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Promethazine Compared With Metoclopramide For Hyperemesis Gravidarum A Randomized Controlled Trial, Siti Zawiah Omar
Promethazine Compared With Metoclopramide For Hyperemesis Gravidarum A Randomized Controlled Trial, Siti Zawiah Omar
Siti Zawiah Omar
OBJECTIVE: To compare the effects of promethazine with those of metoclopramide for hyperemesis gravidarum. METHODS: Women at their first hospitalization for hyperemesis gravidarum were approached when intravenous antiemetic therapy was needed. They were randomly assigned to receive 25 mg promethazine or 10 mg metoclopramide every 8 hours for 24 hours in a double-blind study. Primary outcomes were vomiting episodes by diary and well-being visual numerical rating scale score (10-point scale) in the 24-hour main study period. Participants also filled out an adverse-effects questionnaire at 24 hours and a nausea visual numerical rating scale score at recruitment and at 8, 16, …
Macrosomia Is The Only Reliable Predictor Of Shoulder Dystocia In Babies Weighing 3.5 Kg Or More, Siti Zawiah Omar
Macrosomia Is The Only Reliable Predictor Of Shoulder Dystocia In Babies Weighing 3.5 Kg Or More, Siti Zawiah Omar
Siti Zawiah Omar
Objective: To determine if shoulder dystocia can be predicted in babies born weighing 3.5 kg or more. Study design: A case-control study nested in a perinatal database of 899 mothers and their babies who weighed 3.5 kg or more. All were term pregnancies and delivered vaginally. A case was defined as any baby that encountered shoulder dystocia at delivery. Controls were deliveries over the same period that were not complicated by shoulder dystocia. A logistic regression model was created with macrosomia, parity, previous delivery of more than 3.5 kg, diabetes in pregnancy, prolonged labor, prolonged second stage and instrumental delivery …