Gynecologic and obstetric investigation
-
Gynecol. Obstet. Invest. · Jan 2014
Comparative Study Clinical TrialEstradiol and weight are covariates of paracetamol clearance in young women.
Paracetamol clearance differs between pregnant and non-pregnant women and between women with or without specific oral contraceptives (OCs). However, an association between female sex hormones and paracetamol clearance has never been explored. ⋯ Estradiol and weight in part explain the variation in paracetamol clearance in young women.
-
Gynecol. Obstet. Invest. · Jan 2014
Review of frequency of dysmenorrhea and some associated factors and evaluation of the relationship between dysmenorrhea and sleep quality in university students.
To determine the frequency of dysmenorrhea in university students, review some associated factors and evaluate the relationship between dysmenorrhea and sleep quality. ⋯ Dysmenorrhea is an important health problem in young women. Dysmenorrhea affects the sleep quality negatively.
-
Gynecol. Obstet. Invest. · Jan 2014
Randomized Controlled TrialEffect of music on labor pain relief, anxiety level and postpartum analgesic requirement: a randomized controlled clinical trial.
The control of labor pain and the prevention of suffering are major concerns of clinicians and their patients. The aim of this study was to evaluate the effect of music on labor pain and anxiety, maternal hemodynamics, fetal-neonatal parameters and postpartum analgesic requirement in primiparous women. ⋯ Listening to music during labor has a positive impact on labor pain and anxiety, maternal-fetal parameters and analgesic requirement.
-
Gynecol. Obstet. Invest. · Jan 2014
Case ReportsAmniotic fluid embolism induces uterine anaphylaxis and atony following cervical laceration.
Amniotic fluid embolism (AFE) is a rare, high-risk obstetric complication primarily found in the lungs and potentially related to anaphylaxis. Tryptase release from the mast cell reflects anaphylaxis. Case report and findings: A female, aged over 40 years, presented with uterine atony and lethal hemorrhage after induced vaginal labor. ⋯ Similar distribution of findings on the AFE markers, tryptase halos, complement receptor C5aR, and atony in the uterus suggested the causality of AFE to anaphylaxis, complement activation and atony. It is probable that disseminated intravascular coagulation (DIC), induced by AFE, uterine atony and cervical laceration, caused the lethal hemorrhage. It is likely that AFE, in association with cervical laceration, induces uterine anaphylaxis, complement activation, atony, DIC and lethal hemorrhage.