American journal of obstetrics and gynecology
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Am. J. Obstet. Gynecol. · Jul 1998
Randomized Controlled Trial Clinical TrialThe effect of maternal position on fetal heart rate during epidural or intrathecal labor analgesia.
This study was designed to determine the relationship between maternal position and the incidence of prolonged decelerations after epidural bupivacaine or intrathecal sufentanil analgesia for labor. ⋯ The risk of prolonged deceleration after epidural bupivacaine or intrathecal sufentanil labor analgesia is unrelated to maternal position or analgesic technique.
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Am. J. Obstet. Gynecol. · Jul 1998
Randomized Controlled Trial Clinical TrialOmitting the first oral contraceptive pills of the cycle does not automatically lead to ovulation.
Our purpose was to test the hypothesis that omitting the first three pills of the contraceptive cycle leads to ovulation. ⋯ Follicular growth up to preovulatory size is common in women missing the first one to three pills of their contraceptive cycle. Although this creates the prerequisite for ovulation, normal ovulation did not occur when pill omissions were limited to only 3 days.
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Am. J. Obstet. Gynecol. · Jun 1998
Medically sound, cost-effective treatment for pelvic inflammatory disease and tuboovarian abscess.
Our purpose was to determine the clinical effectiveness and cost-effectiveness of three antibiotic regimens for the treatment of pelvic inflammatory disease and tuboovarian abscess. ⋯ Cefotetan plus oral doxycycline is the most cost-effective regimen for treating uncomplicated pelvic inflammatory disease, whereas triple-antibiotic therapy is the treatment of choice in women with tuboovarian abscess.
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Am. J. Obstet. Gynecol. · Jun 1998
Case ReportsObstetric maneuvers for shoulder dystocia and associated fetal morbidity.
We sought to determine the fetal injury rate associated with shoulder dystocia and to determine whether there is a higher rate of brachial plexus injury or bone fracture when fetal manipulation techniques are required for delivery. ⋯ Direct fetal manipulation techniques used to alleviate shoulder dystocia are not associated with an increased rate of bone fracture or brachial plexus injury.
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Am. J. Obstet. Gynecol. · Jun 1998
Abnormalities detected on transvaginal ultrasonography in tamoxifen-treated postmenopausal breast cancer patients may represent endometrial cystic atrophy.
This study was conducted to examine the histopathologic changes in tamoxifen-treated postmenopausal patients with endometrial thickness > or = 5 mm with transvaginal ultrasonography. ⋯ Endometrial polyps were a frequent finding in tamoxifen-treated postmenopausal women who had endometrial thickness > or = 5 mm with the use of transvaginal ultrasonography. Endometrial cystic atrophy may explain "thickened endometrium" on transvaginal ultrasonography in this patient population with no evidence of endometrial polyps, hyperplasia, or adenocarcinoma after surgical evaluation.