American journal of obstetrics and gynecology
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We present the clinical course of a pregnant woman in septic shock. While we were managing this case, an elevated pulmonary capillary wedge pressure was found, expressing left ventricular dysfunction. Therefore we question the widely accepted and recommended practice of loading the pregnant women in septic shock with 1 to 2 L of crystalloids before the institution of central monitoring. It is our belief that an aggressive and earlier central monitoring of the hemodynamic status can result in better treatment decisions.
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Am. J. Obstet. Gynecol. · Dec 1997
Randomized Controlled Trial Clinical TrialNulliparous active labor, epidural analgesia, and cesarean delivery for dystocia.
Our purpose was to examine the effect of epidural analgesia on dystocia-related cesarean delivery in actively laboring nulliparous women. ⋯ With strict criteria for the diagnosis of labor and with use of a rigid protocol for labor management, there was no increase in dystocia-related cesarean delivery with epidural analgesia.