In women with a singleton pregnancy and previous preterm delivery, progesterone reduces the rates of preterm delivery before 32 weeks, perinatal death, as well as respiratory distress syndrome and necrotizing enterocolitis in the newborn. Women with a short cervix or preterm labor may also benefit from progesterone, but further evidence is needed to support such a recommendation. Follow-up studies should focus on possible metabolic complications in the mother or the offspring.
The patients seemed to prefer the simplicity and short duration of a low stimulation regimen in spite of drawbacks such as a high risk of cycle cancellations and accordingly the necessity for more treatment cycles.
To identify possible weaknesses in cervical screening in Aarhus County, 10 years after the programme was introduced, screening histories were examined. A major problem for the screening programme was that 31% of women were never screened and 61% under-screened, the latter group being significantly dominated by older women and high-stage tumours.
The benefits of fast track regimes, i.e. reduction in hospital stay and minimization of postoperative complications, have led to their widespread use. This study tested the feasibility of a fast track programme based on robot-assisted laparoscopic hysterectomy in which patients were discharged from a day care unit within 6 h after the operation. We enrolled 22 patients. Preoperatively, all patients were carefully informed. All patients except two could be discharged on the same day. Pain during the first 24 h was not a problem. No readmissions occurred within the first 30 days after the surgery. This small series of robot-assisted laparoscopic hysterectomy demonstrates that the postoperative hospital stay could be reduced and that this procedure could be carried out in a day surgery unit. Preparing the patients for surgery in the day unit is an important part of a successful fast track regimen.
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