Clin Exp Obstet Gyn
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Clin Exp Obstet Gyn · Jan 1997
Case ReportsRare manifestations of the ovarian hyperstimulation syndrome: a report of two cases.
The increasing practice of ovulation induction has made ovarian hyperstimulation syndrome (OHSS) a frequent clinical problem which can also become life-threatening. Two unusual cases of OHSS are described. The first patient presented with a unilateral pleural effusion. The second patient developed severe OHSS after a low-dose protocol with highly purified follicle stimulating hormone (FSH HP) and in the absence of risk factors.
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Clin Exp Obstet Gyn · Jan 1997
Can fetal fibronectin testing improve the management of preterm labour?
The detection of fetal fibronectin (Ffn) in cervico-vaginal secretions has been proposed as a method to differentiate true from false threatened preterm labour. This study evaluates the impact of tocolysis in the management of threatened preterm labour and compares actual practice in our department with a hypothetical management strategy based upon fetal fibronectin (Ffn) testing. Over a 12 month period, 41 women were admitted in threatened preterm labour with intact membranes before 34 weeks gestation. ⋯ The majority of women receiving tocolysis do not benefit from this treatment regardless of whether tocolysis is based upon clinical judgement. Ffn testing or a non-selective administration policy. Administering tocolysis on the basis of a positive Ffn result would be expected to increase the number of women receiving tocolysis but would make a small improvement in the treatment: potential benefit ratio when compared to "actual practice".