American journal of obstetrics and gynecology
-
Am. J. Obstet. Gynecol. · Mar 1999
Randomized Controlled Trial Multicenter Study Clinical TrialRandomized controlled trial of prevention of perineal trauma by perineal massage during pregnancy.
The aim of the study was to evaluate the effectiveness of perineal massage during pregnancy for the prevention of perineal trauma at birth. ⋯ Perineal massage is an effective approach to increasing the chance of delivery with an intact perineum for women with a first vaginal delivery but not for women with a previous vaginal birth.
-
Am. J. Obstet. Gynecol. · Feb 1999
Comparative StudyObservations on labor epidural analgesia and operative delivery rates.
Our purpose was to compare operative vaginal and abdominal delivery rates in a large population before and after on-demand labor epidural analgesia became available. ⋯ The introduction of an on-demand labor epidural analgesia service does not increase the rate of cesarean delivery or operative vaginal delivery.
-
Am. J. Obstet. Gynecol. · Feb 1999
Randomized Controlled Trial Multicenter Study Comparative Study Clinical TrialLaparoscopically assisted vaginal hysterectomy versus total abdominal hysterectomy: a prospective, randomized, multicenter study.
The objective of this study was to evaluate short-term results of laparoscopically assisted vaginal hysterectomy with those of total abdominal hysterectomy in a prospective, randomized, multicenter study. ⋯ The present study demonstrates that, given adequate training in laparoscopic surgery, laparoscopically assisted vaginal hysterectomy may replace abdominal hysterectomy in most patients who require a hysterectomy and have contraindications to vaginal hysterectomy, with all the benefits associated with the vaginal route.
-
Am. J. Obstet. Gynecol. · Feb 1999
Response of obstetrics and gynecology program directors to a domestic violence lecture module.
Our goal was to determine the use by obstetrics and gynecology residency program directors of The American College of Obstetricians and Gynecologists' domestic violence slide lecture module and the opinions of the directors regarding its efficacy. ⋯ The majority of obstetrics and gynecology resident program directors who responded to the survey integrated or will integrate an American College of Obstetricians and Gynecologists-created learning module on domestic violence into their residents' and medical students' formal curricula.
-
Am. J. Obstet. Gynecol. · Jan 1999
Case ReportsFavorable response of Eisenmenger syndrome to inhaled nitric oxide during pregnancy.
Our goal was to evaluate the effectiveness of therapy with a specific pulmonary vasodilator, nitric oxide, in a woman with Eisenmenger syndrome during pregnancy. ⋯ Inhaled nitric oxide can be used to correct the hypoxemia of Eisenmenger syndrome. Nitric oxide inhalation is easily performed, and pulmonary vasodilatory effects commence within minutes after administration.