American journal of obstetrics and gynecology
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Am. J. Obstet. Gynecol. · Jun 1997
Comment Letter Comparative StudyThe vacuum extraction to forceps in posterior presentation comparison.
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Am. J. Obstet. Gynecol. · Jun 1997
Review Case ReportsSpontaneous liver hematoma in pregnancy not clearly associated with preeclampsia: a case presentation and literature review.
Spontaneous liver hemorrhage with formation of subcapsular hematomas and rupture of Glissan's capsule is a rare but often lethal complication of pregnancy. This entity has usually been associated with severe preeclampsia or the HELLP (hemolysis, elevated liver enzymes, low platelets) syndrome. ⋯ The literature on liver hematomas in pregnancy published since 1982 when the term HELLP syndrome was coined is reviewed with a focus on the association of liver hematomas with preeclampsia and the HELLP syndrome. Therapy and maternal and neonatal outcomes for this entity are reassessed.
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Am. J. Obstet. Gynecol. · Jun 1997
Randomized Controlled Trial Comparative Study Clinical TrialThe effect of placental removal method on the incidence of postcesarean infections.
Our purpose was to determine whether the incidence of postoperative endometritis and wound infection is associated with the method of placental removal at the time of cesarean section. ⋯ Spontaneous delivery of the placenta after cesarean delivery is associated with a decrease in the incidence of postcesarean infections.
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Am. J. Obstet. Gynecol. · Jun 1997
Inadequate weight gain among pregnant adolescents: risk factors and relationship to infant birth weight.
Our purpose was to identify behavioral markers for inadequate weight gain (< 20 pounds) during pregnancy among adolescents < 18 years old. ⋯ Our data suggest that behavioral risk factors are important in the identification of adolescents at greatest risk for inadequate weight gain. Early identification during pregnancy is essential to modify nutritional practices and thus minimize poor obstetric outcomes.
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Am. J. Obstet. Gynecol. · Jun 1997
Evaluation of sexual misconduct complaints: the Oregon Board of Medical Examiners, 1991 to 1995.
In 1991 the Oregon Board of Medical Examiners initiated a separate category for the complaint of sexual misconduct. Investigated complaints of sexual misconduct brought to the Oregon Board of Medical Examiners were analyzed for the years 1991 to 1995 to serve as a baseline. Comparison was made to the Federation of State Medical Boards sexual misconduct data for 1991 and 1992. ⋯ Oregon has a higher percentage of sexual misconduct complaints than the average for 42 states reporting to the Federation of State Medical Boards for the years 1991 and 1992. Analysis of the Oregon Board's experience for the study years will provide a baseline for future evaluation and as an educational resource for the Oregon Board of Medical Examiners and professional and specialty societies. Ethical standards, the reporting and investigative processes, and the legal framework are in place and lessen the incidence of sexual misconduct and work toward zero tolerance.