American journal of obstetrics and gynecology
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Am. J. Obstet. Gynecol. · Apr 2005
Comparative StudyNo increase in rates of early-onset neonatal sepsis by antibiotic-resistant group B Streptococcus in the era of intrapartum antibiotic prophylaxis.
The aim of this study was to assess the rate of early-onset neonatal sepsis by antibiotic-resistant group B Streptococcus. ⋯ We found no increase in rates of antibiotic-resistant group B Streptococcus early-onset neonatal sepsis.
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Am. J. Obstet. Gynecol. · Apr 2005
Comparative StudyShortening increases spontaneous contractility in myometrium from pregnant women at term.
The purpose of this study was to determine whether shortening alters spontaneous contractility in myometrial strips that are obtained from pregnant women. ⋯ Shortening of myometrial strips from pregnant women at term increases spontaneous contractility by a mechanism that apparently involves prostaglandins.
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Am. J. Obstet. Gynecol. · Apr 2005
The interleukin-6--174 single nucleotide polymorphism: cervical protein production and the risk of preterm delivery.
The purpose of this study was to determine the associations between preterm delivery (PTD), cervical fluid interleukin-6 (IL-6) concentration, and the single nucleotide polymorphism at position -174 in the IL-6 gene. ⋯ Cervical fluid concentrations of IL-6 were not elevated in symptomatic women destined to have a spontaneous PTD. The presence of maternal IL-6 -174C was not associated with cervical fluid concentration of IL-6 or risk of PTD.
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Am. J. Obstet. Gynecol. · Apr 2005
Multicenter Study Comparative StudyAssessment of resident surgical skills: is testing feasible?
We have previously shown that in a single residency program objective structured assessment of technical skills (OSATS) is a reliable and valid method of assessing surgical competency. Our goal was to establish feasibility of this evaluation instrument when administered at multiple residency programs throughout the US, and assess the impact of a laboratory-based surgical curriculum on results. ⋯ Large-scale testing has confirmed that OSATS is an objective, reliable, and valid method to assess surgical skills, and can easily be administered in most residency programs. A laboratory-based surgical curriculum improved test results and reduced time to complete tasks.
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Am. J. Obstet. Gynecol. · Apr 2005
Comparative StudyObstetric outcomes in women with two prior cesarean deliveries: is vaginal birth after cesarean delivery a viable option?
This study was undertaken to compare clinical outcomes in women with 1 versus 2 prior cesarean deliveries who attempt vaginal birth after cesarean delivery (VBAC) and also to compare clinical outcomes of women with 2 prior cesarean deliveries who attempt VBAC or opt for a repeat cesarean delivery. ⋯ The likelihood of major complications is higher with a VBAC attempt in women with 2 prior cesarean deliveries compared with those with a single prior cesarean delivery. In women with 2 prior cesarean deliveries, while major complications are increased in those who attempt VBAC relative to elective repeat cesarean delivery, the absolute risk of major complications remains low.