American journal of obstetrics and gynecology
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Am. J. Obstet. Gynecol. · Jun 1997
Randomized Controlled Trial Comparative Study Clinical TrialThe effect of placental removal method on the incidence of postcesarean infections.
Our purpose was to determine whether the incidence of postoperative endometritis and wound infection is associated with the method of placental removal at the time of cesarean section. ⋯ Spontaneous delivery of the placenta after cesarean delivery is associated with a decrease in the incidence of postcesarean infections.
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Am. J. Obstet. Gynecol. · Jun 1997
Inadequate weight gain among pregnant adolescents: risk factors and relationship to infant birth weight.
Our purpose was to identify behavioral markers for inadequate weight gain (< 20 pounds) during pregnancy among adolescents < 18 years old. ⋯ Our data suggest that behavioral risk factors are important in the identification of adolescents at greatest risk for inadequate weight gain. Early identification during pregnancy is essential to modify nutritional practices and thus minimize poor obstetric outcomes.
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Am. J. Obstet. Gynecol. · Jun 1997
Evaluation of sexual misconduct complaints: the Oregon Board of Medical Examiners, 1991 to 1995.
In 1991 the Oregon Board of Medical Examiners initiated a separate category for the complaint of sexual misconduct. Investigated complaints of sexual misconduct brought to the Oregon Board of Medical Examiners were analyzed for the years 1991 to 1995 to serve as a baseline. Comparison was made to the Federation of State Medical Boards sexual misconduct data for 1991 and 1992. ⋯ Oregon has a higher percentage of sexual misconduct complaints than the average for 42 states reporting to the Federation of State Medical Boards for the years 1991 and 1992. Analysis of the Oregon Board's experience for the study years will provide a baseline for future evaluation and as an educational resource for the Oregon Board of Medical Examiners and professional and specialty societies. Ethical standards, the reporting and investigative processes, and the legal framework are in place and lessen the incidence of sexual misconduct and work toward zero tolerance.
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Am. J. Obstet. Gynecol. · May 1997
Obstetric determinants of neonatal survival: influence of willingness to perform cesarean delivery on survival of extremely low-birth-weight infants. National Institute of Child Health and Human Development Network of Maternal-Fetal Medicine Units.
Our purpose was to evaluate the relationship between the approach to obstetric management and survival of extremely low-birth-weight infants. ⋯ The approach to obstetric management significantly influences the outcome of extremely low-birth-weight infants. Above 800 gm or 26 weeks the obstetrician should usually be willing to perform cesarean delivery for fetal indications. Between 22 and 25 weeks willingness to intervene results in greater likelihood of both intact survival and survival with serious morbidity. In these cases patients and physicians should be aware of the impact of the approach to obstetric management and consider the likelihood of serious morbidity and mortality when formulating plans for delivery.