BJOG : an international journal of obstetrics and gynaecology
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To determine if it is proper to give a woman of higher parity who needs at short notice a caesarean section the option of a tubal ligation. ⋯ We found no evidence that the need to take an urgent decision resulted in more regret following tubal ligation. Women were far more likely to regret declining a tubal ligation (40%) than regret accepting one (2.5%). In this setting, some women are more likely to die of the next pregnancy than to regret an emergency tubal ligation.
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Multicenter Study
Combined ultrasound and biochemical screening for Down's syndrome in the first trimester: a Scottish multicentre study.
To evaluate the use of ultrasound measurements of fetal nuchal translucency (NT) obtained in a routine antenatal clinic setting in combination with appropriate biochemical markers as a first trimester screening test for Down's Syndrome. ⋯ NT in combination with appropriate serum markers has the potential to detect over 80% of Down's Syndrome fetuses in early pregnancy. However, NT measurement is highly operator-dependent. It requires training, external quality control and adequate time to allow accurate measurement, otherwise suboptimal performance will result.
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Randomized Controlled Trial Comparative Study Clinical Trial
A randomised controlled trial of the closure or non-closure of peritoneum at caesarean section: effect on post-operative pain.
To compare the analgesic requirement in the post-operative period after closure or non-closure of the peritoneum at the caesarean delivery with a standardised anaesthetic and surgical technique. ⋯ Non-closure of both visceral and parietal peritoneum at the caesarean section produces a significant reduction in the post-operative use of patient controlled analgesia pump morphine and significantly higher patient satisfaction at 24 hours post-operatively.