The journal of obstetrics and gynaecology research
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J. Obstet. Gynaecol. Res. · May 2013
Associations among depression, anxiety and somatic symptoms in peri- and postmenopausal women.
The aim of this study was to investigate the associations among depression, anxiety and physical symptoms in peri- and postmenopausal women in a clinical setting. ⋯ Headaches were associated with depression, whereas nausea and numbness were associated with anxiety in peri- and postmenopausal women. The assessment of underlying mood disorders is required for the management of middle-aged women presenting with these somatic symptoms.
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J. Obstet. Gynaecol. Res. · May 2013
Hypertensive pregnancy disorders as a risk factor for future cardiovascular and metabolic disorders (Tehran Lipid and Glucose Study).
Although hypertensive pregnancy disorders (HPD) are common worldwide, there is no consensus regarding their long-term cardiovascular and metabolic consequences. We aimed to ascertain the association between HPD and the development of cardiovascular and metabolic disturbances later in life. ⋯ Women with a history of hypertension in pregnancy are at increased risk for subsequent diagnosis of hypertension, dyslipidemia and T2DM later in life. These women may benefit from close monitoring and timely implementation of primary prevention measures of cardiovascular and metabolic risk factors and lifestyle modifications.
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J. Obstet. Gynaecol. Res. · Apr 2013
Fibrinogen concentrate substitution therapy for obstetric hemorrhage complicated by coagulopathy.
The aim of this study was to assess the efficacy and safety of fibrinogen concentrate therapy for women with obstetric hemorrhage complicated by dilutional or consumptive coagulopathy by retrospectively reviewing the medical records of relevant patients from a single tertiary center. ⋯ Fibrinogen concentrate substitution therapy for obstetric hemorrhage increases fibrinogen levels and appears to be effective in managing dilutional or consumptive coagulopathy.
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J. Obstet. Gynaecol. Res. · Apr 2013
Comparative StudyPerinatal outcomes: intravenous patient-controlled fentanyl versus no analgesia in labor.
To investigate perinatal outcomes, the analgesic efficacy and maternal satisfaction in nulliparous women receiving fentanyl intravenous patient-controlled analgesia (i.v.-PCA). ⋯ Fentanyl i.v.-PCA could be a useful approach for labor pain relief in nulliparas when regional blocks are unavailable.
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J. Obstet. Gynaecol. Res. · Feb 2013
Randomized Controlled Trial Comparative StudyIntravenous iron sucrose versus oral iron in treatment of iron deficiency anemia in pregnancy: a randomized clinical trial.
Iron deficiency is a leading cause of anemia in pregnancy. The present study aimed to compare the efficacy of oral and intravenous iron therapy in improving iron deficiency anemia in pregnancy and restoring iron stores, compare the obstetric outcome in the two groups and evaluate the safety of intravenous iron sucrose. ⋯ Intravenous administration of iron sucrose is a safe treatment for correction of anemia in pregnancy, without serious side-effects.