BJOG : an international journal of obstetrics and gynaecology
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Randomized Controlled Trial Multicenter Study Clinical Trial
Antisepsis for abdominal hysterectomy: a randomised controlled trial of povidone-iodine gel.
To assess whether infectious morbidity after total abdominal hysterectomy is decreased by the addition of 20 cc povidone-iodine gel at the vaginal apex after the usual vaginal preparation with povidone-iodine solution. ⋯ Povidone-iodine vaginal gel antisepsis led to a 9% relative decrease in overall infectious morbidity after abdominal hysterectomy, which was not statistically significant. Povidone-iodine vaginal gel decreased the risk of pelvic abscess after total abdominal hysterectomy.
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The morphology of the fetal ECG complex provides information on the fetal condition during labour, such as the ST segment and T-wave configuration. We hypothesised that the intrapartum fetal QT interval may provide additional information on the condition of the fetus, as it is known that the QT interval reacts to situations of stress and exercise. ⋯ In intrapartum hypoxia, resulting in metabolic acidosis, a significant shortening of the fetal QT and QTc is present, irrespective of changes in heart rate. In control cases, this shortening does not occur. The intrapartum fetal QT interval may therefore provide additional information on the condition of the fetus.
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Multicenter Study
Quantifying severe maternal morbidity: a Scottish population study.
To quantify the incidence of severe maternal morbidity in Scotland and determine the feasibility of doing so. ⋯ Categories of severe maternal morbidity can be defined and may provide a useful measure of the quality of maternity services, particularly in developed countries where maternal mortality is very rare. It appears feasible to set up a national reporting system for maternal morbidity, as well as mortality.
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Randomized Controlled Trial Comparative Study Clinical Trial
Efficacy of preemptive analgesia for wound pain after laparoscopic operations in infertile women: a randomised, double-blind and placebo control study.
To compare preemptive analgesia and preclosure analgesia in reducing wound pain after laparoscopic operation. ⋯ The preclosure analgesia is better than preemptive analgesia and no analgesia in reducing post-operative wound pain.