American journal of obstetrics and gynecology
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Am. J. Obstet. Gynecol. · May 2005
The impact of occiput posterior fetal head position on the risk of anal sphincter injury in forceps-assisted vaginal deliveries.
A forceps-assisted vaginal delivery is a well-recognized risk factor for anal sphincter injury. Some studies have shown that occiput posterior (OP) fetal head position is also associated with an increased risk for third- or fourth-degree lacerations. The objective of this study was to assess whether OP position confers an incrementally increased risk for anal sphincter injury above that present with forceps deliveries. ⋯ Forceps-assisted vaginal deliveries have been associated with a greater risk for anal sphincter injury. Within this population of forceps deliveries, an OP position further increases the risk of third- or fourth-degree lacerations when compared with an OA position.
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Am. J. Obstet. Gynecol. · May 2005
Incidence of perioperative complications of urogynecologic surgery in elderly women.
The purpose of this study was to determine the incidence of and risk factors for perioperative complications in elderly women who undergo urogynecologic surgery. ⋯ Pre-existing cardiovascular disease increases the risk of a significant perioperative complication in elderly women who undergo urogynecologic surgery. However, the overall perioperative morbidity rate in elderly women who undergo urogynecologic surgery is low.
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Am. J. Obstet. Gynecol. · May 2005
Obesity as a risk factor for failed trial of labor in patients with previous cesarean delivery.
This study was undertaken to determine whether obesity is a risk factor for failed trial of labor (TOL) in women with previous cesarean delivery (CD). ⋯ Obesity is an independent risk factor for failed TOL in patients with previous CD.
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Am. J. Obstet. Gynecol. · Apr 2005
Comparative StudyNo increase in rates of early-onset neonatal sepsis by antibiotic-resistant group B Streptococcus in the era of intrapartum antibiotic prophylaxis.
The aim of this study was to assess the rate of early-onset neonatal sepsis by antibiotic-resistant group B Streptococcus. ⋯ We found no increase in rates of antibiotic-resistant group B Streptococcus early-onset neonatal sepsis.
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Am. J. Obstet. Gynecol. · Apr 2005
Comparative StudyShortening increases spontaneous contractility in myometrium from pregnant women at term.
The purpose of this study was to determine whether shortening alters spontaneous contractility in myometrial strips that are obtained from pregnant women. ⋯ Shortening of myometrial strips from pregnant women at term increases spontaneous contractility by a mechanism that apparently involves prostaglandins.