American journal of obstetrics and gynecology
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Am. J. Obstet. Gynecol. · Jun 2000
Limited clinical utility of blood and urine cultures in the treatment of acute pyelonephritis during pregnancy.
The purpose of this study was to determine the utility of urine and blood cultures in the clinical management of pregnant women with acute pyelonephritis. ⋯ Urine and blood cultures with sensitivity testing had limited utility in the clinical management of pregnant women with pyelonephritis. Decisions to change antibiotic treatment were affected more by clinical course than by culture results. We suggest that elimination of blood and urine cultures might simplify management and result in significant cost savings without compromising patient care.
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This study was undertaken to describe labor induction risk factors and consequences among women with term singleton gestations with vertex presentation. ⋯ Large variations in labor induction were noted across maternal ethnicity and hospital type categories. Labor induction increased cesarean delivery rates among nulliparous women, whereas no increase was seen among parous women with no previous cesarean delivery. Labor induction was used less often among those with previous cesarean delivery; when it was used in this group, however, it was associated with a lower cesarean delivery rate.
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Am. J. Obstet. Gynecol. · Jun 2000
Comparative StudyAcceptability of suction curettage and mifepristone abortion in the United States: a prospective comparison study.
We sought to compare the acceptability of suction curettage abortion with that of medical abortion with mifepristone and misoprostol in American women. ⋯ Women receiving mifepristone and misoprostol were more satisfied with their method and more likely to choose the same method again than were subjects undergoing surgical abortion. Failure of a medical abortion and increased anxiety during surgical abortion were associated with preference for the alternative technique in a future procedure.
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The objective of this study was to compare the cost-effectiveness of 9 strategies for the management of threatened preterm labor. ⋯ Risk prediction strategies with the fetal fibronectin assay or corticosteroids plus rapid fetal fibronectin testing or cervical length assessment may offer cost savings compared with treatment of all women with threatened preterm labor and may prevent similar numbers of cases of respiratory distress syndrome and neonatal deaths.
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Am. J. Obstet. Gynecol. · Jun 2000
Case ReportsCefotetan-induced hemolysis associated with antibiotic prophylaxis for cesarean delivery.
We describe 3 cases of antibiotic-induced hemolysis associated with cefotetan prophylaxis during cesarean delivery. Each of the 3 patients showed development of significant anemia with documented cefotetan-induced hemolysis. When postpartum anemia is associated with antibiotic use, immune hemolytic anemia should be considered and included in the differential diagnosis.