American journal of obstetrics and gynecology
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Am. J. Obstet. Gynecol. · Sep 2008
Meta AnalysisTiming of perioperative antibiotics for cesarean delivery: a metaanalysis.
The purpose of this study was to summarize the available evidence on timing of perioperative antibiotics for cesarean delivery. ⋯ There is strong evidence that antibiotic prophylaxis for cesarean delivery that is given before skin incision, rather than after cord clamping, decreases the incidence of postpartum endometritis and total infectious morbidities, without affecting neonatal outcomes.
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Am. J. Obstet. Gynecol. · Sep 2008
Randomized Controlled TrialRandomized trial of preinduction cervical ripening: misoprostol vs oxytocin.
The purpose of this study was to compare the vaginal delivery rate in women who undergo labor induction with preinduction misoprostol or oxytocin alone. ⋯ Preinduction cervical ripening with misoprostol did not improve the vaginal delivery rate and resulted in longer intervals to active labor and delivery. Preinduction cervical ripening with misoprostol may not be necessary.
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Am. J. Obstet. Gynecol. · Sep 2008
Improving shoulder dystocia management among resident and attending physicians using simulations.
The objective of the study was to determine whether a simulation-based educational program would improve residents' and attending physicians' performance in a simulated shoulder dystocia. ⋯ Our program improved physician performance in the management of simulated shoulder dystocia deliveries. Obstetric emergency simulation training can improve physicians' communication skills, at all levels of training, and should be incorporated into labor and delivery quality improvement measures.