Acta obstetricia et gynecologica Scandinavica
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Acta Obstet Gynecol Scand · Feb 2011
Case ReportsRecurrent massive hemoperitoneum due to ovulation as a clinical sign in congenital afibrinogenemia.
Massive hemoperitoneum due to ovulation is a rare but serious and life-threatening complication for women with coagulation disorders, and may lead to surgical interventions and even oophorectomy. Congenital afibrinogenemia is an uncommon coagulation disorder usually discovered during childhood. Intraabdominal bleeding due to ovulation is very rare in these patients and only a few cases of corpus luteum rupture and hemoperitoneum in afibrinogenemic patients have been described. ⋯ Exploratory laparotomy and excision of the ruptured follicle was performed at the first bleeding episode; the second episode was managed with fresh frozen plasma and blood transfusions. Conservative management is crucial for these patients. If surgery cannot be avoided, a conservative surgical approach should be chosen to preserve ovarian function.
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Acta Obstet Gynecol Scand · Jan 2011
Multicenter Study Comparative StudySurgical-site infections and postoperative complications: agreement between the Danish Gynecological Cancer Database and a randomized clinical trial.
Surgical-site infections are serious complications and thorough follow-up is important for accurate surveillance. We aimed to compare the frequency of complications recorded in a clinical quality database with those noted in a randomized clinical trial with follow-up visits. ⋯ The randomized trial reported significantly more surgical-site infections than the clinical database. The DGCD reported only 50% of the deep and organ-space infections, and hence, the low-overall agreement indicates a need for more careful database registration.
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Acta Obstet Gynecol Scand · Dec 2010
ReviewPrevalence of postpartum urinary incontinence: a systematic review.
to investigate the prevalence of urinary incontinence within the first year postpartum. ⋯ the prevalence of postpartum incontinence was high. Prevalence was substantially less for more frequent incontinence. Urinary incontinence after cesarean section was half the prevalence after vaginal delivery.
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Acta Obstet Gynecol Scand · Dec 2010
ReviewMedical and physical predictors of localized provoked vulvodynia.
Vulvodynia in young women is a significant clinical challenge. This overview focuses on localized provoked vulvodynia (LPV) with regard to medical and physical predictors of the condition. Several causative factors have been proposed and one major conceptual issue is the role of inflammation. ⋯ A dysfunction of the pelvic floor muscles is common and many patients also suffer from other bodily pain. In general, the level of scientific quality in published studies on vulvodynia is low. Further research on epidemiology, etiology and conduction of clinical trials with high evidence grade is desired.
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Acta Obstet Gynecol Scand · Dec 2010
Norwegian obstetricians' opinions about cesarean section on maternal request: should women pay themselves?
to explore obstetricians' opinions on cesarean section (CS) on maternal request in the absence of a medical indication, and the potential to regulate CS on maternal request through financial incentives such as patient co-payment. ⋯ the study supports the existence of a gender difference concerning obstetricians' responses to patient requested cesarean section. The results indicate that a substantial proportion of obstetricians welcome some form of constraint concerning cesarean section requests in the absence of a medical indication.