BJOG : an international journal of obstetrics and gynaecology
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Randomized Controlled Trial Pragmatic Clinical Trial
Prophylactic incisional negative pressure wound therapy reduces the risk of surgical site infection after caesarean section in obese women: a pragmatic randomised clinical trial.
To evaluate the reduction of surgical site infections by prophylactic incisional negative pressure wound therapy compared with standard postoperative dressings in obese women giving birth by caesarean section. ⋯ RCT: prophylactic incisional NPWT versus standard dressings postcaesarean in 876 women significantly reduces the risk of SSI.
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Randomized Controlled Trial
Cost-effectiveness of incisional negative pressure wound therapy compared with standard care after caesarean section in obese women: a trial-based economic evaluation.
To evaluate the cost-effectiveness of incisional negative pressure wound therapy (iNPWT) in preventing surgical site infection in obese women after caesarean section. ⋯ Prophylactic incisional NPWT reduces the risk of SSI after caesarean section and is probably dominant compared with standard dressings #healtheconomics.
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Recent progesterone trials call for an update of previous syntheses of interventions to prevent preterm birth. ⋯ In updated NMA, vaginal progesterone consistently reduced PTB in overall at-risk pregnancies and in women with previous PTB.
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Randomized Controlled Trial
Absorbable subcuticular staples versus suture for caesarean section closure: a randomised clinical trial.
To compare outcomes of efficiency, safety, patient, and surgeon satisfaction between absorbable subcuticular staples and subcuticular suture for caesarean section skin closure. ⋯ Absorbable subcuticular staples associated with a similar total operative time compared with suture.
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To assess the external validity of all published first-trimester prediction models based on routinely collected maternal predictors for the risk of small- and large-for-gestational-age (SGA and LGA) infants. Furthermore, the clinical potential of the best-performing models was evaluated. ⋯ The clinical relevance of prediction models for the risk of small- and large-for-gestational-age is limited.