J Reprod Med
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Case Reports Comparative Study
Tuboovarian abscesses after operative hysteroscopy.
Postoperative infection after operative hysteroscopy is uncommon. However, patients who have a past history of pelvic inflammatory disease appear to be at risk of developing such infections, including tuboovarian abscesses. Prophylactic antibiotics during operative hysteroscopy appear to be effective in preventing this problem.
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We sought to characterize the obstetric patient who required more than the 1 or 2 units of blood products typically available by autologous donation. Medical records from 1988 were reviewed retrospectively. During this period, 16,462 deliveries were performed. ⋯ Platelets, fresh frozen plasma and cryoprecipitate were administered to 7, 12 and 4 patients, respectively. An antepartum condition associated with hemorrhage was identified in only 11 of the 27 patients (41%) who received greater than or equal to 3 units of blood products. The remainder of the cases were not diagnosed during the antepartum period, when autologous donation is an option.
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Review Case Reports
Placenta membranacea, previa and accreta. A case report.
A case of placenta membranacea, previa and accreta was managed conservatively and resulted in delivery of a mature fetus. The diagnosis of placenta membranacea and previa was obtained with ultrasound. The placenta previa and accreta necessitated a cesarean delivery and hysterectomy.
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The growing use of cocaine among pregnant women and its effects on the fetus have attracted national attention. Increasing amounts of data are now available showing the specific negative obstetric, perinatal and neonatal complications. This review examines specific aspects of cocaine use during pregnancy, including pharmacology, effects on pregnancy and childbirth, perinatal and neonatal outcome, and detection of drug use.
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Randomized Controlled Trial Comparative Study Clinical Trial
Postpartum tubal sterilization. A comparative study of the Hulka clip and modified Pomeroy technique.
To assess the feasibility of Hulka clip application for postpartum sterilization, 50 women were enrolled in a randomized, prospective study comparing modified Pomeroy tubal ligation and Hulka clip application. Hulka clip tubal occlusion in the postpartum period compared favorably with the commonly performed postpartum sterilization technique. Because of the simplicity of the technique and its greater potential reversibility, Hulka clip application may have advantages over standard postpartum sterilization techniques and should be considered for use in the postpartum period.