Archives of gynecology and obstetrics
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Arch. Gynecol. Obstet. · Oct 2012
A novel approach to postoperative bladder care in women after radical hysterectomy.
Currently, controversy exists with regard to the duration of bladder drainage and choice of catheter used in women who undergo radical hysterectomy. In this manuscript, we propose a novel approach to improving postoperative bladder care in women who undergo radical hysterectomy. ⋯ Removal of urinary catheter on the second postoperative day following radical hysterectomy is feasible and not associated with increased morbidity. This approach may be particularly useful to complement the introduction of laparoscopic and robotic surgical approaches for surgical management of cervical cancer.
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Arch. Gynecol. Obstet. · Sep 2012
Clinical TrialInhaled intrapartum analgesia using a 50-50 % mixture of nitrous oxide-oxygen in a low-income hospital setting.
To analyze the benefits of an inhaled analgesia procedure over intrapartum pain and the degree of satisfaction of using this method. ⋯ Inhaled intrapartum analgesia using a N(2)O-O(2) 50-50 % mixture provided rapid pain alleviation. It is an appealing, effective and safe method for the management of pain during labor, most useful at institutions with infrastructure and personnel limitations.
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Arch. Gynecol. Obstet. · Sep 2012
Comparative StudyBlood loss after caesarean section: depending on the management of oxytocin application?
Oxytocin donation in caesarean section is used to reduce postpartum blood loss. Cardiovascular side effects such as tachycardia, hypotension and decreased cardiac output are known and seem to depend on the way of application, whereas the blood loss is said to be similar. We aimed to examine that extent of haemorrhage in our own patients. ⋯ We recommend to do further studies to clarify the advantage and contraindications of using oxytocin boluses and until to use the oxytocin bolus again in healthy patients but to avoid it in patients with cardiovascular risk.
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The study was aimed to identify risk factors for neonatal brachial plexus paralysis. ⋯ In our population, shoulder dystocia, macrosomia, labor dystocia, vacuum delivery and vaginal breech deliveries were significant risk factors for neonatal brachial plexus paralysis, while maternal characteristics such as obesity and diabetes were not. Despite our growing knowledge concerning the risk factors associated with brachial plexus paralysis, unfortunately, this condition cannot be predicted or prevented.