British journal of obstetrics and gynaecology
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Br J Obstet Gynaecol · Oct 1994
Employment during pregnancy in relation to risk factors and pregnancy outcome.
To describe the relation of employment status during pregnancy to potential demographic, behavioural and obstetrical risk factors for adverse late pregnancy outcome, as well as the risks of having a preterm delivery and a small for gestational age infant. ⋯ Comparison of pregnancy outcome among women with different work status should consider the differences in risk factor profile. Adjusting for such risk factors, we found no evidence that work per se had any detrimental or beneficial effects on the risk of having a small for gestational age infant or preterm delivery.
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Br J Obstet Gynaecol · Aug 1994
Randomized Controlled Trial Clinical TrialIntermittent versus continuous electronic monitoring in labour: a randomised study.
To compare the efficacy in detecting signs of fetal hypoxia in labour of intermittent (I-group) versus continuous (C-group) electronic fetal monitoring in women with low or moderate risk factors for fetal distress. ⋯ Intermittent use of electronic fetal monitoring at regular intervals (with stethoscopic auscultation in between) appears to be as safe as continuous electronic fetal monitoring in low risk labours.
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Br J Obstet Gynaecol · Jun 1994
Randomized Controlled Trial Clinical TrialLow dose aspirin in women with raised maternal serum alpha-fetoprotein and abnormal Doppler waveform patterns from the uteroplacental circulation.
To investigate the use of low dose aspirin in the reduction of perinatal morbidity and mortality in women with unexplained raised maternal serum alpha-fetoprotein and abnormal uteroplacental Doppler waveform patterns. ⋯ This trial revealed a benefit of low dose aspirin therapy in women with raised maternal serum alpha-fetoprotein and abnormal uteroplacental Doppler waveform patterns, but the effect was smaller than expected. Although a reduction in deaths from small preterm babies was observed, there was an increase in the number of deaths following placental abruption without a significant increase in the number of abruptions. We recommend that this should be considered before giving aspirin to these high risk women and that other investigators should specifically look for this effect.
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Br J Obstet Gynaecol · Jun 1994
Serum CA 125 levels and sonography in the pre-operative assessment of myometrial invasion of endometrial cancer.
To assess the value of elevated serum CA 125 levels and ultrasonography in predicting deep myometrial invasion of endometrial cancer. ⋯ Ultrasonography was more accurate than serum CA 125 levels in predicting myometrial invasion of endometrial carcinoma.
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Br J Obstet Gynaecol · May 1994
Randomized Controlled Trial Clinical TrialReduction of pain after laparoscopic sterilisation with local bupivacaine: a randomised, parallel, double-blind trial.
To investigate the efficacy of applying 10 ml bupivacaine 0.5% versus normal saline to the fallopian tubes under direct vision during day case laparoscopic sterilisation under general anaesthesia. ⋯ Topical application of bupivacaine to the fallopian tubes during laparoscopic sterilisation is an easy and effective contribution to the management of pain in the immediate post-operative period after day case laparoscopic sterilisation under general anaesthesia.