Obstetrics and gynecology clinics of North America
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Obstet. Gynecol. Clin. North Am. · Dec 1990
ReviewLong-term health risks and benefits of oral contraceptive use.
The contraceptive effect of oral contraceptive use provides an important health benefit, particularly in developing countries, where the risks of pregnancy and childbearing are increased. Several important noncontraceptive health benefits of oral contraceptive use include the prevention of endometrial and ovarian cancers. Data are generally reassuring concerning the risks of oral contraceptive use, which include cardiovascular disease and breast and cervical cancer.
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Vaginal bleeding in early childhood, regardless of its duration and quantity, is always of clinical importance. This article discusses the examination of the child and adolescent and reviews the various causes of vaginal bleeding in these patient groups.
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Antibiotic prophylaxis has reduced the incidence of postoperative infection in the patient at risk. Although benefits have resulted from the use of antibiotic in this manner, a disadvantage is the selection of resistant bacteria. Antibiotic prophylaxis will not prevent infection if poor surgical techniques have been employed.
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Obstet. Gynecol. Clin. North Am. · Jun 1989
ReviewManagement of septic shock complicating pregnancy.
Septic shock can be a devastating management problem during pregnancy. Current concepts regarding the pathophysiology and clinical impact of this disorder are detailed with emphasis upon the cardiovascular system. A hemodynamic approach for stabilizing such patients is offered.
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Obstet. Gynecol. Clin. North Am. · Jun 1989
ReviewPelvic inflammatory disease and tubo-ovarian abscess.
Pelvic inflammatory disease is a disease that has reached nearly epidemic proportions in the United States. The gold standard of diagnosis remains laparoscopy, and treatment is usually with broad-spectrum antibiotics and surgery.