British journal of obstetrics and gynaecology
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Br J Obstet Gynaecol · Mar 1999
Effects of tocolytic treatment with ritodrine on cardiovascular autonomic regulation.
To study the acute effects of tocolytic treatment with intravenous ritodrine on cardiovascular autonomic regulation. ⋯ In pregnant women with threatened preterm labour intravenous administration of ritodrine decreases vagal cardiac baroreflex sensitivity and vagal modulation of heart rate, and increases sympathetically mediated blood pressure variability. Decreased baroreflex sensitivity and heart rate variability are known to be associated with a poor prognosis in some patient groups, so the effects of ritodrine tocolysis may be unfavourable in women with impaired circulatory homeostasis.
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Br J Obstet Gynaecol · Mar 1999
Subsequent obstetric performance related to primary mode of delivery.
To relate subsequent obstetric performance with primary mode of delivery. ⋯ Caesarean section or vaginal instrumental delivery leaves many mothers frightened about future childbirth. Primary caesarean section and to some extent vaginal instrumental delivery is associated with an increased risk of voluntary and involuntary infertility.
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Br J Obstet Gynaecol · Feb 1999
Clinical TrialPregnancy complications in women with recurrent miscarriage associated with antiphospholipid antibodies treated with low dose aspirin and heparin.
To study the obstetric course of women with a history of recurrent miscarriage associated with antiphospholipid antibodies, lupus anticoagulant and anticardiolipin antibodies, treated with low dose aspirin and low dose heparin. ⋯ Combination treatment with aspirin and heparin leads to a high live birth rate among women with recurrent miscarriage and antiphospholipid antibodies. However, successful pregnancies are prone to a high risk of complications during all trimesters. Close antenatal surveillance and planned delivery of these pregnancies in a unit with specialist obstetric and neonatal intensive care facilities are indicated.
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To assess the magnitude, causes and associated factors of maternal mortality in Surinam. ⋯ Maternal mortality was found to be several times higher than had been officially reported for Surinam during the previous three decades. Improvement of maternity care services in Surinam is needed, and has to be addressed at all levels, from the community, health centre and hospital to the highest level of organisation.
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Br J Obstet Gynaecol · Jan 1999
Assessment of maternal mortality and late maternal mortality among a cohort of pregnant women in Bamako, Mali.
Few prospective studies have been undertaken of maternal mortality in sub-Saharan Africa. National statistics are inadequate, and data from hospitals are often the only source of information available. Reported maternal mortality ratios may therefore show large variations within the same country, as in Mali. This study was designed to produce an estimate of the maternal mortality ratio for the population of Bamako. ⋯ This study gave an estimate of the maternal mortality ratio for the population of Bamako, and stressed the need of better emergency obstetric care and the importance of late maternal mortality.