American journal of obstetrics and gynecology
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Am. J. Obstet. Gynecol. · Jul 1996
Randomized Controlled Trial Comparative Study Clinical TrialA comparison of misoprostol with and without laminaria tents for induction of second-trimester abortion.
Our purpose was to determine whether intracervical placement of laminaria tents would improve the effectiveness of the prostaglandin analog misoprostol for the elective termination of pregnancies in the second trimester. ⋯ Laminaria tents inserted concurrently with the first dose of misoprostol do not significantly improve the abortifacient effect of vaginal misoprostol in the second trimester of pregnancy.
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Am. J. Obstet. Gynecol. · Jul 1996
Fetal ionized magnesium levels parallel maternal levels during magnesium sulfate therapy for preeclampsia.
Little is known about ion regulation in fetuses. Our aim was to determine the effects of magnesium sulfate therapy on ionized (bioactive) magnesium in the cord blood of pregnancies complicated by preeclampsia. ⋯ In preeclamptic women undergoing magnesium sulfate therapy, ionized magnesium levels in cord blood parallel maternal levels. Before magnesium therapy ionized calcium levels were lower in preeclamptic women than in matched controls. In the presence of elevated magnesium levels ionized calcium appears to be tightly regulated.
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Our goal was to evaluate the financial expenditures of the medical-legal tort system on the single largest medical campus in the United States. ⋯ The medical-legal system process in the United States is very long and fraught with many inequities and inefficiencies. It was found that approximately 12% of the medical-legal expenditures of the Detroit Medical Center go to the individual alleged victim after defense and plaintiff attorney fees and costs and administrative costs. The failure of the American health care system could be in jeopardy if the nation's leaders do not reform the process to provide a more cost-effective system.
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Our purpose was to determine what role interpersonal violence as intentional injury plays in the pregnant trauma victim. ⋯ Interpersonal violence during pregnancy is a frequent and increasingly common cause of maternal injury. The inconsistent relationship between Injury Severity Score and serious fetal injury or death is underscored by the loss of 5 fetuses despite an Injury Severity Score of 0.