European journal of obstetrics, gynecology, and reproductive biology
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Eur. J. Obstet. Gynecol. Reprod. Biol. · Jan 2014
Randomized Controlled TrialSharp compared with blunt fascial incision at cesarean delivery: a randomized controlled trial with each case as her own control.
To compare patient preference for either sharp incision with scissors or blunt manual cleavage of the fascia at cesarean delivery in a randomized controlled trial in which each woman was her own control. ⋯ ClinicalTrials.gov: www.clinicaltrials.org;NCT01297725.
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Eur. J. Obstet. Gynecol. Reprod. Biol. · Dec 2013
A pilot study on the combined use of letrozole, mifepristone and misoprostol in termination of first trimester pregnancy up to 9 weeks' gestation.
To assess the feasibility of adding letrozole to the standard regimen of mifepristone and misoprostol for termination of pregnancy up to 63 days. ⋯ The results of this pilot study suggest that a regimen of mifepristone, letrozole and misoprostol is associated with a high complete abortion rate without major adverse events.
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Eur. J. Obstet. Gynecol. Reprod. Biol. · Dec 2013
Observational StudyComparison of serum anti-Mullerian hormone levels following hysterectomy and myomectomy for benign gynaecological conditions.
To compare serum anti-Mullerian hormone (AMH) levels following hysterectomy and myomectomy. ⋯ Serum AMH was significantly lower 2 days and 3 months following hysterectomy compared with the pre-operative level. Following myomectomy, serum AMH was significantly lower than the pre-operative level 2 days following the procedure, but was similar to the pre-operative level 3 months after surgery. Therefore, hysterectomy may have a more lasting adverse effect on ovarian reserve than myomectomy. A long-term study of AMH levels is needed.
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Eur. J. Obstet. Gynecol. Reprod. Biol. · Dec 2013
Placental growth factor and soluble fms-like tyrosine kinase-1 are useful markers for the prediction of preeclampsia but not for small for gestational age neonates: a longitudinal study.
To determine maternal serum concentrations of placental growth factor (PlGF) and soluble fms-like tyrosine kinase-1 (sFlt-1) longitudinally in normal pregnancies, pregnancies that developed preeclampsia and pregnancies that deliver a small for gestational age (SGA) infant, in order to evaluate them as markers for the prediction of preeclampsia. ⋯ Our study confirms that maternal serum PlGF concentration is significantly lower, at least after 20th week, while sFlt-1 concentration is significantly higher in 3rd trimester, in pregnancies destined to develop preeclampsia. Pregnancies that gave birth to SGA infants do not have altered angiogenic factor concentrations throughout pregnancy. The relative difference of PlGF from the 1st to the 2nd trimester, uterine artery Doppler PI in the 2nd trimester and BMI are the most powerful markers for the prediction of preeclampsia.
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Eur. J. Obstet. Gynecol. Reprod. Biol. · Nov 2013
Increasing rates of operative vaginal delivery across two decades: accompanying outcomes and instrument preferences.
To examine rates and outcomes of operative vaginal delivery over a 20-year study period and the changing preference for various instruments during this period. ⋯ Rates of operative vaginal delivery have increased over the 20-year study period. The rate of perinatal mortality in infants who had an assisted vaginal delivery was decreased in the 5-year epoch at the end of the study compared with the period at the beginning. The rate of forceps delivery has fallen significantly, with vacuum delivery now being the choice of the majority of clinicians.