Obstetrics and gynecology
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Obstetrics and gynecology · May 2001
Case ReportsEndotoxemia causing fetal bradycardia during urosepsis.
Fetal bradycardia is a recognized response to maternal hypothermia associated with hypoglycemia, tocolysis with magnesium sulfate, or urosepsis, and it is thought to be a direct response to the decrease in the maternal core temperature. ⋯ Fetal bradycardia in the presence of urosepsis might be due to the release of endotoxin from gram-negative bacteria, triggering production of cardiotoxic cytokines, rather than to maternal hypothermia alone.
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Obstetrics and gynecology · May 2001
Comparative StudyEffect of gender on the obstetric-gynecologic work force.
As increasing numbers of female physicians enter the specialty of obstetrics and gynecology, their productivity (defined as producing goods and services) as compared with male physicians becomes important. Data from the American Medical Association socioeconomic survey and from a survey of ACOG Fellows indicate that, as a group, female physicians in the specialty are approximately 85% as productive as male physicians in the specialty. ⋯ The increasing numbers of female physicians in the specialty will lead to a decreasing aggregate productivity. At the same time, the increasing numbers of women of all ages in the United States will lead to a decline in the available obstetrician-gynecologist work force beginning in the year 2010.
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Obstetrics and gynecology · May 2001
Case ReportsSpontaneous intracranial hypotension during pregnancy.
Spontaneous intracranial hypotension is characterized by postural headache associated with low cerebrospinal fluid pressure. ⋯ Obstetricians should be aware that spontaneous intracranial hypotension can occur in pregnancy.
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Obstetrics and gynecology · May 2001
Review Practice Guideline GuidelineACOG Committee Opinion no. 257: Committee on Genetics. Genetic evaluation of stillbirths and neonatal deaths.