American journal of obstetrics and gynecology
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Am. J. Obstet. Gynecol. · Jan 2012
Folic acid supplementation in early pregnancy and asthma in children aged 6 years.
The objective of the study was to assess whether folic acid intake during the first trimester of pregnancy is related to asthma in the offspring by the age of 6 years. ⋯ Our results do not support any association of folic acid supplementation in pregnancy and asthma risk in offspring by age 6 years.
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Am. J. Obstet. Gynecol. · Jan 2012
Randomized Controlled TrialEffect of closure versus nonclosure of peritoneum at cesarean section on adhesions: a prospective randomized study.
We sought to determine the effect of nonclosure of the visceral and parietal peritoneum during cesarean section on the formation of adhesions. ⋯ Closure or nonclosure of the peritoneum at cesarean section did not lead to large differences in the adhesion rate.
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Am. J. Obstet. Gynecol. · Jan 2012
Randomized Controlled Trial Comparative StudyLabor induction in term premature rupture of membranes: comparison between oxytocin and dinoprostone followed 6 hours later by oxytocin.
The aim of this randomized study was to compare 2 protocols for inducing labor in women with premature rupture of membranes (PROM) at term. ⋯ Sustained-released dinoprostone followed 6 hours later by an oxytocin infusion in term women with PROM was associated with a higher rate of vaginal delivery within 24 hours, and no difference in maternal-neonatal complications was observed compared with oxytocin infusion alone.
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Am. J. Obstet. Gynecol. · Jan 2012
ReviewOutcomes from a labor and delivery team training program with simulation component.
We evaluated the implementation of a labor and delivery unit team training program that included didactic sessions and simulation training with an active clinical unit. Over an 18-month follow-up time period, our team training program showed improvements in patient outcomes as well as in perceptions of patient safety including the dimensions of teamwork and communication.
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Am. J. Obstet. Gynecol. · Jan 2012
Case ReportsPostpartum hemorrhage: use of hemostatic combat gauze.
Cheap and simple interventions that are intended to minimize postpartum hemorrhage are of major public health concern. We report a case of postpartum hemorrhage in which conservative interventions had failed. The use of a chitosan-covered gauze that originally was developed for combat trauma allowed us to achieve hemostasis, and a seemingly inevitable hysterectomy was avoided.