Obstetrics and gynecology
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Obstetrics and gynecology · Oct 1996
Randomized Controlled Trial Clinical TrialRandomized trial of oxytocin alone and with propranolol in the management of dysfunctional labor.
To compare oxytocin infusion alone and with intravenous (i.v.) propranolol in the management of dysfunctional labor. ⋯ Low-dose administration of IV propranolol in patients with dysfunctional labor augmented with oxytocin safely reduced the need for cesarean delivery, particularly among patients with inadequate uterine contractility.
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Obstetrics and gynecology · Oct 1996
Comparative StudyBlood pressure patterns in normal pregnancy and in pregnancy-induced hypertension, preeclampsia, and chronic hypertension.
To compare the 24-hour blood pressure (BP) pattern in physiologic pregnancy, pregnancy-induced hypertension, preeclampsia, and chronic hypertension. ⋯ Standardized 24-hour BP monitoring during pregnancy allows quantitative and qualitative evaluations of the hypertensive status. However, if such a technique is used routinely in every clinical setting, we should establish specific thresholds of normality for pregnancy.
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Obstetrics and gynecology · Oct 1996
Forceps and vacuum delivery: a survey of North American residency programs.
To document resident instruction in operative vaginal delivery by forceps and vacuum. ⋯ Instruction in both types of operative vaginal delivery is found in most programs. The forceps are used more commonly, but vacuum is the preferred instrument in about one-third of training programs. Instruction in midpelvic delivery is offered in 64% of programs, but we noted a declining trend.
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Obstetrics and gynecology · Oct 1996
Case ReportsSacrospinous colpopexy: management of postoperative pudendal nerve entrapment.
Sacrospinous colpopexy requires the placement of a suture through the sacrospinous ligament, under which lies the pudendal nerve. Entrapment of this nerve may result in perineal or buttock pain. This report analyzes a case of pudendal nerve entrapment and studies the management of the resultant neuropathy. ⋯ Pudendal nerve entrapment should be considered in the differential diagnosis of perineal or buttock pain after sacrospinous colpopexy. Relief of pain can be achieved even 2 years after initial surgery.
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Obstetrics and gynecology · Oct 1996
Meta AnalysisContinuous labor support from labor attendant for primiparous women: a meta-analysis.
To evaluate the available literature on the effects of continuous labor support among primiparous women. ⋯ Labor support may have important positive effects on obstetric outcomes among young, disadvantaged women. Further studies on benefit relative to cost are needed before a broad-scale program is advocated.