American journal of obstetrics and gynecology
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Am. J. Obstet. Gynecol. · May 2011
Meta Analysis Comparative StudyVaginal hysterectomy versus total laparoscopic hysterectomy for benign disease: a metaanalysis of randomized controlled trials.
Recent randomized trials comparing total laparoscopic hysterectomy (TLH) and vaginal hysterectomy (VH) have produced conflicting results. The role of TLH in women suitable for VH remains uncertain. ⋯ TLH may offer benefits compared with VH for benign disease, although this analysis is likely underpowered for rare complications. Further studies of long-term outcomes, including prolapse, urinary incontinence, and sexual function, are required.
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Am. J. Obstet. Gynecol. · May 2011
Can a structured, behavior-based interview predict future resident success?
To determine whether a structured, behavior-based applicant interview predicts future success in an obstetrics and gynecology residency program. ⋯ Behavioral interviewing can provide predictive information regarding success in an obstetrics and gynecology training program.
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Am. J. Obstet. Gynecol. · May 2011
Advanced maternal age, short interpregnancy interval, and perinatal outcome.
The purpose of this study was to evaluate whether the association between short interpregnancy intervals and perinatal outcome varies with maternal age. ⋯ The results of this study indicate that the association of short interpregnancy interval with preterm delivery attenuates with increasing maternal age.
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Am. J. Obstet. Gynecol. · May 2011
Meta AnalysisStaples vs subcuticular sutures for skin closure at cesarean delivery: a metaanalysis of randomized controlled trials.
Recently published randomized trials examining skin closure technique on postcesarean wound complications have produced conflicting results. We performed a metaanalysis of trials comparing staples and subcuticular sutures for skin closure at cesarean section (CS). Pooled outcome measures were calculated using random effects models. ⋯ Data on postoperative pain and patient satisfaction were insufficient for metaanalysis. Our findings suggest a possible benefit with subcuticular sutures compared to skin staples for skin closure at CS. However, the optimal skin closure technique at CS demands further study.
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Am. J. Obstet. Gynecol. · Apr 2011
Multicenter Study Clinical TrialImproving pregnancy drug warnings to promote patient comprehension.
We sought to evaluate the effectiveness of a pharmaceutical labeling strategy intended to improve comprehension of a teratogen warning. ⋯ In our study, a teratogen warning label that had easy-to-read messages with icons significantly improved comprehension.