European journal of obstetrics, gynecology, and reproductive biology
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Eur. J. Obstet. Gynecol. Reprod. Biol. · Dec 2010
Multicenter StudyPrediction of peripartum hysterectomy and end organ dysfunction in major obstetric haemorrhage.
The aims of this study are to determine the incidence and aetiology of major obstetric haemorrhage (MOH) in our population, to examine the success rates of medical and surgical interventions and to identify risk factors for peripartum hysterectomy and end organ dysfunction (EOD). ⋯ MOH is complicated by hysterectomy in 24% and end organ dysfunction in 16% of cases. The risk of peripartum hysterectomy is increased with the number of previous caesarean sections, the aetiology of the bleed, namely placenta praevia/accreta or uterine rupture and the volume of blood transfused. Critically, failure to maintain optimal haematocrit during the acute event was associated with end organ dysfunction.
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Eur. J. Obstet. Gynecol. Reprod. Biol. · Oct 2010
The pressure profile test is more sensitive and specific than Palmer's test in predicting correct placement of the Veress needle.
Although the majority of laparoscopic complications result from improper Veress needle placement, the safety tests commonly used to determine correct placement are not always reliable. A prospective observational study (Canadian Task Force Classification II-2) was set up to determine the reliability of Palmer's and pressure profile tests in predicting the correct intraperitoneal placement of the Veress needle prior to insufflation. ⋯ The pressure profile test was a more reliable guide to confirming the correct placement of the Veress needle as a negative test is more likely to indicate failure to achieve intraperitoneal placement.
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Eur. J. Obstet. Gynecol. Reprod. Biol. · Sep 2010
Primary dysmenorrhea among Mexican university students: prevalence, impact and treatment.
To evaluate the prevalence, impact and treatment of primary dysmenorrhea among Mexican university students. ⋯ The prevalence of dysmenorrhea among Mexican university students is high, and the pain that these women suffer can be severe, disabling and result in short-term SA. The pain is often not completely relieved despite the use of medication. It is necessary to improve the therapeutic options for relief of pain caused by dysmenorrhea and to minimize the impact of dysmenorrhea on social, economic and school activities.
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Eur. J. Obstet. Gynecol. Reprod. Biol. · Aug 2010
Randomized Controlled Trial Comparative StudyFast-track hysterectomy: a randomised, controlled study.
To investigate if intrathecally administered morphine combined with a low-dose mode of total intravenous anaesthesia (TIVA) accelerates recovery after abdominal surgery as compared, to patient-controlled analgesia (PCA) combined with anaesthesia, based on volatile anaesthetics. ⋯ The TIVA per- and post-operative care was an advantage over PCA in most respects.