American journal of obstetrics and gynecology
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Am. J. Obstet. Gynecol. · Mar 2009
Randomized Controlled Trial Meta AnalysisImpact of a 'rescue course' of antenatal corticosteroids: a multicenter randomized placebo-controlled trial.
Previous studies using repetitive courses of antenatal corticosteroids (ACS) have demonstrated marginal or no benefit and concern over potential risk. No prior prospective or randomized studies have evaluated the option of a single rescue course of ACS on neonatal outcome. ⋯ Administration of a single rescue course of ACS before 33 weeks improves neonatal outcome without apparent increased short-term risk.
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Am. J. Obstet. Gynecol. · Mar 2009
Comparative StudyGlycine absorption in operative hysteroscopy: the impact of anesthesia.
This study aimed to evaluate the impact of anesthesia on the absorption of glycine in operative hysteroscopy. ⋯ Local anesthesia with sedation is associated with significantly decreased glycine absorption and lower rate of absorption > 500 mL when compared with general anesthesia.
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Spontaneous rupture of an ovarian artery aneurysm is rare and is thought to be related to pregnancy or uterine fibroids. A patient without fibroids presented with extreme pain during normal menstruation. Ruptured ovarian artery aneurysm should be suspected in a multiparous woman with flank or abdominal pain and peritoneal signs.