International journal of gynaecology and obstetrics : the official organ of the International Federation of Gynaecology and Obstetrics
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Int J Gynaecol Obstet · Oct 2011
Randomized Controlled Trial Comparative StudyLow-dose magnesium sulfate versus Pritchard regimen for the treatment of eclampsia imminent eclampsia.
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Int J Gynaecol Obstet · Oct 2011
Practice GuidelineThe combination of mifepristone and misoprostol for the termination of pregnancy.
The combination of 200mg of mifepristone followed by 25 μg to 800 μg (depending on gestational age) of misoprostol has been shown to be effective for the termination of pregnancy throughout gestation. The dose of misoprostol should be reduced as gestational age increases. ⋯ The course of treatment and prerequisites for medical abortion and recommended mifepristone and misoprostol regimens for different gestational ages are described, along with the side effects, management of complications, and postabortion care. The use of the mifepristone-misoprostol combination regimen for induction of labor in cases of fetal death is also described.
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Recent research in the USA has shown the advantages for children's welfare of open fetal surgery over postnatal treatment for myelomeningocele. However, a balance must be struck between complications of premature birth risked by prenatal surgery and the long-term advantages for affected children's health, including mobility and neurologic capacity. ⋯ Beyond fetal interests and women's preferences are state interests in fetal life, which in the USA and elsewhere have been expressed in judicially authorized cesarean deliveries. Underlying issues are the nature of fetal interests; contrasting entitlements to care from their mothers of fetuses and born children; healthcare providers' responsibilities toward fetuses; and duties of care, information, and advice to pregnant women.
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Int J Gynaecol Obstet · Sep 2011
Randomized Controlled Trial Comparative StudyEffect of combined spinal-epidural analgesia versus epidural analgesia on labor and delivery duration.
To determine whether combined spinal-epidural analgesia (CSEA) can decrease the known epidural effect of lengthening delivery. ⋯ As compared with LEA, CSEA did not shorten the duration of labor length; however, it did reduce levobupivacaine consumption and motor weakness.
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Int J Gynaecol Obstet · Sep 2011
Review Case ReportsRetinal detachment in association with pre-eclampsia, eclampsia, and HELLP syndrome.
To review case reports of retinal detachment in women with pre-eclampsia/eclampsia. ⋯ Retinal detachment in pre-eclampsia/eclampsia might be associated with HELLP syndrome, indicating that microangiophatic hemolysis might have a role in the pathophysiology of retinal detachment. Its occurrence might not be correlated with the severity of pre-eclampsia because pre-eclampsia is a constellation of signs and symptoms (persistent vasospasms with hemolysis and hypoalbuminemia) rather than simply being hypertension.