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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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.
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To investigate how many women wish to have a caesarean section when asked in early pregnancy, and to identify background variables associated with such a wish. ⋯ Relatively few women wish to have a caesarean section when asked in early pregnancy, and these women seem to be a vulnerable group.