Archives of gynecology and obstetrics
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Arch. Gynecol. Obstet. · Oct 2017
Cervical varicosities may predict placenta accreta in posterior placenta previa: a magnetic resonance imaging study.
The aim of this study was to prenatally predict placenta accreta in posterior placenta previa using magnetic resonance imaging (MRI). ⋯ It was difficult to diagnose placenta accreta in the posterior placenta previa using the well-known findings. The quantification of cervical varicosities could effectively predict placenta accreta.
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Arch. Gynecol. Obstet. · Oct 2017
Review Meta AnalysisWenjing decoction (herbal medicine) for the treatment of primary dysmenorrhea: a systematic review and meta-analysis.
Wenjing decoction is a well-accepted traditional Chinese medicine for the treatment of primary dysmenorrhea in East Asia, but its clinical effectiveness and risk have not been adequately assessed. In this paper, we conducted a systematic review and meta-analysis to evaluate the efficacy of Wenjing decoction for the treatment of primary dysmenorrhea. ⋯ The results supported the clinical use of Wenjing decoction for the treatment of primary dysmenorrhea. However, the quality of the evidence for this finding was low due to a high risk of bias in the included studies. Therefore, well-designed randomized controlled trials are still needed to further evaluate the efficacy of Wenjing decoction for the treatment of primary dysmenorrhea.
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Arch. Gynecol. Obstet. · Sep 2017
Meta AnalysisComparison of maternal and fetal complications in elective and emergency cesarean section: a systematic review and meta-analysis.
Though the same types of complication were found in both elective cesarean section (ElCS) and emergence cesarean section (EmCS), the aim of this study is to compare the rates of maternal and fetal morbidity and mortality between ElCS and EmCS. ⋯ Emergency cesarean sections showed significantly more maternal and fetal complications and mortality than elective cesarean sections in this study. Certain plans should be worked out by obstetric practitioners to avoid the post-operative complications.
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Arch. Gynecol. Obstet. · Aug 2017
Trastuzumab and survival of patients with metastatic breast cancer.
Prognosis of Her2-positive breast cancer has changed since the introduction of trastuzumab for treatment in metastatic and early breast cancer. It was described to be even better compared to prognosis of Her2-negative metastatic breast cancer. The purpose of this study was to evaluate the effect of trastuzumab in our cohort. Besides the effect of adjuvant pretreatment with trastuzumab on survival of patients with metastatic Her2-positive breast cancer was analyzed. ⋯ Prognosis of patients with Her2-positive metastatic breast cancer after trastuzumab treatment is more favorable than for Her2-negative breast cancer. The role of adjuvant chemotherapy with or without trastuzumab warrants further research. Survival is best in triple-positive metastatic breast cancer. This will effect counseling at the time of first diagnosis of metastatic breast cancer.
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Arch. Gynecol. Obstet. · Jun 2017
Randomized Controlled TrialThe effect of type and volume of fluid hydration on labor duration of nulliparous women: a randomized controlled trial.
Type and volume of fluid administered for intrapartum maintenance had been reported to differently affect labor length, delivery mode, and cord artery pH and glucose level. We aimed to compare the effect of three different fluid regimens on labor duration. ⋯ ClinicalTrials.gov, http://www.clinicaltrials.gov , NCT01242293.