BJOG : an international journal of obstetrics and gynaecology
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Multicenter Study Clinical Trial
A prospective cohort study of maternal and neonatal morbidity in relation to use of episiotomy at operative vaginal delivery.
To evaluate the maternal and neonatal morbidity of operative vaginal delivery in relation to the use of episiotomy. ⋯ The use of episiotomy did not reduce or greatly increase anal sphincter tears and was associated with greater maternal and neonatal morbidity. This may reflect the complexity of deliveries. The role of episiotomy at operative vaginal delivery should be evaluated in a randomised controlled trial.
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To assess the occurrence of ST-interval segment changes of the fetal electrocardiogram (ECG) and cardiotocographic (CTG) abnormalities preceding acidaemia at birth. ⋯ Only two of three cases with severe and less than half of cases with moderate metabolic acidaemia were preceded by ST events coinciding with CTG abnormalities. It is therefore important to intervene for long-lasting, rapidly deteriorating or marked (preterminal) CTG abnormalities, also in the absence of ST events.
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Evaluation of long-term outcomes following laparoscopic supracervical hysterectomy (LSH). ⋯ Although vaginal bleeding and pelvic pain are frequently observed following LSH, these symptoms are significantly reduced and patient satisfaction is high.