BJOG : an international journal of obstetrics and gynaecology
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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.
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To estimate the rate and time to next live birth by mode of delivery. ⋯ The impact of mode of delivery on subsequent rate and time to next birth was minimal in this study. The greatest reduction was among women with assisted vaginal delivery complicated by shoulder dystocia. This study is strengthened by data on pregnancy planning as well as information on complications of pregnancy, delivery and neonatal morbidities, all of which may influence a woman's decision on subsequent birth.