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OBJECTIVE To evaluate and compare interobserver variation in interpretation of intrapartum cardiotocograms. SUBJECTS Fifteen senior (experience >4 years) and 16 junior (experience < or =4 years) obstetricians from 10 delivery units. DESIGN Thirty-one obstetricians interpreted intrapartum cardiotocographic (CTG) readings from 22 parturients. METHODS(More)
OBJECTIVE To compare the combination of intravenous propranolol and oxytocin with oxytocin only in augmentation of labour. STUDY DESIGN A prospective randomized double-blind study in an obstetric department of a large university hospital in Finland. A total of 107 parturients with arrested first stage of labour owing to inadequate uterine contractility(More)
BACKGROUND Women with gestational diabetes mellitus (GDM) are at an increased risk of developing metabolic syndrome (MetS) after delivery. Recently, the prevalence of both GDM and MetS has increased worldwide, in parallel with obesity. We investigated whether the presentation of MetS and its clinical features among women with previous GDM differs from that(More)
OBJECTIVE To compare the neonatal outcome between planned vaginal or planned cesarean section (CS) breech delivery and planned vaginal vertex delivery at term with singleton fetuses. DESIGN A cohort study. SETTING Delivery Unit, Tampere University Hospital, Finland, with 5200 annual deliveries. POPULATION The term breech deliveries over a period of(More)
AIM To study the opinions of paediatric and obstetric personnel on the perinatal treatment and delivery outcome of infants from 22(+0) to 27(+6)  weeks' gestation. METHODS An email questionnaire was sent to 2963 professionals in 32 maternity hospitals in Finland. RESULTS The questionnaire survey was completed by 856 (28%) professionals in 30 hospitals.(More)
PURPOSE OF REVIEW Although millions of parturients profit from neuraxial analgesia for labor, there are far more of those who do not have this choice for one reason or another. They need alternative ways to relieve labor pain. RECENT FINDINGS Paracervical block gives less efficient analgesia compared with single-shot spinal in a sample of multiparae at(More)
Two cases of post-partum uterine artery pseudoaneurysm are described, 1 after normal vaginal delivery and the other after Caesarean section. Both cases were complicated by heavy bleeding and treated with catheter embolization. A turbulent arterial-type velocity waveform with high peak velocity and forward end-diastolic flow was registered in the feeding(More)
BACKGROUND The optimal mode of breech birth remains controversial. In Finland, a trial of vaginal delivery is possible if strict selection criteria are met. As clinical practice in managing vaginal breech birth differs from that in normal delivery, the birth experience may also be different. This cohort study compares the childbirth experience between term(More)
INTRODUCTION Gestational diabetes mellitus (GDM) is an indicator of future cardiovascular disease. We investigated whether sensitive biomarkers of increased cardiovascular risk differ between women with and without a history of GDM few years after pregnancy, and whether obesity affects the results. MATERIAL AND METHODS We studied two cohorts - 120 women(More)
BACKGROUND The objective of the study was to evaluate and compare the safety of levobupivacaine and racemic bupivacaine for paracervical block (PCB) in the first stage of labor after uncomplicated pregnancy. METHODS Forty women in an open pilot study and 397 women in a double-blind randomized study received PCB for pain relief in the first stage of labor,(More)