BJOG : an international journal of obstetrics and gynaecology
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Randomized Controlled Trial
Iron supplement in pregnancy and development of gestational diabetes--a randomised placebo-controlled trial.
To test the hypothesis that iron supplement from early pregnancy would increase the risk of gestational diabetes mellitus (GDM). ⋯ Iron supplement from early pregnancy does not increase the risk of GDM. It may have benefits in terms of pregnancy outcomes.
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Obstetric haemorrhage is a significant contributor to worldwide maternal morbidity and mortality. Guidelines for the management of postpartum haemorrhage (PPH) involve a stepwise escalation of pharmacological and eventual surgical approaches. ⋯ There are various balloons available including the Bakri, Foley, Sengstaken-Blakemore, Rusch and condom catheter. This paper reviews these uterine tamponade technologies in the management of PPH.
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To determine which interventions for managing placenta accreta were associated with reduced maternal morbidity. ⋯ Scheduled caesarean hysterectomy with preoperative ureteric stent placement and avoiding attempted placental removal are associated with reduced maternal morbidity in women with suspected placenta accreta.
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The objectives of this study were to investigate factors associated with the development of neonatal abstinence syndrome (NAS) and to assess the implications for healthcare resources of infants born to drug-misusing women. ⋯ Higher maternal methadone dose is associated with a higher incidence of NAS. Pregnant drug-misusing women should be encouraged and supported to breastfeed. Their infants are extremely vulnerable and draw heavily on healthcare resources.
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Randomized Controlled Trial Multicenter Study
Early versus delayed oxytocin augmentation in nulliparous women with prolonged labour--a randomised controlled trial.
To study the effects of early versus delayed oxytocin augmentation on the obstetrical and neonatal outcome in nulliparous women with spontaneous but prolonged labour. ⋯ Early administration of oxytocin did not change the rate of caesarean section or instrumental vaginal delivery but shortened labour duration significantly in women with a 2-hour arrest in cervical dilatation. No other clear benefits or harms were seen between early and delayed administration of oxytocin.