BJOG : an international journal of obstetrics and gynaecology
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High-quality care for termination of pregnancy (TOP) requires pain to be effectively managed; however, practices differ, and the available guidelines do not specify optimal strategies. ⋯ Although women experience intense pain during second-trimester termination of pregnancy, few data are available to inform their treatment.
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Ordinary meta-analyses indicate that magnesium sulphate (MgSO4 ) treatment in women at imminent risk for preterm delivery decreases the offspring's risk of cerebral palsy (CP). However, repetitive testing of cumulative data calls for statistical caution, e.g. by trial sequential analysis (TSA), for which there are previously insufficient samples to draw a firm conclusion. Recently, a randomised controlled trial (RCT) provided additional data that potentially increased the sample size such that a new TSA might detect a statistically significant effect. ⋯ Antenatal magnesium sulphate decreases the risk of cerebral palsy in children born preterm.
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To investigate the mental status of pregnant women and to determine their obstetric decisions during the COVID-19 outbreak. ⋯ The COVID-19 outbreak increased pregnant women's anxiety and affected their decision-making.
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The coronavirus disease 2019 (COVID-19) pandemic is disrupting health services worldwide. We aimed to evaluate the provision of obstetrics and gynaecology services in the UK during the acute phase of the COVID-19 pandemic. ⋯ Provision of obstetrics and gynaecology services during the acute phase of COVID-19 is in line with current guidelines, strategic planning is needed to restore routine services and ensure safe access to care in the long term.