BJOG : an international journal of obstetrics and gynaecology
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Observational Study
Acute kidney injury in major gynaecological surgery: an observational study.
To assess the prevalence, outcomes and cost associated with acute kidney injury (AKI) defined by consensus risk, injury, failure, loss, and end-stage kidney (RIFLE) criteria after gynaecologic surgery. ⋯ AKI is a common complication after major inpatient gynaecologic surgery associated with an increase in resource utilisation and hospital cost, morbidity and mortality.
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Randomized Controlled Trial Multicenter Study
Self-hypnosis for intrapartum pain management in pregnant nulliparous women: a randomised controlled trial of clinical effectiveness.
(Primary) To establish the effect of antenatal group self-hypnosis for nulliparous women on intra-partum epidural use. ⋯ Allocation to two-third-trimester group self-hypnosis training sessions did not significantly reduce intra-partum epidural analgesia use or a range of other clinical and psychological variables. The impact of women's anxiety and fear about childbirth needs further investigation.
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Multicenter Study
Is the increased risk of preterm birth following excision for cervical intraepithelial neoplasia restricted to the first birth post treatment?
To explore whether the increased risk of preterm birth following treatment for cervical disease is limited to the first birth following colposcopy. ⋯ The increased risk of preterm birth following treatment for cervical disease is not restricted to the first birth post colposcopy; it remains for second and subsequent births. These results suggest that once a woman has a deep treatment she remains at higher risk of a preterm birth throughout her reproductive life.