American journal of obstetrics and gynecology
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Am. J. Obstet. Gynecol. · Apr 2010
Comparative StudyThe effect of live and web-based education on the accuracy of blood-loss estimation in simulated obstetric scenarios.
Visual estimation of blood loss has been shown to be inaccurate. The objective of this study was to evaluate the impact of a didactic training program on the accuracy of the estimation of blood loss and to compare the effectiveness of training provided by a web-based vs live session. ⋯ Our study supports the use of live or web-based training to improve blood loss estimation accuracy.
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Am. J. Obstet. Gynecol. · Apr 2010
Evidence of a gene-environment interaction that predisposes to spontaneous preterm birth: a role for asymptomatic bacterial vaginosis and DNA variants in genes that control the inflammatory response.
We determined whether an environmental exposure to bacterial vaginosis (BV) modified genetic susceptibilities for spontaneous preterm delivery within genes that regulate the inflammatory response. ⋯ These results demonstrate that the risk of preterm delivery that is associated with tag SNPs in genes that regulate the inflammatory response is modified by an environmental exposure such as bacterial vaginosis.
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The purpose of this study was to estimate the incidence of postpartum hemorrhage (PPH) in the United States and to assess trends. ⋯ Population-based surveillance data signal an apparent increase in PPH caused by uterine atony. More nuanced clinical data are needed to understand the factors that are associated with this trend.
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Prominent racial/ethnic and socioeconomic disparities in rates of unintended pregnancy, abortion, and unintended births exist in the United States. These disparities can contribute to the cycle of disadvantage experienced by specific demographic groups when women are unable to control their fertility as desired. In this review we consider 3 factors that contribute to disparities in family planning outcomes: patient preferences and behaviors, health care system factors, and provider-related factors. Through addressing barriers to access to family planning services, including abortion and contraception, and working to ensure that all women receive patient-centered reproductive health care, health care providers and policy makers can substantially improve the ability of women from all racial/ethnic and socioeconomic backgrounds to make informed decisions about their fertility.
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Am. J. Obstet. Gynecol. · Mar 2010
Social disparity and the use of intrapartum epidural analgesia in a publicly funded health care system.
We sought to examine the difference in use of labor epidural analgesia among women from different neighborhood socioeconomic groups. ⋯ The use of labor epidural analgesia is decreased with decreasing neighborhood economic and education levels.