American journal of obstetrics and gynecology
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Am. J. Obstet. Gynecol. · Oct 1998
Cost-effective delivery management of the vertex and nonvertex twin gestation.
The aim of the study was to determine the most cost-effective delivery management of vertex and nonvertex twin pair gestations. ⋯ There is no medical consensus regarding delivery management for vertex and nonvertex presenting twin pairs. When hospital charges are examined with clinical data, however, breech extraction of the nonvertex second twin is the most cost-effective delivery management strategy.
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The object was to determine the recurrence rate of gestational diabetes mellitus and to find various risk factors that might increase this rate. ⋯ Gestational diabetes mellitus is more likely to recur in parous, obese women who had an early gestational diabetes mellitus diagnosis and required insulin in the index pregnancy. In addition, a shorter interval (< or = 24 months) and a larger weight gain (> or = 15 pounds) between pregnancies appear to be the most significant risk factors for a recurrence of gestational diabetes mellitus.