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 · Jan 2001
Comparative StudyPregnancy complicated by pre-eclampsia-eclampsia with HELLP syndrome.
To determine the incidence of, and assess the relationship between liver enzymes and platelet counts with the severity of HELLP (hemolysis elevated liver enzymes and low platelet count) syndrome, and describe incidences of serious maternal complications. ⋯ This study supports the theory that HELLP syndrome is associated with increased maternal morbidity and mortality. Our data suggest that certain subgroups of patients with class 1 HELLP syndrome ('classic or true HELLP') are at increased risk for serious maternal complications, including those with: platelet counts below 50000/microl; lactic dehydrogenase> or = 2000 IU/l; aspartate aminotranferase> or = 500 IU/l; alanine aminotransferase> or = 300 IU/l; and hematuria.
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Int J Gynaecol Obstet · Oct 2000
Randomized Controlled Trial Multicenter Study Comparative Study Clinical TrialInduction of labor by prostaglandin E(2) in relation to the Bishop score.
To compare the effectiveness of prostaglandin E(2) intravaginal gel with the intracervical gel in patients with an unfavorable cervix. ⋯ Intravaginal instillation of prostaglandin E(2) gel for induction of labor is effective in patients with an unfavorable Bishop score of 3-4.
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Int J Gynaecol Obstet · Oct 2000
Randomized Controlled Trial Clinical TrialLumbar lordosis and the spread of subarachnoid hyperbaric 0.5% bupivacaine at cesarean section.
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Gender differences in longevity suggest that the health problems in both developed and developing countries will largely be the problems of older women. As life expectancy increases, the important causes of death and ill health change. ⋯ Biological susceptibility to various conditions also differs between the sexes. Monitoring of differences in incidence can better direct preventive efforts and contribute to improving the quality of life for aging women worldwide.