Clin Exp Obstet Gyn
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Clin Exp Obstet Gyn · Jan 2013
Randomized Controlled Trial Comparative StudyOndansetrone or metoclopromide? Which is more effective in severe nausea and vomiting of pregnancy? A randomized trial double-blind study.
Nausea and vomiting of pregnancy (NVP) are seen in 50-80% of pregnancies. However, in severe NVP, called hypermesis gravidarum (HG), medical therapy to reduce nausea and vomiting is inevitable and ondansetron (OND) as an effective drug has recently been proposed. This study evaluated the effectiveness of OND versus metoclopramide (MET) in the treatment of HG. ⋯ OND has a more favorable effect in controlling severe vomiting.
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Clin Exp Obstet Gyn · Jan 2013
Randomized Controlled TrialMaternal and umbilical cord oxygen content and acid-base balance in relation to general, epidural or subarachnoid anesthesia for term elective cesarean section.
To compare maternal and neonatal oxygenation and acid-base status after elective cesarean section (CS) under different anesthetic techniques. ⋯ Neonatal oxygenation and acid-base status values were better preserved when GA was administered for elective CS compared to regional modalities. Apgar scores and neonatal outcomes were not affected by the anesthetic technique.
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Clin Exp Obstet Gyn · Jan 2013
Randomized Controlled Trial Comparative StudyInvestigation on delivery analgesia effect of combined spinal epidural anesthesia plus Doula and safety of mother and baby.
To explore the effect of patient-controlled lumbar epidural combined anesthesia with Doula for labor analgesia with ropivacaine and sufentanil, and its influence on the progress of labor, and outcomes of mother and infant. ⋯ Labor analgesia by patient-controlled lumbar epidural combined anesthesia accompanied with Doula with ropivacaine and sufentanil is effective, safe, reliable, has no adverse effects, and reduces cesarean section rate.
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Clin Exp Obstet Gyn · Jan 2013
Case ReportsAn autopsy case of acute aortic dissection during postpartum period.
Aortic dissection in young women without Marfan disease is related in most instances to pregnancy. This is a potentially catastrophic occurrence. ⋯ This case is presented to raise awareness and review the literature for the critical care of postpartum patients.
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Open fetal surgery is usually performed during the second trimester in a fetus suffering from severe congenital diseases, thus enabling the pregnancy to continue until delivery. ⋯ The authors have performed three cases under inhalation anesthesia combined with successful epidural anesthesia.