Archives of gynecology and obstetrics
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Arch. Gynecol. Obstet. · Apr 2009
Prevalence of primary dysmenorrhea in young adult female university students.
To determine the prevalence of primary dysmenorrhea and attitudes and behavior toward dysmenorrhea in the female students of an university toward this problem. ⋯ Prevalence of primary dysmenorrhea was found higher than that cited in the literature. It was established that although the rate of consultation with health professionals about menstruation and related changes was low, use of agents known to be effective in primary dysmenorrhea treatment was highly common.
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Arch. Gynecol. Obstet. · Apr 2009
Lessons learned from the outcome of bloodless emergency laparotomies on Jehovah's Witness women presenting in the extremis with ruptured uterus.
We compared the outcomes of bloodless emergency laparotomies for uterine rupture in twenty Jehovah's Witness (JW) women who were in a state of haemorrhagic shock with 45 other women who received blood transfusion. ⋯ Patients who are in haemorrhagic shock from ruptured uterus and refuse blood transfusion can still be salvaged in a low resource setting. The study adds evidence that major operative procedures can be carried out on Jehovah's Witness patients without blood transfusions or blood products.
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Arch. Gynecol. Obstet. · Mar 2009
Case ReportsTwin pregnancy with a complete hydatidiform mole and co-existent live fetus: two case reports and review of the literature.
The aim of this study was to report the clinical features, management, and outcome of two cases of complete hydatidiform mole with a coexisting viable fetus and to review the literature. ⋯ The chances of a live birth have been estimated between 30 and 35% and the risk of persistent trophoblastic disease is similar to singleton molar pregnancies in complete mole with coexisting fetus pregnancy. Therefore, in these pregnancies, expectant management instead of termination of pregnancy can be suggested.
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Arch. Gynecol. Obstet. · Mar 2009
Randomized Controlled Trial Comparative StudyEndometrial effects of letrozole and clomiphene citrate in women with polycystic ovary syndrome using spiral artery Doppler.
To compare the effects of letrozole and clomiphene citrate (CC) on endometrial response in PCOS using subendometrial spiral artery Doppler. ⋯ The effect of letrozole showed a significantly better endometrial response compared to CC.
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Arch. Gynecol. Obstet. · Mar 2009
Randomized Controlled TrialCombined spinal-epidural analgesia for labor pain: best timing of epidural infusion following spinal dose.
The combined spinal-epidural analgesia (CSEA) technique for labor pain has attained wide spread popularity in obstetric anesthesia. The onset of analgesia is rapid and reliable, and maternal satisfaction is very high. However, the best timing of an epidural infusion following the spinal dose and its effect on the total local anesthetics consumption has not been well determined. ⋯ Our results suggest that the best timing of epidural infusion following spinal dose was within 30 min of spinal induction dose.