BJOG : an international journal of obstetrics and gynaecology
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Review Meta Analysis Comparative Study
Effect of misoprostol versus oxytocin during caesarean section: a systematic review and meta-analysis.
The efficacy of misoprostol versus oxytocin for reducing blood loss during caesarean section remains unclear. ⋯ The results suggest that misoprostol is as effective as oxytocin for reducing blood loss during caesarean section. However, further research into treatment strategies is needed.
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We evaluated the impact of the World Health Organization Obstetric Safe Surgery Checklist (WHO Checklist) on perioperative communication between anaesthetists and obstetricians by performing a retrospective audit in a Teaching hospital in London, UK. Caesarean section births from February to March 2009 and April to May 2011 were studied. Caesarean section notes from obstetricians and anaesthetists managing the same woman during the study period were reviewed. ⋯ Grading differences occurred in 24.1% of caesarean sections without checklists compared with 10.3% with checklists (P < 0.001). During emergency caesarean section alone, grading differences between obstetricians and anaesthetists were smaller, although this was not significant (P = 0.222). We conclude that implementation of a WHO Obstetric Safe Surgery checklist improves the communication of caesarean section grade (urgency) between obstetricians and anaesthetists.