A randomised-controlled trial in Sweden of acupuncture and care interventions for the relief of inflammatory symptoms of the breast during lactation.

Objectives: to further compare acupuncture treatment and care interventions for the relief of inflammatory symptoms of the breast during lactation and to investigate the relationship between bacteria in the breast milk and clinical signs and symptoms.

Design: randomised, non-blinded, controlled trial of acupuncture and care interventions.

Setting: a midwife-led breast feeding clinic in Sweden.

Outcome in obstetric care related to oxytocin use. A population-based study.

Background: The purpose of this study was to investigate the delivery outcome in relation to oxytocin use in labor.

Methods: We studied 106,755 deliveries from 1995 to 2002 in the Perinatal Revision South, a population-based register comprising information from 10 hospitals in southern Sweden.

Results: Oxytocin use in labor increased from 27.

Ultrasound screening for fetal anomalies in southern Sweden: a population-based study.

Background: The accuracy of ultrasound in the diagnosis of congenital malformations has been the subject of many studies. Most of these are hospital-based studies over a limited period of years presenting high detection rates and also relatively high incidence of major malformations. We present here a large population-based study over a long period of years.

Routine ultrasound screening in the third trimester: a population-based study.

Background: No population-based study has evaluated the effects of third trimester ultrasound screening on prognosis.

Objective: To study the effects of routine ultrasound screening in the third trimester on perinatal/infant mortality, prevalence of small for gestational age infants (SGA) and low Apgar score.

Study Design: Two university clinics using routine ultrasound screening in the third trimester were compared with seven county or district hospitals with no routine screening.

Implementation of new medical techniques: experience from the Swedish randomized controlled trial on fetal ECG during labor.

Background: In a large Swedish multicenter randomized controlled trial (RCT) on intra partum fetal monitoring with automatic analysis of fetal ECG waveform (STAN) in combination with cardiotocography (CTG) (4966 parturients, 300 obstetricians and midwives managing the patients), interim analysis revealed protocol violations. By a post hoc analysis of the results over time, factors affecting the acceptance of the new technique were analyzed.

Methods: The rates of primary and secondary outcome measures (fetal outcome, operative deliveries) were compared in the two study groups (CTG + ST and CTG only).