British journal of obstetrics and gynaecology
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Br J Obstet Gynaecol · Dec 1998
Comparative StudyA comparison of medical and surgical termination of pregnancy: choice, emotional impact and satisfaction with care.
To investigate whether women having medical or surgical terminations of pregnancy differ in their emotional distress before or after the procedure. To evaluate whether choice of procedure occurs, the factors influencing type of procedure and the effect of choice on emotional responses and satisfaction with care. ⋯ Termination method did not influence emotional adjustment. Many women were not offered genuine choice of procedure. Having choice was considered very important but was unrelated to emotional distress or satisfaction with care.
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Br J Obstet Gynaecol · Nov 1998
Perceptions of women on the impact of menorrhagia on their health using multi-attribute utility assessment.
To assess patient preferences regarding the treatment of menorrhagia using the multi-attribute utility methodologies, to produce a clinically applicable scale, and to assess health outcomes following treatment of menorrhagia. ⋯ In planning treatment for menorrhagia clinicians can assess a woman's current perception of their health, using a simple to administer clinical scale.
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Br J Obstet Gynaecol · Oct 1998
Randomized Controlled Trial Clinical TrialEffects of psychosocial support during labour and childbirth on breastfeeding, medical interventions, and mothers' wellbeing in a Mexican public hospital: a randomised clinical trial.
To evaluate the effects of psychosocial support during labour, delivery and the immediate postpartum period provided by a female companion (doula). ⋯ Psychosocial support by doulas had a positive effect on breastfeeding and duration of labour. It had a more limited impact on medical interventions, perhaps because of the strict routine in hospital procedures, the cultural background of the women, the short duration of the intervention, and the profile of the doulas. It is important to include psychosocial support as a component of breastfeeding promotion strategies.
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Br J Obstet Gynaecol · Oct 1998
Randomized Controlled Trial Clinical TrialUterine exteriorisation at caesarean section: influence on maternal morbidity.
To compare the influence on caesarean section morbidity of uterine exteriorisation or in situ repair. ⋯ We have demonstrated that uterine exteriorisation and in situ repair have similar effects on peri-operative caesarean section morbidity. Intra-operative pain reflected adequacy of anaesthesia, while vomiting reflected adequacy of pre-operative preparation of patients. Exteriorising the uterus at caesarean section is a valid option.
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Br J Obstet Gynaecol · Oct 1998
Is there an incremental rise in the risk of obstetric intervention with increasing maternal age?
To determine whether increasing maternal age increases the risk of operative delivery and to investigate whether such a trend is due to fetal or maternal factors. DESIGN ANALYSIS: of prospectively collected data on a maternity unit database. ⋯ This study demonstrates that increasing maternal age is associated with an incremental increase in obstetric intervention. Previous studies have demonstrated a significant effect in women older than 35 years of age, but these data show changes on a continuum from teenage years. This finding may reflect a progressive, age-related deterioration in myometrial function.