3 results
Search Results
2. Gestational age determination and prevention of HIV perinatal transmission
- Author
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Traisathit, P., Le Cœur, S., Mary, J.Y., Kanjanasing, A., Lamlertkittikul, S., Lallemant, M., and Le Coeur, S
- Subjects
GESTATIONAL age ,HIV-positive women ,AIDS prevention ,MATERNITY nursing ,HIV prevention ,HIV infection transmission ,VERTICAL transmission (Communicable diseases) ,AZIDOTHYMIDINE ,COMPARATIVE studies ,RESEARCH methodology ,EVALUATION of medical care ,MEDICAL cooperation ,PREGNANCY ,RESEARCH ,TIME ,EVALUATION research ,RANDOMIZED controlled trials ,ANTI-HIV agents ,PREVENTION - Abstract
Abstract: Objective: To compare different methods of gestational age (GA) measurement for ensuring effective zidovudine (ZDV) prophylaxis to prevent mother-to-child transmission of HIV. Methods: For 1398 HIV-infected women enrolled in a perinatal prevention trial, gestation durations were calculated based on GA estimated using ultrasound (US), date of last menstruation period (LMP), first fundal height (FH
1 ), and a specific algorithm was developed to provide a “reference” GA. The performance of each GA estimate was evaluated by the percentage of women who would have received ≥8 weeks ZDV, if prophylaxis was initiated at 28 weeks. Results: The performances of the algorithm, US, LMP, and FH1 were 95.5%, 94.8%, 88.4%, and 83.7%, respectively. US and FH1 were significantly better when estimated before and after 24 weeks, respectively. Conclusion: In situations where no US is available and LMP is not or imprecisely known, FH1 can be used after 24 weeks to schedule ZDV initiation date. [Copyright &y& Elsevier]- Published
- 2006
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3. Early versus delayed oral feeding after cesarean delivery
- Author
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Kovavisarach, E. and Atthakorn, M.
- Subjects
CESAREAN section ,PREGNANCY ,SURGICAL complications ,BLOOD ,ARTIFICIAL feeding ,COMPARATIVE studies ,GASTROINTESTINAL motility ,RESEARCH methodology ,MEDICAL cooperation ,POSTNATAL care ,POSTOPERATIVE care ,RESEARCH ,EVALUATION research ,RANDOMIZED controlled trials ,TREATMENT effectiveness - Abstract
Objective: To compare possible adverse gastrointestinal effects after cesarean section in women who took their first meal early compared with those whose first meal was delayed (8 h versus 24 h).Methods: A total of 151 pregnant women with indications for cesarean section but no medical, obstetric, or surgical complications were randomized to two groups, the early oral feeding group (75 women) and the delayed oral feeding group (76 women), at Rajavithi Hospital from November 1, 2002 to June 30, 2003.Results: There were no significant demographic differences between the two groups but there were significant differences in amount of blood loss, time to first bowel sound, and duration of intravenous fluid infusion and Foley catheter use. All these were less in the early feeding group, but there were no significant differences in postoperative gastrointestinal complications.Conclusion: Early oral feeding after cesarean delivery (8 h) caused no significant adverse gastrointestinal effects compared with delayed feeding (24 h). [ABSTRACT FROM AUTHOR]- Published
- 2005
- Full Text
- View/download PDF
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