Taiwanese journal of obstetrics & gynecology
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Taiwan J Obstet Gynecol · Jun 2017
Maternal outcome after conservative management of abnormally invasive placenta.
The purpose of this study was to describe our preliminary experience of the efficacy and safety of a conservative strategy for abnormally invasive placenta. ⋯ In this small series, we observed a low successful uterine preservation rate and a high maternal complication rate. We recommend that primary cesarean hysterectomy should be used as the treatment of choice for mild to severe abnormally invasive placenta. Conservative management should be reserved for women with a strong fertility desire and women with extensive disease that precludes primary hysterectomy due to surgical difficulty.
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Taiwan J Obstet Gynecol · Jun 2017
Comparative Study Observational StudyCarbetocin versus oxytocin for prevention of postpartum hemorrhage in infertile women with twin pregnancy undergoing elective cesarean delivery.
To compare the efficacy and safety of carbetocin with those of oxytocin infusion in women with twin pregnancy undergoing elective cesarean delivery. ⋯ Carbetocin is as effective as oxytocin in preventing primary postpartum hemorrhage in infertile women with twin pregnancy undergoing elective cesarean delivery.
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Taiwan J Obstet Gynecol · Jun 2017
Predictors of perinatal outcomes and economic costs for late-term induction of labour.
We aimed to predict the perinatal outcomes and costs of health services following labour induction for late-term pregnancies. ⋯ The cost of labour induction mostly depends on the likelihood of successful trial of labour. Combined use of the Bishop score and previous vaginal or caesarean deliveries improves the ability to predict the likelihood of a caesarean section and the economic costs associated with labour induction for late-term pregnancies. This information is useful for patient counselling.
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Taiwan J Obstet Gynecol · Jun 2017
Placenta associated pregnancy complications in pregnancies complicated with placenta previa.
The purpose of our study was to examine the hypothesis that pregnancies complicated with placenta previa have an increased risk of placental insufficiency associated pregnancy complications (IUGR, preeclampsia, placental abruption and perinatal mortality). ⋯ Our study demonstrated an increased rate of placental insufficiency associated complications in women with placenta previa. This is of clinical relevance and suggests that a careful surveillance for women with placenta previa may help in minimizing maternal, fetal and neonatal complications.