Clin Exp Obstet Gyn
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Clin Exp Obstet Gyn · Jan 2011
Case ReportsSympathetic neural hyperalgesia edema syndrome, a frequent cause of pelvic pain in women, mistaken for Lyme disease with chronic fatigue.
To show that chronic fatigue syndrome can be mistakenly attributed to Lyme disease rather than considering sympathetic neural hyperalgesia edema syndrome. This common disorder of women, frequently, but not always causing pelvic pain, can present simply as chronic fatigue. ⋯ This very treatable disorder of the sympathetic nervous system should be considered in women with an unknown cause of chronic fatigue or if the symptoms persist despite treatment of another potential cause.
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Clin Exp Obstet Gyn · Jan 2010
Randomized Controlled TrialComparison of bolus remifentanil-propofol versus bolus fentanyl-propofol for dilatation and sharp curettage.
The study was conducted to determine whether bolus administrations of remifentanil-propofol could provide adequate analgesia and similar patient comfort with a faster recovery profile compared with bolus administrations of fentanyl-propofol during dilatation and sharp curettage. ⋯ Bolus injections of remifentanil appear to be a safe and effective alternative to fentanyl, producing faster recovery in providing analgesia during dilatation and sharp curettage procedures.
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Clin Exp Obstet Gyn · Jan 2010
ReviewConservative and surgical treatment of abnormal placentation: report of five cases and review of the literature.
Abnormal placentation is a serious complication of pregnancy. The disorder is also associated with significant maternal morbidity. Abnormal placentation, comprised of placenta accreta, increta, and percreta, is a leading cause of postpartum hemorrhage and indication for gravid hysterectomy. We present five cases of successful conservative and surgical management of abnormal placentation managed at our institution, together with a review of the literature.
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Clin Exp Obstet Gyn · Jan 2010
Randomized Controlled TrialDinoprostone vaginal insert versus intravenous oxytocin to reduce postpartum blood loss following vaginal or cesarean delivery.
To compare the impact of a dinoprostone vaginal insert and intravenous oxytocin in reducing blood loss of women undergoing vaginal or cesarean delivery. ⋯ Dinoprostone vaginal insert was as effective as intravenous oxytocin in the prevention of postpartum blood loss.
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To evaluate whether routine medical interventions during labor (oxytocin augmentation, induction, amniotomy, epidural analgesia) condition the outcome of delivery independently of each other and of obstetric risk (calculated in an objective manner). Moreover, to evaluate whether there is an ideal window for initiating such interventions. ⋯ Medical interventions during labor are high and cause a rise in operative delivery. Therefore, practitioners should defer it as much as possible. The exception is epidural analgesia because it seems to reduce the number of cesarean sections.