American journal of obstetrics and gynecology
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Am. J. Obstet. Gynecol. · Dec 2003
Comparative StudyMorbidity and mortality rates of elective gynecologic surgery in the elderly woman.
The purpose of this study was to report perioperative morbidity and mortality rates in elderly women who undergo gynecologic surgery. ⋯ Postoperative complications occurred infrequently among elderly women who underwent gynecologic surgery. Although age alone is not a contraindication to elective surgery, there may be increased risks for geriatric women.
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Am. J. Obstet. Gynecol. · Dec 2003
Randomized Controlled Trial Comparative Study Clinical TrialA randomized, controlled trial to compare ketorolac tromethamine versus placebo after cesarean section to reduce pain and narcotic usage.
The purpose of this study was to determine whether postcesarean section administration of ketorolac tromethamine reduces pain and narcotic usage. ⋯ Ketorolac tromethamine is efficacious in reducing postoperative pain and narcotics usage after cesarean section.
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Am. J. Obstet. Gynecol. · Dec 2003
Randomized Controlled Trial Clinical TrialUtility of preemptive local analgesia in vaginal hysterectomy.
Our purpose was to determine whether preemptive administration of long-acting local anesthetics before vaginal hysterectomy will improve postoperative pain. ⋯ Paracervical block with a 0.5% bupivacaine with 1:200,000 epinephrine before vaginal hysterectomy is associated with lower pain scores and a reduction in morphine requirements after surgery.
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Am. J. Obstet. Gynecol. · Dec 2003
Comparative StudyFecal and urinary incontinence after vaginal delivery with anal sphincter disruption in an obstetrics unit in the United States.
The purpose of this study was to estimate the incidence of urinary and bowel incontinence in relation to anal sphincter laceration in primiparous women and to identify factors that are associated with anal sphincter laceration in a unit that uses primarily midline episiotomy. ⋯ Women with third- and fourth-degree lacerations were more likely to have bowel incontinence than women without anal sphincter lacerations. Fourth-degree lacerations appear to affect anal continence greater than third-degree lacerations.
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This study aimed at determining risk factors and pregnancy outcome in women with uterine rupture. ⋯ Uterine rupture, associated with previous cesarean section, malpresentation, and second-stage dystocia, is a major risk factor for maternal morbidity and neonatal mortality. Thus, a repeated cesarean delivery should be considered among parturients with a previous uterine scar, whose labor failed to progress.