British journal of obstetrics and gynaecology
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Br J Obstet Gynaecol · May 1999
Randomized Controlled Trial Clinical TrialThe white coat effect in hypertensive pregnancy: much ado about nothing?
To determine the prevalence of white coat hypertension and white coat effect among hypertensive pregnant women and to assess whether the presence of a significant white coat effect was associated with adverse pregnancy outcome when clinical management was based upon standard sphygmomanometric blood pressure recordings. ⋯ White coat hypertension is an infrequent occurrence in mildly hypertensive pregnant women. Although a white coat effect is present more often, this is associated with clinical outcomes similar to women who do not exhibit this phenomenon. Using ABPM to identify a white coat effect in women presenting with hypertension in the second half of their pregnancy does not appear to be clinically useful.
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Br J Obstet Gynaecol · May 1999
Randomized Controlled Trial Multicenter Study Clinical TrialThe effect of indomethacin tocolysis in preterm labour on perinatal outcome: a randomised placebo-controlled trial.
To determine whether indomethacin tocolysis in preterm labour is associated with a better perinatal outcome than placebo. ⋯ There is no evidence that indomethacin tocolysis is beneficial, and further trials are needed to assess the impact of indomethacin tocolysis in preterm labour.
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Br J Obstet Gynaecol · Apr 1999
Randomized Controlled Trial Clinical TrialParacervical anaesthesia in outpatient hysteroscopy: a randomised double-blind placebo-controlled trial.
To evaluate the efficacy and safety of paracervical anaesthesia in reducing pain during outpatient hysteroscopy and endometrial biopsy. ⋯ Paracervical anaesthesia not only fails to reduce pain during outpatient hysteroscopy and endometrial biopsy, but also carries a risk of inducing bradycardia and hypotension, which is probably a result of inadvertent intravascular injection.
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Br J Obstet Gynaecol · Apr 1999
Randomized Controlled Trial Comparative Study Clinical TrialA randomised trial of endometrial ablation versus hysterectomy for the treatment of dysfunctional uterine bleeding: outcome at four years. Aberdeen Endometrial Ablation Trials Group.
To assess the long term impact of initial management by endometrial ablation for women with dysfunctional uterine bleeding who would otherwise have had a hysterectomy. ⋯ While about two out of every five women allocated to endometrial ablation eventually received further surgical treatment, hysterectomy with its associated morbidity was still avoided by 76% of women with dysfunctional uterine bleeding who would otherwise have had a hysterectomy. At four years, the difference in the costs of endometrial ablation and hysterectomy policies had narrowed.
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Br J Obstet Gynaecol · Mar 1999
An investigation of women's involvement in the decision to deliver by caesarean section.
To assess the degree and nature of women's involvement in the decision to deliver by caesarean section, and women's satisfaction with this involvement. ⋯ Women are not a homogeneous group in terms of their requirements for information, nor their desire to be involved in the decision on mode of delivery. Health professionals need to be responsive to this variability and to agree on standards for communicating with women during pregnancy about the possibility of operative delivery and for debriefing women after caesarean section.