J Reprod Med
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To assess prenatal counseling practices of obstetrics providers related to postpartum pelvic floor dysfunction at centers with integrated urogynecology services. ⋯ Prenatal counseling of pelvic floor dysfunction risk is lacking at all levels of obstetrical training. Limitations of time and information are the obstacles most often cited by providers.
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Nonobstetric surgery during pregnancy is not an infrequent occurrence. Guidelines for fetal monitoring during nonobstetric surgery are limited. We describe a case of appendectomy during third trimester, complicated by in utero fetal demise (IUFD). ⋯ Continuous electronic fetal monitoring during third trimester nonobstetric surgery should be available and implemented after appropriate patient counseling. This approach reduces the risk of fetal mortality.
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Observational Study
Reference range for tissue oxygen saturation in pregnancy using near-infrared spectroscopy.
To estimate the reference range of tissue oxygen saturation (StO2) values in pregnancy. Near-infrared spectroscopy-derived StO2 is a noninvasive continuous measure used to predict hypoperfusion. Normal StO2 values have not been established in pregnant women. ⋯ We estimated a reference range for StO2 values in normal pregnant women. This information may contribute to the study of StO2 monitoring to predict impending shock in the obstetric patient.
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Case Reports
Airway pressure release ventilation and respiratory failure during pregnancy. A report of three cases.
Acute respiratory distress syndrome is a rare complication during pregnancy but remains dificult to manage, with a high incidence of maternal mortality. ⋯ Airway pressure release ventilation may be an important option as a ventilatory mode for management of maternal respiratory failure during pregnancy.
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Clinical Trial
A checklist for timeout on labor and delivery: a pilot study to improve communication and safety.
To assess the impact on staff communication of a standardized checklist for timeout for patients undergoing a trial of labor after cesarean section and/or elective induction at term. ⋯ Implementation of a formalized obstetric timeout improved the subjective perception of communication among obstetric staff. This tool has the potential to improve patient safety in labor and delivery.