American journal of obstetrics and gynecology
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Am. J. Obstet. Gynecol. · May 2008
Patients' attitudes associated with cesarean delivery on maternal request in an urban population.
To explore patient attitudes related to cesarean delivery on maternal request (CDMR). ⋯ The majority of women in our population do not think that CDMR is advisable.
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Am. J. Obstet. Gynecol. · Apr 2008
Clinical TrialClinical effects of the levonorgestrel-releasing intrauterine device in patients with adenomyosis.
The aim of this study was to evaluate the long-term clinical effects of a levonorgestrel-releasing intrauterine device (LNG-IUD) on adenomyosis. ⋯ For patients with clinical diagnosis of adenomyosis, the LNG-IUD is effective for the reduction of uterine volume with improvement of vascularity and relief of symptoms. However, the efficacy of LNG-IUD on uterine volume may begin to decrease 2 years after insertion.
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Am. J. Obstet. Gynecol. · Apr 2008
Introduction of an obstetric-specific medical emergency team for obstetric crises: implementation and experience.
We describe the implementation and experience with adding an obstetric-specific medical emergency team (called Condition O for obstetric crisis) to an existing rapid response system at Magee-Womens Hospital. ⋯ We outline our hospital's experience with implementation, efforts to address low utilization, and 1.5 years of Condition O event data. Condition O is a work in progress. In light of this, we discuss the challenges of measuring its patient safety outcome, considerations for team size and composition, and our efforts to determine an optimal Condition O rate.