Obstetrics and gynecology
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Obstetrics and gynecology · Jun 1999
Endometrial thickness in tamoxifen-treated patients: an independent predictor of endometrial disease.
To assess the independent contribution of transvaginal ultrasound in identifying women at risk for endometrial disorders, and determine whether a cutoff value identifies women who need endometrial histologic assessment. ⋯ In women taking tamoxifen, sonographic endometrial thickness exceeding 9 mm and the presence of vaginal bleeding are independent predictors of endometrial disease. If either exists, hysteroscopy and biopsy should be done.
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Obstetrics and gynecology · Jun 1999
Randomized Controlled Trial Clinical TrialEpidural analgesia and active management of labor: effects on length of labor and mode of delivery.
To determine whether cervical dilatation at the time of placement of patient-requested epidural affects cesarean rates or lengths of labors in actively managed parturients. ⋯ Early epidural placement did not affect lengths of labor or cesarean rates and was actually associated with shorter labor compared with late epidural placement. Women managed actively in labor, regardless of timing of epidural placement, had shorter labors than controls.