BJOG : an international journal of obstetrics and gynaecology
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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.
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To develop a new noninvasive technique to measure vulval blood flow changes during sexual arousal; 18 healthy volunteers between the age of 20 and 33 years were studied. Each subject underwent two experimental sessions at least 2 weeks apart to coincide with the proliferative and luteal phases of her menstrual cycle. ⋯ The percentage change in flux were calculated: the clitoral skin blood flow increased by 26.4% (P < 0.05), labial skin blood flow by 24.9% (P < 0.05) and the posterior fourchette skin blood flow by 35.3% (P < 0.05). LDPI can detect changes in vulval perfusion during the sexual arousal response and could be used to compare healthy subjects with female sexual dysfunction patients, as well as for assessing the benefits of any treatment for this condition.
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Randomized Controlled Trial Comparative Study
A comparison of intrapartum automated fetal electrocardiography and conventional cardiotocography--a randomised controlled study.
To examine whether intrapartum monitoring by means of automatic ST analysis (STAN) of fetal electrocardiography could reduce the rate of neonatal acidemia and the rate of operative intervention during labour, compared with monitoring by means of cardiotocography (CTG). ⋯ Intrapartum fetal monitoring by means of automatic STAN did not improve the neonatal outcome or decrease the caesarean section rate. However, the need for FBS during labour was lower in the STAN group.
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The burden and determinants of dysmenorrhoea: a population-based survey of 2262 women in Goa, India.
To describe the prevalence and determinants of dysmenorrhoea, the most common menstrual complaint, in a community in India. ⋯ The burden of dysmenorrhoea is greater than any other gynaecological complaint, and is associated with significant impact. Social disadvantage, co-morbidity with other somatic syndromes and reproductive factors are determinants of this complaint.
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To determine whether mode of delivery is associated with the endocrine stress response in mother and child. ⋯ The mode of delivery and analgesia used during birth are associated with maternal and fetal endocrine stress responses.