BJOG : an international journal of obstetrics and gynaecology
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Randomized Controlled Trial
Hypnosis antenatal training for childbirth: a randomised controlled trial.
To determine the use of pharmacologic analgesia during childbirth when antenatal hypnosis is added to standard care. ⋯ Antenatal group hypnosis using the Hypnosis Antenatal Training for Childbirth (HATCh) intervention in late pregnancy does not reduce the use of pharmacological analgesia during labour and childbirth.
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Randomized Controlled Trial Multicenter Study Comparative Study
Elective caesarean section at 38 weeks versus 39 weeks: neonatal and maternal outcomes in a randomised controlled trial.
To investigate whether elective caesarean section before 39 completed weeks of gestation increases the risk of adverse neonatal or maternal outcomes. ⋯ This study found no significant reduction in neonatal admission rate after ECS scheduled at 39 weeks compared with 38 weeks of gestation.
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To investigate the association between caesarean section and later endometriosis. ⋯ In addition to the recognised risk of scar endometrioma, we found an association between caesarean section and general pelvic endometriosis. Further studies are needed to confirm our findings.
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To develop and evaluate a questionnaire to assess the burden of vulval intraepithelial neoplasia (VIN) in women. ⋯ Initial assessment of the VIN questionnaire demonstrated that it is a valid and reliable measure of the burden of disease for women. The questionnaire could be used to compare new and existing treatments for VIN or to assess or monitor the impact of care.
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To assess the prevalence of overweight and obesity, and the impact of body mass index (BMI) on maternal and neonatal outcomes, in a UK obstetric population. ⋯ By categorising women into overweight and obesity subclassifications (classes I -III), this study clearly demonstrates an increasing risk of adverse outcomes across BMI categories, with women who are overweight also at significant risk.