BJOG : an international journal of obstetrics and gynaecology
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Randomized Controlled Trial Comparative Study
Carbetocin versus oxytocin for the prevention of postpartum haemorrhage following caesarean section: the results of a double-blind randomised trial.
To compare the effectiveness of carbetocin and oxytocin when they are administered after caesarean section for prevention of postpartum haemorrhage (PPH). ⋯ Carbetocin is associated with a reduced use of additional oxytocics. It is unclear whether this may reduce rates of PPH and blood transfusions.
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Review Meta Analysis
Acupuncture for pain relief in labour: a systematic review and meta-analysis.
Acupuncture is frequently used for pain relief in labour, but the evidence is not clear. ⋯ The evidence from RCTs does not support the use of acupuncture for controlling labour pain. The primary studies are diverse and often flawed. Further research seems warranted.
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Multicenter Study Comparative Study
Effect of Swedish snuff (snus) on preterm birth.
To compare the effects of Swedish snuff and cigarette smoking on risks of preterm birth. ⋯ The use of Swedish snuff was associated with increased risks of very and moderately preterm birth with both spontaneous and induced onsets. Swedish snuff is not a safe alternative to cigarette smoking during pregnancy.
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Review Meta Analysis
A systematic review of the effectiveness of training in emergency obstetric care in low-resource environments.
Training of healthcare workers can play an important role in improving quality of care, and reducing maternal and perinatal mortality and morbidity. ⋯ Training programmes may improve quality of care, but strong evidence is lacking. Policymakers need to include evaluation and reporting of effects in project budgets for new training programmes.
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Multicenter Study
Termination of pregnancy for fetal anomaly after 23 weeks of gestation: a European register-based study.
To determine the prevalence of termination of pregnancy for fetal anomaly (TOPFA) after 23 weeks of gestation in European countries, and describe the spectrum of anomalies for which late TOPFA is recorded. ⋯ Late TOPFA is rare in Europe, and varies in prevalence between countries. Compared with earlier TOPFA, late TOPFA is more often performed for a nonchromosomal isolated major structural anomaly and less often for a fetus with a chromosomal syndrome or multiple anomalies.