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 · Feb 2004
ACOG committee opinion. Surgery and patient choice: the ethics of decision making. Number 289, November 2003.
The purpose of this Committee Opinion is to provide the obstetrician-gynecologist with an approach to decision making based on ethics in an environment of increased patient information, recognition of patient autonomy, direct-to-consumer marketing, and many alternative or investigational treatments. A process for ethical decision making in surgery is discussed, illustrated by an example of elective cesarean delivery.
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Int J Gynaecol Obstet · Jan 2004
Randomized Controlled Trial Clinical TrialDrotaverine hydrochloride for augmentation of labor.
To study the use of drotaverine hydrochloride for acceleration of labor and relief of labor pains. ⋯ Drotaverine hydrochloride is safe and effective in accelerating labor, but not effective in lessening labor pain.
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Int J Gynaecol Obstet · Jan 2004
Pulmonary thromboembolism following gynecologic surgery and cesarean section.
To investigate the incidence and risk factors of symptomatic pulmonary thromboembolism (PTE) in patients following gynecologic surgery or cesarean section in Japan. ⋯ Risk factors in Japanese patients undergoing gynecologic surgery may include age and cancer of the uterine body; risk factors for the development of PTE following cesarean section may include age and obesity.
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Int J Gynaecol Obstet · Oct 2003
Randomized Controlled Trial Clinical TrialAnalgesic efficacy of intramuscular opioids versus epidural analgesia in labor.
To compare analgesic efficacy of intramuscular opioids: meperidine and tramadol with epidural analgesia. ⋯ The analgesic efficacy and maternal satisfaction is better with epidural analgesia than with opioids. Analgesia provided by meperidine and tramadol is comparable and approximately 50% of women rated the analgesia as good. Meperidine is better in the second stage than tramadol. Hence in developing nations where availability of facilities is the main limiting factor, intramuscular opioids can be considered suitable alternatives.