American journal of obstetrics and gynecology
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Am. J. Obstet. Gynecol. · Mar 1999
ReviewRestructuring residency training in obstetrics and gynecology.
This essay presents a brief review of the history advocating a restructuring of residency training to increase the flexibility of the experience. The advantages for both the general obstetrician-gynecologist and the subspecialist are reviewed.
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Am. J. Obstet. Gynecol. · Mar 1999
Randomized Controlled Trial Multicenter Study Comparative Study Clinical TrialDouble-blind comparison of carbetocin versus oxytocin in prevention of uterine atony after cesarean section.
The goal of this study was to compare carbetocin, a long-acting oxytocin analog, with oxytocin in the prevention of uterine atony after cesarean section. ⋯ Carbetocin, a new drug for the prevention of uterine atony, appears to be more effective than a continuous infusion of oxytocin and has a similar safety profile.
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Am. J. Obstet. Gynecol. · Mar 1999
Multicenter StudyIndicated versus spontaneous preterm delivery: An evaluation of neonatal morbidity among infants weighing
The aim of the study was to determine whether infants weighing
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Am. J. Obstet. Gynecol. · Mar 1999
Perinatal management of women with immune thrombocytopenic purpura: survey of United States perinatologists.
The aim of the study was to determine how perinatologists in the United States manage the care of women with immune thrombocytopenic purpura with respect to mode of delivery. ⋯ The management of women with immune thrombocytopenic purpura remains controversial in the United States. Approximately two thirds of perinatologists would allow a trial of labor without a procedure to determine fetal platelet count. Most physicians surveyed did not consider cesarean delivery to be protective against intracranial hemorrhage.
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Am. J. Obstet. Gynecol. · Mar 1999
Randomized Controlled Trial Multicenter Study Clinical TrialRandomized controlled trial of prevention of perineal trauma by perineal massage during pregnancy.
The aim of the study was to evaluate the effectiveness of perineal massage during pregnancy for the prevention of perineal trauma at birth. ⋯ Perineal massage is an effective approach to increasing the chance of delivery with an intact perineum for women with a first vaginal delivery but not for women with a previous vaginal birth.