American journal of obstetrics and gynecology
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Am. J. Obstet. Gynecol. · Nov 2001
Case ReportsArterial balloon occlusion of the hypogastric arteries: a life-saving procedure for severe obstetric hemorrhage.
In this case report we describe two patients with life-threatening postpartum hemorrhage who were treated successfully with arterial balloon occlusion of the hypogastric arteries. Arterial balloon occlusion is easy to perform and is applicable under difficult circumstances. The technique should be available in all hospitals that provide obstetric services. Obstetricians should know about it so they can ask their radiologic colleagues to perform the procedure.
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Am. J. Obstet. Gynecol. · Nov 2001
Case ReportsHematometra of the rudimentary horn of a unicornuate uterus resulting from cesarean section.
A 30-year-old woman complained of increasing dysmenorrhea and progressive right lower-quadrant pain after cesarean section. A pelvic mass was observed and subsequently a congenital müllerian anomaly was diagnosed upon serial examination. We report the first apparent case of hematometra of the rudimentary horn of a unicornuate uterus resulting from cesarean section.
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Am. J. Obstet. Gynecol. · Nov 2001
Case ReportsA pregnant woman with previous anaphylactic reaction to local anesthetics: a case report.
A 43-year-old woman with a history of lidocaine allergy required dermatologic surgery during pregnancy. To accomplish this without the use of general anesthesia, intradermal allergy testing was performed. This information enabled appropriate anesthetic care for a tissue biopsy at 29 weeks' gestation and subsequent labor analgesia and obstetric management at term.
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Am. J. Obstet. Gynecol. · Oct 2001
Randomized Controlled Trial Comparative Study Clinical TrialA randomized controlled trial comparing oxytocin administration before and after placental delivery in the prevention of postpartum hemorrhage.
To determine if the timing of the administration of prophylactic oxytocin influences the incidence of postpartum hemorrhage caused by uterine atony, retained placenta, and third-stage duration. ⋯ The administration of prophylactic oxytocin before placental delivery does not reduce the incidence of postpartum hemorrhage or third-stage duration, when compared with giving oxytocin after placental delivery. Early administration, however, does not increase the incidence of retained placenta.
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Am. J. Obstet. Gynecol. · Oct 2001
Randomized Controlled Trial Comparative Study Clinical TrialA comparison of various routes and dosages of misoprostol for cervical ripening and the induction of labor.
The purpose of this study was to compare the efficacy of different routes of misoprostol administration for cervical ripening and the induction of labor. ⋯ At the doses studied, induction of labor with vaginally administered misoprostol is more efficacious than either oral-plus-vaginal or oral-only route of administration.