Archives of gynecology and obstetrics
-
The aim of this study was to determine the incidence, indications and the risk factors and complications of emergency peripartum hysterectomy (EPH). ⋯ In our series, abnormal placentation was the most common indication for EPH. The risk factors for EPH were previous CS for abnormal placentation and placental abruption for uterine atony and peripartum hemorrhage. Limiting the number of CS deliveries would bring a significant impact on decreasing the risk of EPH.
-
Arch. Gynecol. Obstet. · May 2014
Lymph node metastasis in patients with epithelial ovarian cancer macroscopically confined to the ovary: review of a single-institution experience.
To evaluate the patterns of lymphatic spread in epithelial ovarian cancer (EOC) macroscopically confined to the ovary and to determine risk factors for lymph node metastasis. ⋯ All patients diagnosed with EOC macroscopically confined to the ovary should be considered for comprehensive staging surgery including pelvic and paraaortic lymphadenectomy.
-
Arch. Gynecol. Obstet. · Apr 2014
Observational StudyOptimization of competency in obstetrical emergencies: a role for simulation training.
In obstetrical emergency situations, optimal management requires the immediate coordinated actions of a multi-disciplinary and multi-professional team. This study investigated the influence of simulation training on four specific skills: self-confidence, handling of emergency situation, knowledge of algorithms and team communication. ⋯ Implementation of simulation training strengthens the professional competency.
-
Arch. Gynecol. Obstet. · Apr 2014
Randomized Controlled TrialSublingual misoprostol versus intravenous oxytocin in prevention of post-partum hemorrhage.
Post-partum hemorrhage (PPH) is the most common direct cause of maternal mortality and timely intervention can save many lives. ⋯ Intravenous oxytocin is more efficacious than sublingual misoprostol in preventing PPH in institutional deliveries.
-
Arch. Gynecol. Obstet. · Apr 2014
Evaluation of the relation between patient characteristics and the state of chemotherapy-induced nausea and vomiting in patients with gynecologic cancer receiving paclitaxel and carboplatin.
An antiemetic regimen for patients taking paclitaxel and carboplatin (TC) includes dexamethasone (20 mg) to protect against hypersensitivity. Chemotherapy-induced nausea and vomiting (CINV), however, is difficult to adequately control in patients receiving TC. In the present study, we retrospectively investigated risk factors for CINV in patients receiving TC with this antiemetic regimen based on a questionnaire. ⋯ The present study showed that the risk factor for delayed vomiting of grade 1 or higher was a history of hyperemesis gravidarum in patients receiving conventional TC with dexamethasone (20 mg) and granisetron. Therefore, in patients with this risk factor, criteria of major organizations should be followed first.