Archives of gynecology and obstetrics
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Arch. Gynecol. Obstet. · Jul 2005
Pregnancy outcome after loop electrosurgical excision procedure for the management of cervical intraepithelial neoplasia.
Previous studies have shown conflicting results on the outcome of pregnancy following loop electrosurgical excision procedure (LEEP). The purpose of this study was to evaluate whether LEEP affects the outcome of pregnancy after 20 weeks' gestation. ⋯ LEEP in women with CIN did not significantly increase the risk of low birth weight or preterm birth in subsequent pregnancy in comparison to their controls, except when the size of electrosurgical loop was relatively large. However, the prevalence of pregnancy complications was significantly higher after LEEP.
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Arch. Gynecol. Obstet. · Jul 2005
ReviewLabor analgesia for the parturient with respiratory disease: what does an obstetrician need to know?
Significant alterations occur in the pulmonary system during pregnancy, which primarily serve to meet the increased oxygen consumption by the growing fetus. When pregnancy is complicated by a respiratory tract disorder such as asthma, cystic fibrosis or tobacco-related respiratory complications the peripartum management (both obstetric and anesthetic) may become challenging. ⋯ When providing labor analgesia to parturients with asthma, cystic fibrosis, and tobacco-related respiratory disorders every effort should be made to reduce the likelihood of high (thoracic) levels of analgesia and/or anesthesia and subsequent airway compromise.
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Arch. Gynecol. Obstet. · Jun 2005
Association between method of delivery, puerperal complication rate and postpartum hysterectomy.
The aim of this study was to assess current maternal obstetrical risk associated with different modes of delivery concerning puerperal complications, especially postpartum hysterectomy. ⋯ Surgical method of delivery is also subject to a propensity towards puerperal complications when primary caesarean sections are considered separately. The results support the concept that reducing caesarean delivery likelihood is a correct approach to providing primary prevention of caesarean-related maternal morbidity.
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Arch. Gynecol. Obstet. · Jun 2005
Randomized Controlled TrialTocolysis with atosiban: experience in the management of premature labor before 24 weeks of pregnancy.
Atosiban has been shown to be an effective tocolytic agent with a low rate of side effects during 24 to 33 weeks of gestation. Atosiban acts through selective, competitive inhibition of both oxytocin and vasopressin, so that there are reasons to assume that a tocolytic effect can also be achieved earlier in the pregnancy. ⋯ In summary, atosiban showed itself to be effective for tocolytic treatment for premature labor, even during 18 and 24 weeks of pregnancy, while exhibiting its known, favorable profile of side effects.
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Arch. Gynecol. Obstet. · Apr 2005
Randomized Controlled Trial Clinical TrialEvaluation of placental drainage as a method of placental delivery in vaginal deliveries.
We describe a prospective study, done over a 2-year period in which a total of 958 women having a vaginal delivery were randomised to the drainage method (478 women) or controlled cord traction method (480 women) for placental delivery. ⋯ Placental drainage significantly reduces the duration of third stage of labour in vaginal deliveries.