Summary
Read the latest articles of Obstetrics, Gynaecology & Reproductive Medicine at ScienceDirect.com, Elsevier’s leading platform of peer-reviewed scholarly literature. Volume 17, Issue 1 Pages 1-32 (January 2007) Download full issue. Previous vol/issue. Select article Ultrasound prenatal diagnosis of structural abnormalities.
Modelled after the current MRCOG curriculum, the new edition of this bestselling book provides all the information a specialist registrar in obstetrics and gynaecology or senior house officer needs during training or when preparing for the MRCOG examination.
Obstetrics & Gynaecology: An Evidence-based Text for MRCOG covers the latest professional guidelines and developments in obstetrics and gynaecology and continues to provide an easily accessible source of information for those practising as specialists.
The book’s subsections within obstetrics and gynaecology are divided in line with the RCOG trainee logbook. The text is consistently structured throughout to ensure ease of reference with standardized headings including definitions, incidence, aetiology, investigations and management.
Focusing on standards and an evidence-based approach, each chapter includes material on MRCOG standards in an easy-to-consult format. Information on evidence-based medicine is also included to provide a rapid summary of the evidence relating to the interventions and treatments discussed. This text will continue to be an invaluable companion to the higher training of obstetricians and gynaecologists and a useful ready reference for those in established practice.
Published Online:19 May 2011https://doi.org/10.1089/acm.2010.0145
Objectives: This study was done to analyze the frequency of use of acupuncture and other complementary and alternative medicine (CAM) methods during labor and to investigate the different characteristics of women being treated with or without acupuncture and CAM methods, as well as try to analyze birth-related outcome measures.
Study design: Data were analyzed from 409,413 deliveries, registered between 2001 and 2008 by the agency for quality assurance in Hesse (the Hessian Perinatal Registry [HEPE] survey), which made up more than 95% of all deliveries in this German state during the given time period.
Results: Interest in the use of CAM seems to have decreased within the given time period. On average, acupuncture was used in 3.7% (15,345/409,295) of all deliveries and other CAM methods in 4.8% (19,507/409,295). The most important determinant for the use of one or both methods was the type of hospital. It was also found that German women with higher job qualifications were more likely to receive CAM treatment during delivery. Interestingly, application of CAM methods was associated with a higher use of analgesics during labor. The risk status of the pregnancy or the delivery was of minor importance.
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Conclusions: This analysis shows that the determinants of CAM use are similar to those in the field of oncology. In order to assess the efficacy of acupuncture or other CAM methods in the field of obstetrics, it seems necessary to extend the HEPE survey to cover these areas.
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