American journal of obstetrics and gynecology
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Am. J. Obstet. Gynecol. · May 2005
Randomized Controlled Trial Clinical TrialBuccal misoprostol to prevent hemorrhage at cesarean delivery: a randomized study.
The purpose of this study was to assess the efficacy of buccal misoprostol to decrease uterine atony, hemorrhage, and the need for additional uterotonic agents during cesarean delivery. ⋯ Buccal misoprostol reduces the need for additional uterotonic agents during cesarean delivery.
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To describe the clinical and electrodiagnostic findings, therapies, and outcomes of patients with pudendal neuralgia. ⋯ Pudendal neuralgia is poorly recognized and poorly treated. Improvement is gained with conservative therapy. Injections and decompression benefit one half and one third of patients, respectively. Neuromodulation needs further evaluation.
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Am. J. Obstet. Gynecol. · May 2005
Perisurgical smoking cessation and reduction of postoperative complications.
The purpose of this study was to determine if a perisurgical smoking cessation program reduces smoking-related postoperative complications in urogynecologic surgery. ⋯ There are no differences in smoking-potentiated complications between nonsmoking patients and patients who undergo a perisurgical smoking cessation program.
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Am. J. Obstet. Gynecol. · May 2005
The impact of occiput posterior fetal head position on the risk of anal sphincter injury in forceps-assisted vaginal deliveries.
A forceps-assisted vaginal delivery is a well-recognized risk factor for anal sphincter injury. Some studies have shown that occiput posterior (OP) fetal head position is also associated with an increased risk for third- or fourth-degree lacerations. The objective of this study was to assess whether OP position confers an incrementally increased risk for anal sphincter injury above that present with forceps deliveries. ⋯ Forceps-assisted vaginal deliveries have been associated with a greater risk for anal sphincter injury. Within this population of forceps deliveries, an OP position further increases the risk of third- or fourth-degree lacerations when compared with an OA position.
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Am. J. Obstet. Gynecol. · May 2005
Incidence of perioperative complications of urogynecologic surgery in elderly women.
The purpose of this study was to determine the incidence of and risk factors for perioperative complications in elderly women who undergo urogynecologic surgery. ⋯ Pre-existing cardiovascular disease increases the risk of a significant perioperative complication in elderly women who undergo urogynecologic surgery. However, the overall perioperative morbidity rate in elderly women who undergo urogynecologic surgery is low.