BJOG : an international journal of obstetrics and gynaecology
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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.
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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.
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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.
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Multicenter Study
Antenatal fear of childbirth and its association with subsequent caesarean section and experience of childbirth.
To investigate the prevalence of fear of childbirth in a nationwide sample and its association with subsequent rates of caesarean section and overall experience of childbirth. ⋯ At least 10% of pregnant women in Sweden suffer from fear of childbirth. Fear of childbirth in combination with counselling may increase the rate of elective caesarean sections, whereas fear without treatment may have a negative impact on the subsequent experience of childbirth.