BJOG : an international journal of obstetrics and gynaecology
-
Guidelines exist for the management of endometriosis. Validated and reliable appraisal tools exist to assess the quality of guidelines. ⋯ Guidelines for the management of pelvic pain associated with endometriosis do not comply with the recommendations for high-quality standards.
-
Randomized Controlled Trial Comparative Study
Cost-effectiveness analysis of levonorgestrel intrauterine system and thermal balloon ablation for heavy menstrual bleeding.
To compare the cost-effectiveness of levonorgestrel intrauterine system (LNG-IUS) (Mirena; Schering Co., Turku, Finland) and thermal balloon ablation (Thermachoicetrade mark; Gynecare Inc., Menlo Park, CA, USA) for the treatment of heavy menstrual bleeding. ⋯ The LNG-IUS would appear to be cost-effective when compared with the thermal balloon ablation for treatment of heavy menstrual bleeding.
-
Multicenter Study Comparative Study
Caesarean section on request: a comparison of obstetricians' attitudes in eight European countries.
To explore the attitudes of obstetricians to perform a caesarean section on maternal request in the absence of medical indication. ⋯ The differences in obstetricians' attitudes are not founded on concrete medical evidence. Cultural factors, legal liability and variables linked to the specific perinatal care organisation of the various countries play a role. Greater emphasis should be placed on understanding the motivation, values and fears underlying a woman's request for elective caesarean delivery.
-
To determine how pre-eclampsia modifies maternal haemodynamics during caesarean delivery. ⋯ In women with pre-eclampsia, inability to increase SI at the moment of delivery may suggest dysfunction of the left ventricle to adapt to volume load caused by delivery and prompts concern for the increased risk of pulmonary oedema.