American journal of obstetrics and gynecology
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Am. J. Obstet. Gynecol. · Aug 2018
Retraction Of PublicationWITHDRAWN: Time to move on from early cord clamping in preterm infants.
This article has been withdrawn at the request of the author(s) and/or editor. The Publisher apologizes for any inconvenience this may cause. The full Elsevier Policy on Article Withdrawal can be found at https://www.elsevier.com/about/our-business/policies/article-withdrawal.
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Am. J. Obstet. Gynecol. · Aug 2018
Retraction Of PublicationWITHDRAWN: Early cord clamping is the experimental intervention not delayed cord clamping.
This article has been withdrawn at the request of the author(s) and/or editor. The Publisher apologizes for any inconvenience this may cause. The full Elsevier Policy on Article Withdrawal can be found at https://www.elsevier.com/about/our-business/policies/article-withdrawal.
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Am. J. Obstet. Gynecol. · Aug 2018
Comparative StudyPlacenta percreta is associated with more frequent severe maternal morbidity than placenta accreta.
Abnormally invasive placentation is the leading cause of obstetric hysterectomy and can cause poor to disastrous maternal outcomes. Most previous studies of peripartum management and maternal morbidity have included variable proportions of severe and less severe cases. ⋯ Severe maternal morbidity is much more frequent in women with placenta percreta than with placenta accreta, despite multidisciplinary planning, management in a referral center, and better antenatal suspicion.
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Am. J. Obstet. Gynecol. · Aug 2018
Observational StudyPreoperative obstructive sleep apnea screening in gynecologic oncology patients.
Women with a gynecologic cancer tend to be older, obese, and postmenopausal, characteristics that are associated with an increased risk for obstructive sleep apnea. However, there is limited investigation regarding the condition's prevalence in this population or its impact on postoperative outcomes. In other surgical populations, patients with obstructive sleep apnea have been observed to be at increased risk for adverse postoperative events. ⋯ The prevalence of obstructive sleep apnea or screening at risk for the condition is high among women presenting for surgery with a gynecologic oncologist. Providers should consider evaluating a patient's risk for obstructive sleep apnea in the preoperative setting, especially when risk factors for the condition are present.
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How race is associated with adverse outcomes in the setting of postpartum hemorrhage is not well characterized. ⋯ Black women were at higher risk for severe morbidity and mortality associated with postpartum hemorrhage.