BJOG : an international journal of obstetrics and gynaecology
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Review Meta Analysis
Symphysiotomy for obstructed labour: a systematic review and meta-analysis.
Obstructed labour is a major cause of maternal mortality. Caesarean section can be associated with risks, particularly in low- and middle-income countries, where it is not always readily available. Symphysiotomy can be an alternative treatment for obstructed labour and requires fewer resources. However, there is uncertainty about the safety and effectiveness of this procedure. ⋯ Symphysiotomy could be an alternative to caesarean section when resources are limited.
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The objective was to investigate prevalence, estimate risk factors, and antenatal suspicion of abnormally invasive placenta (AIP) associated with laparotomy in women in the Nordic countries. ⋯ An ultrasound assessment in women with placenta praevia or prior CS may double the awareness for AIP.
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To investigate whether eating disorders are associated with lower size at birth, symmetric growth restriction, and preterm birth; and whether pregnancy smoking explains the association between anorexia nervosa and fetal growth. ⋯ Anorexia nervosa predicts small size at birth, small-for-gestational-age and symmetric growth restriction.