American journal of obstetrics and gynecology
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Am. J. Obstet. Gynecol. · May 1999
Randomized Controlled Trial Comparative Study Clinical TrialA comparison of orally administered misoprostol with vaginally administered misoprostol for cervical ripening and labor induction.
Our purpose was to compare orally administered with vaginally administered misoprostol for cervical ripening and labor induction. ⋯ Oral administration of 50-microgram doses of misoprostol appears less effective than vaginal administration of 25-microgram doses of misoprostol for cervical ripening and labor induction. Further investigation is needed to determine whether orally administered misoprostol should be used for cervical ripening and labor induction.
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Am. J. Obstet. Gynecol. · Apr 1999
ReviewEpidural analgesia in association with duration of labor and mode of delivery: a quantitative review.
This study was undertaken to quantitatively summarize previous literature on the effects of epidural analgesia in labor on the duration of labor and mode of delivery. ⋯ Epidural analgesia with low-dose bupivacaine may increase the risk of oxytocin augmentation but not that of cesarean delivery.
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Am. J. Obstet. Gynecol. · Apr 1999
Ruptured tubal ectopic pregnancy: risk factors and reproductive outcome: results of a population-based study in France.
The aim of this study was to investigate the determinants of tubal rupture and to describe its treatment and effect on subsequent fertility. ⋯ Although tubal rupture seriously affects the immediate health of the women concerned, it seems to have no independent effect on subsequent fertility. Better knowledge of the risk factors should make it possible to identify those women who will not benefit from nonsurgical treatment.
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Am. J. Obstet. Gynecol. · Apr 1999
Case ReportsManagement of splenic artery aneurysm rupture during trial of scar with epidural analgesia.
We report a case of ruptured splenic artery aneurysm during labor in which the clinical signs were masked by epidural analgesia. A high index of clinical suspicion must be maintained in cases of atypical epidural breakthrough pain, and attending clinicians must be prepared for the unexpected when faced with a maternal collapse.