J Reprod Med
-
Comparative Study Clinical Trial Controlled Clinical Trial
Blood pressure monitoring during pregnancy. Accuracy of portable devices designed for obese patients.
To compare the accuracy of three commercially available blood pressure monitoring devices having cuffs placed at different anatomic sites on obese pregnant women with large arms. ⋯ Despite their commercial appeal, none of these portable blood pressure monitoring devices was accurate for use by obese pregnant patients with large arms.
-
To demonstrate, in a university hospital setting, that the introduction of laparoscopically assisted vaginal hysterectomy reduced the need for abdominal hysterectomy and increased resident experience in vaginal surgery. ⋯ Laparoscopically assisted vaginal hysterectomy, when used as an alternative to abdominal hysterectomy in patients not considered candidates for vaginal hysterectomy, decreased the need for abdominal hysterectomy, with fewer complications, and shorter hospital stay and increased resident experience with vaginal surgery.
-
To clarify whether preoperative treatment with gonadotropin-releasing hormone (GnRH) agonists offers substantial advantages to patients undergoing conservative or definitive surgery for uterine leiomyomas. ⋯ The available data seem to support the use of GnRH agonist treatment before surgery for uterine leiomyomas in selected circumstances. Administration of GnRH agonist for only two or three months preoperatively seems to achieve all the advantages of this treatment, limiting side effects and cost.
-
Pregnancy is contraindicated in uncorrected tricuspid atresia. Even following palliative surgery with the Fontan procedure, only four pregnancies have been reported. ⋯ Five similar pregnancies, including this one, have been reported. Although all were successful, three infants were preterm and two growth retarded. This observation suggests that for these patients, pregnancy must be monitored closely even though the mothers may be hemodynamically stable.
-
To evaluate critical care diagnoses and their frequency in an air transport situation. ⋯ Critical care diagnoses represented about 25% of all obstetric air transports in this study. Our transport team is made up of an obstetric flight nurse and another team member (adult trauma nurse, neonatal flight nurse, flight respiratory therapist of flight paramedic). Skill in both obstetric diagnosis and management and in critical care necessary in these situations.