European journal of obstetrics, gynecology, and reproductive biology
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Eur. J. Obstet. Gynecol. Reprod. Biol. · Aug 2005
Myasthenia gravis: management issues during pregnancy.
Myasthenia gravis (MG) often affects women in the second and third decades of life, overlapping with the childbearing years. The course of the disease is unpredictable during pregnancy; however, worsening of symptoms occurs more likely during the first trimester and postpartum. MG can be well managed during pregnancy with relatively safe and effective therapies. ⋯ Epidural anesthesia is advised to reduce physical and emotional stress. MG during pregnancy can lead to serious life-threatening conditions, including respiratory insufficiency; therefore, intensive checkups by a gynaecologist and a neurologist are necessary. Women with myasthenia gravis should not be discouraged from conceiving; however, they should discuss their plan for pregnancy with their neurologist and their gynaecologist.
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Eur. J. Obstet. Gynecol. Reprod. Biol. · Jul 2005
Randomized Controlled Trial Comparative Study Clinical TrialComparison of the maternal and neonatal effects of epidural block and of combined spinal-epidural block for Cesarean section.
Combined spinal-epidural block (CSEB) has aroused increasing interest, as it combines the reliability of a spinal block and the flexibility of an epidural block (EB). We have conducted a comparative investigation of the maternal and fetal effects of CSEB and of EB administered for Cesarean section. ⋯ We decided that CSEB, and more specifically spinal anesthesia with supporting epidural anesthesia, has greater efficacy and fewer side effects than EB when administered for Cesarean section.
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Eur. J. Obstet. Gynecol. Reprod. Biol. · Jul 2005
Comparative StudyComparison of maternal satisfaction following vaginal delivery after caesarean section and caesarean section after previous vaginal delivery.
To compare (i) satisfaction levels among women who delivered vaginally after one previous caesarean (VBAC) with women delivered by caesarean after previous vaginal delivery (CSAVD) and (ii) to assess reasons why women may request caesarean delivery on subsequent pregnancies. ⋯ Maternal satisfaction with vaginal delivery is high. Those who have experienced both modes of delivery would prefer vaginal birth on future pregnancies. These findings are reassuring to women contemplating vaginal delivery.
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Eur. J. Obstet. Gynecol. Reprod. Biol. · Jun 2005
Digital recording of surgical procedures using a personal computer.
To develop a system for recording surgical procedure digitally using a personal computer with real-time compression of the video signal. ⋯ A digital recording system built around a standard personal computer is relatively cheap, versatile and has a huge capacity to record surgical procedures.