluded that labour pain is not sensitive to systemically administered morphine or pethidine. These drugs only cause heavy sedation. It therefore seems unethical and medically incorrect to meet parturients' requests for pain relief by giving them sedation. Considering the well documented negative effects on newborn infants we also believe systemic pethidine should be avoided in labour.