American journal of obstetrics and gynecology
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Am. J. Obstet. Gynecol. · Jan 1996
Ovarian cysts in premenopausal and postmenopausal tamoxifen-treated women with breast cancer.
Our purpose was to investigate the frequency of ovarian cysts in tamoxifen-treated breast cancer patients. ⋯ Ovarian cysts are a common side effect of tamoxifen treatment. The ovarian cysts can develop in tamoxifen-treated premenopausal as well as postmenopausal women with breast cancer. Most of the tamoxifen-associated cysts disappear after tamoxifen treatment is abandoned.
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Our purpose was to evaluate the relative weight of the different variables that may influence the chances of vaginal birth after one cesarean delivery, with the aim of developing a predictive score for success of such a trial. ⋯ A trial of labor after one cesarean section should be encouraged in most women who are willing to attempt it, provided no obstetric contraindication exists. A scoring system that may help to identify women with a greater chance for vaginal delivery is proposed.
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Am. J. Obstet. Gynecol. · Jan 1996
ReviewEthically justified clinically comprehensive guidelines for the management of the depressed pregnant patient.
This article proposes ethically justified clinical guidelines for managing depressed patients during pregnancy. ⋯ When the fetus is previable, recommendations concerning the disposition and prenatal diagnosis of the pregnancy should be nondirective, whereas strong treatment recommendations are justifiable if the pregnant woman has decided to continue her pregnancy and is severely depressed. After viability, directive counseling for fetal benefit is ethically justified. The guidelines focus on preventive ethics strategies to enhance the decision-making capacity of the depressed pregnant patient.