American journal of obstetrics and gynecology
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Am. J. Obstet. Gynecol. · Apr 1999
Changes and challenges for women in academic obstetrics and gynecology.
In obstetrics and gynecology, more than 60% of current residents and 36% of medical school faculty are women. However, fewer than 10% of professors and only a small number of department chairs and organizational leaders are women. This paper reviews the data on the growing number of women in obstetrics and gynecology, and in medicine in general, during the past 25 years. It reviews some of the challenges that women have faced and some strategies to enhance equitable opportunities.
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Am. J. Obstet. Gynecol. · Mar 1999
ReviewRestructuring residency training in obstetrics and gynecology.
This essay presents a brief review of the history advocating a restructuring of residency training to increase the flexibility of the experience. The advantages for both the general obstetrician-gynecologist and the subspecialist are reviewed.
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Am. J. Obstet. Gynecol. · Mar 1999
Randomized Controlled Trial Multicenter Study Comparative Study Clinical TrialDouble-blind comparison of carbetocin versus oxytocin in prevention of uterine atony after cesarean section.
The goal of this study was to compare carbetocin, a long-acting oxytocin analog, with oxytocin in the prevention of uterine atony after cesarean section. ⋯ Carbetocin, a new drug for the prevention of uterine atony, appears to be more effective than a continuous infusion of oxytocin and has a similar safety profile.
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Am. J. Obstet. Gynecol. · Mar 1999
Multicenter StudyIndicated versus spontaneous preterm delivery: An evaluation of neonatal morbidity among infants weighing =1000 grams at birth.
The aim of the study was to determine whether infants weighing =1000 g after birth who are born to women who undergo indicated preterm delivery have different neonatal outcomes than do those born as a result of either spontaneous preterm labor or preterm premature rupture of membranes. ⋯ In this population of infants weighing =1000 g, selected neonatal outcomes did not differ according to birth by indicated preterm delivery, spontaneous preterm labor, or preterm premature rupture of membranes.
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Am. J. Obstet. Gynecol. · Mar 1999
Perinatal management of women with immune thrombocytopenic purpura: survey of United States perinatologists.
The aim of the study was to determine how perinatologists in the United States manage the care of women with immune thrombocytopenic purpura with respect to mode of delivery. ⋯ The management of women with immune thrombocytopenic purpura remains controversial in the United States. Approximately two thirds of perinatologists would allow a trial of labor without a procedure to determine fetal platelet count. Most physicians surveyed did not consider cesarean delivery to be protective against intracranial hemorrhage.