American journal of obstetrics and gynecology
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A case of parenchymal pulmonary endometriosis, a very rare gynecologic problem, is presented. Hormonal suppressive therapy was accomplished by pregnancy. This patient has remained free of symptoms as she has been breast-feeding and amenorrheic. Long-term follow-up is essential because of the high recurrence rate.
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We reviewed maternal deaths in the state of Michigan occurring from 1972 through 1984. There were 15 maternal deaths in which anesthesia was considered the primary cause and 4 deaths in which anesthesia was a contributory factor. ⋯ Obesity was a risk factor in 12 patients, in an equal number of patients the risk factor was the emergent nature of the operation, and hypertensive disease was a risk factor in eight. Thirteen of the 15 deaths occurred in black patients.
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By the year 2000 nearly 60% of practicing obstetrician-gynecologists will have graduated from medical school after 1975 and been in practice 20 years or less. At the midpoint of that era we estimate and examine the numbers of such specialists (more than 40,000 by the year 2000), the percentage of women obstetrician/gynecologists (26% in the year 2000), their predominant forms of practice, practice differences between men and women specialists, the changing and aging of the populations of women they will serve, and the participation of young physicians in medical organizations. All of these reflect the picture of our specialty when a new century begins.
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Am. J. Obstet. Gynecol. · Mar 1988
Randomized Controlled Trial Comparative Study Clinical TrialTreatment of hospitalized patients with acute pelvic inflammatory disease: comparison of cefotetan plus doxycycline and cefoxitin plus doxycycline.
Acute pelvic inflammatory disease remains the major medical and economic consequence of sexually transmitted diseases among young women. The polymicrobial origins of pelvic inflammatory disease have been well documented and the major organisms recovered from the upper genital tract in patients with pelvic inflammatory disease include Chlamydia trachomatis, Neisseria gonorrhoeae, and mixed anaerobic and aerobic bacteria. This study was undertaken to compare the efficacy and safety of cefotetan plus doxycycline with that of cefoxitin plus doxycycline in the treatment of hospitalized patients with acute pelvic inflammatory disease. ⋯ At 1 week and 3 weeks, respectively, the posttreatment cultures demonstrated eradication, in all instances, of N. gonorrhoeae and C. trachomatis. These regimens also were very effective in eradicating anaerobic and aerobic pathogens from the endometrial cavity. Both regimens were well tolerated by the patients, and few adverse drug affects were noted.
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Am. J. Obstet. Gynecol. · Mar 1988
Clinical indications for pulmonary artery catheterization in the patient with severe preeclampsia.
The obstetric literature reflects an increased interest in invasive hemodynamic monitoring during the past decade. While much of this interest has focused on research applications, the patient with severe preeclampsia may benefit clinically from pulmonary artery catheterization under several circumstances. These conditions include severe hypertension unresponsive to conventional antihypertensive therapy, pulmonary edema, persistent oliguria unresponsive to fluid challenge, and in induction of conduction anesthesia in select patients. Theoretical and clinical evidence to support this contention is presented.