BJOG : an international journal of obstetrics and gynaecology
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To study the association between volume of hospital births per annum and birth outcome for low risk women. ⋯ In Australia, lower hospital volume is not associated with adverse outcomes for low risk women.
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Randomized Controlled Trial
Intrauterine lignocaine as an anaesthetic during endometrial sampling: a randomised double-blind controlled trial.
To evaluate the effectiveness of intrauterine lignocaine as an anaesthetic during endometrial sampling. ⋯ Transcervical instillation of lignocaine reduced pain during endometrial sampling.
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Randomized Controlled Trial
Effect of uterotonics on intra-operative blood loss during laparoscopy-assisted vaginal hysterectomy: a randomised controlled trial.
To investigate the effectiveness of uterotonics misoprostol and oxytocin on reducing blood loss during laparoscopy-assisted vaginal hysterectomy (LAVH). ⋯ Combined rectal misoprostol and intravenous oxytocin is a feasible and effective method of reducing blood loss and operation time in LAVH.
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To determine the cost to the NHS resulting from multiple pregnancies arising from IVF treatment in the UK, and to compare those costs with the cost to the NHS due to singleton pregnancies resulting from IVF treatment. ⋯ Multiple pregnancies after IVF are associated with high direct costs to the NHS. Redirection of money saved by implementation of a mandatory 'two embryo transfer' policy into increased provision of IVF treatment could double the number of NHS-funded IVF treatment cycles at no extra cost. Further savings could be made if a selective 'single embryo transfer' policy were to be adopted.
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Randomized Controlled Trial
A randomised controlled trial to evaluate the effect of self-administered analgesia on women's experience of outpatient treatment at colposcopy.
To evaluate the effect of self-administered isoflurane and desflurane on women's experience of outpatient treatment at colposcopy. ⋯ Satisfaction with outpatient treatment at colposcopy is generally high. The main effect of isoflurane and desflurane evaluated in this trial was to reduce pain. It appeared to be effective for women with clinically significant anxiety and could be offered as an alternative to general anaesthesia.