Acta obstetricia et gynecologica Scandinavica
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Acta Obstet Gynecol Scand · Nov 2002
Randomized Controlled Trial Clinical TrialJoel-Cohen or Pfannenstiel incision at cesarean delivery: does it make a difference?
To evaluate whether the technique to open the abdomen might influence the operative time and the maternal and neonatal outcome. ⋯ The Joel-Cohen method of opening the abdomen at cesarean delivery is faster then the Pfannenstiel technique at delivering the fetus. However, considering the absence of benefits to the mother and the fetus there is no clear indication for performing a Joel-Cohen incision.
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Acta Obstet Gynecol Scand · Nov 2002
Plasma oxytocin levels in women during labor with or without epidural analgesia: a prospective study.
Epidural analgesia (EDA) has been reported to prolong labor. Whether this is by interference with endogenous oxytocin release or other mechanisms is unclear. With increasing numbers of women receiving an EDA, it is important to study its effects on labor. The aim was to study the concentration of plasma oxytocin and the progress of labor in women with and without EDA. ⋯ EDA during labor may interfere with the release of plasma oxytocin, which may be one mechanism behind prolongation of labor. Larger studies are needed to clarify the effects of epidural analgesia and the role of oxytocin during labor.
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Acta Obstet Gynecol Scand · Nov 2002
Management of female genital mutilation in Djibouti: the Peltier General hospital experience.
Female genital mutilation (FGM) is still performed on 98% of Djiboutian women. Infibulation (FGM type 3) is the most widely used method of FGM in Djibouti. Even though this operation is mutilating, illegal and sometimes results in death, it is still practiced at approximately the same rate as in the past. ⋯ The aim of this article was to share our experience of FGM. It will focus on FGM in Djibouti, its types, epidemiology and health consequences. It will present the management of obstetric and gynecologic complications and discuss medico-legal and health service measures to combat these dangerous and unnecessary practices
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Acta Obstet Gynecol Scand · Oct 2002
Comparative Study Clinical TrialComparison of ultrasonography, hysteroscopy, and biopsy in the diagnosis of endometrial lesions in postmenopausal tamoxifen-treated patients.
At present, no proven recommendations can be made for the surveillance of tamoxifen-treated women. The aim of the present study was to evaluate ultrasonography and hysteroscopy in this setting. ⋯ No single ultrasonographic feature (echotexture and borders) is significantly associated with the detection of endometrial hyperplasia or carcinoma; hysteroscopy, although not predictive unless revealing a focal lesion, is more accurate in detecting polyps and hyperplastic changes.