BJOG : an international journal of obstetrics and gynaecology
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The decision-to-delivery interval for emergency caesarean section: is 30 minutes a realistic target?
To evaluate whether a 30-minute decision-to-delivery interval is a realistic target for emergency caesarean section. ⋯ The introduction of a time sheet can improve the decision-to-delivery interval for emergency caesarean section; however, a universal standard of 100% in 30 minutes is unrealistic.
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To evaluate fetal and maternal adverse effects of intrathecal opioid analgesia during labour. ⋯ Intrathecal opioids for labour increase the risk of fetal bradycardia and maternal pruritus. The risk of subsequent caesarean section is not increased.
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Randomized Controlled Trial Comparative Study Clinical Trial
A randomised controlled trial of intramuscular syntometrine and intravenous oxytocin in the management of the third stage of labour.
To compare the efficacy and safety of intravenous oxytocin with intramuscular syntometrine in the management of the third stage of labour. ⋯ There are no important clinical differences in the effectiveness of intramuscular syntometrine and intravenous oxytocin for the prevention of postpartum blood loss. Intravenous oxytocin is less likely to cause hypertension.
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To investigate the clinical suspicion that postpartum women are more difficult to anticoagulate with warfarin than non-pregnant women due to the physiological changes in coagulation proteins that persist into the postpartum period. ⋯ Postpartum women require larger doses of warfarin to reach therapeutic international normalised ratio than non-pregnant women. We would recommend the use of a dosing nomogram.
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To document the prevalence of cannabis use in a large sample of British women studied during pregnancy, to determine the association between cannabis use and social and lifestyle factors and assess any independent effects on pregnancy outcome. ⋯ The results of this study suggest that the use of cannabis during pregnancy was not associated with increased risk of perinatal mortality or morbidity in this sample. However, frequent and regular use of cannabis throughout pregnancy may be associated with small but statistically detectable decrements in birthweight.