BJOG : an international journal of obstetrics and gynaecology
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Multicenter Study Comparative Study
Caesarean section on request: a comparison of obstetricians' attitudes in eight European countries.
To explore the attitudes of obstetricians to perform a caesarean section on maternal request in the absence of medical indication. ⋯ The differences in obstetricians' attitudes are not founded on concrete medical evidence. Cultural factors, legal liability and variables linked to the specific perinatal care organisation of the various countries play a role. Greater emphasis should be placed on understanding the motivation, values and fears underlying a woman's request for elective caesarean delivery.
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To determine the impact of caesarean section on fertility among women in sub-Saharan Africa. ⋯ Among women in sub-Saharan Africa, caesarean section is associated with lower subsequent natural fertility. Although this reflects findings from developed countries, the roles of pathological and psychological factors may be quite different because a much higher proportion of caesarean sections in sub-Saharan Africa are emergency procedures for maternal indication.
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Multicenter Study
Post-traumatic stress disorder after childbirth in Nigerian women: prevalence and risk factors.
To estimate the prevalence of post-traumatic stress disorder (PTSD) after childbirth in a group of postpartum Nigerian women and to examine any associated factors. ⋯ The prevalence of PTSD after childbirth in Nigerian women is slightly higher than those found in western culture. An effective model for the prediction of the development of PTSD after childbirth needs to be developed and evaluated, and interventions aimed at reducing the incidence of PTSD after childbirth need further research.
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Randomized Controlled Trial Multicenter Study
Cost-effectiveness of prophylactic magnesium sulphate for 9996 women with pre-eclampsia from 33 countries: economic evaluation of the Magpie Trial.
To assess the cost-effectiveness of using magnesium sulphate for pre-eclampsia to prevent eclampsia. ⋯ Magnesium sulphate for pre-eclampsia costs less and prevents more eclampsia in low GNI than in high GNI countries. Cost-effectiveness substantially improves if it is used only for severe pre-eclampsia, or the purchase price is reduced in low GNI countries.
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Multicenter Study Comparative Study Controlled Clinical Trial
Female sterilisation: a cohort controlled comparative study of ESSURE versus laparoscopic sterilisation.
To compare patient satisfaction, discomfort, procedure time, success rate and adverse events of hysteroscopic (ESSURE, Conceptus Inc, San Carlos, USA) versus laparoscopic sterilisation. ⋯ This study provides evidence that ESSURE can be performed in the majority of women and, when successful, is associated with a greater overall patient satisfaction rate than laparoscopic sterilisation. Women also spend less time in hospital, have better tolerance of the procedure and describe less severe post-operative pain. However, the devices cannot be bilaterally placed in all cases and some women do not tolerate the procedure awake.