BJOG : an international journal of obstetrics and gynaecology
-
Randomized Controlled Trial Multicenter Study
World Health Organisation multicentre randomised trial of supplementation with vitamins C and E among pregnant women at high risk for pre-eclampsia in populations of low nutritional status from developing countries.
To determine if vitamin C and E supplementation in high-risk pregnant women with low nutritional status reduces pre-eclampsia. ⋯ Vitamins C and E at the doses used did not prevent pre-eclampsia in these high-risk women.
-
Haemorrhage, a leading cause of maternal morbidity and mortality, is frequently associated with caesarean section. Allogeneic blood is an increasingly rare and scare resource. ⋯ However, this procedure has been introduced into obstetric practice. Before opinions about its use become solidified, there is a window of opportunity to launch a large multicentre randomised controlled trial to address the current equipoise.
-
Randomized Controlled Trial
Iron supplement in pregnancy and development of gestational diabetes--a randomised placebo-controlled trial.
To test the hypothesis that iron supplement from early pregnancy would increase the risk of gestational diabetes mellitus (GDM). ⋯ Iron supplement from early pregnancy does not increase the risk of GDM. It may have benefits in terms of pregnancy outcomes.
-
Obstetric haemorrhage is a significant contributor to worldwide maternal morbidity and mortality. Guidelines for the management of postpartum haemorrhage (PPH) involve a stepwise escalation of pharmacological and eventual surgical approaches. ⋯ There are various balloons available including the Bakri, Foley, Sengstaken-Blakemore, Rusch and condom catheter. This paper reviews these uterine tamponade technologies in the management of PPH.