Implementation effectiveness of an antenatal lifestyle intervention to optimize gestational weight gain in women with obesity.

Objective: The objective of this study was to evaluate a lifestyle intervention implemented into routine antenatal care to optimize gestational weight gain (GWG) and outcomes using the Reach, Efficacy, Adoption, Implementation, and Maintenance (RE-AIM) framework.

Methods: This study was an embedded pragmatic behavioral intervention delivered by a health coach and supported by a physician over five sessions for women with a prepregnancy BMI between 25 and 43 kg/m who were <23 weeks' gestation in an Australian maternity service. Both intervention and standard care received routine antenatal care.

Comparison of ultrasonic shears and traditional suture ligature for vaginal hysterectomy: randomized controlled trial.

Study Objective: To compare operating time, intraoperative blood loss, postoperative analgesia, and length of hospital stay using ultrasonic shears vs traditional suture ligature in vaginal hysterectomy.

Design: Randomized controlled trial (Canadian Task Force classification I).

Setting: Gynecology units within a single health network, university hospital.