Obstetrics and gynecology
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Obstetrics and gynecology · Feb 2002
Multicenter Study Comparative StudyThe efficacy of telecolposcopy compared with traditional colposcopy.
Rural women have increased rates of cervical neoplasia, but colposcopic services are limited in rural clinics. The purpose of this study was to estimate the efficacy of telecolposcopy for women in rural health care sites. ⋯ Teleconsultation was used for a substantial number of examinations. Diagnostic accuracy was maintained, but determination of colposcopic examination adequacy may be impaired by telecolposcopy. Telecolposcopy may help reduce barriers to medical access for women in rural areas.
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Obstetrics and gynecology · Feb 2002
Adjuvant high dose rate vaginal brachytherapy as treatment of stage I and II endometrial carcinoma.
To evaluate the efficacy of high dose rate vaginal brachytherapy in the treatment of International Federation of Gynecology and Obstetrics stage IB, IC, and II endometrial carcinoma after surgical staging and complete lymphadenectomy. ⋯ Adjuvant high dose rate vaginal brachytherapy in thoroughly staged patients with intermediate-risk endometrial carcinoma provides excellent overall and disease-free survival with less toxicity and at less cost compared with whole-pelvic radiation.
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Obstetrics and gynecology · Feb 2002
Case ReportsComplications of third-trimester amniocentesis using continuous ultrasound guidance.
The objective of the study was to estimate the risks of third-trimester amniocentesis with continuous ultrasound guidance. ⋯ Third-trimester amniocentesis performed with continuous ultrasound guidance has a high success rate and low risk for complications.
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Obstetrics and gynecology · Feb 2002
Practice Guideline GuidelineACOG Committee Opinion number 269 February 2002. Analgesia and cesarean delivery rates. American College of Obstetricians and Gynecologists.
Various studies report conflicting data with regard to the level of risk of cesarean delivery for nulliparous women who receive epidural analgesia before 5 cm of cervical dilatation. As a result, some institutions are requiring that laboring women reach 4-5 cm of dilatation before receiving epidural analgesia. The American College of Obstetricians and Gynecologists wishes to reaffirm the opinion published jointly with the American Society of Anesthesiologists that while under a physician's care, in the absence of a medical contraindication, maternal request is a sufficient medical indication for pain relief during labor. Decisions regarding analgesia should be coordinated among the obstetrician, the anesthesiologist, the patient, and support personnel.
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Obstetrics and gynecology · Feb 2002
Historical ArticleFurthering the profession: the early years of the American Gynecological Club and its first European tours.
Beginning early in the 20th century, a group of North American leaders in obstetrics and gynecology met annually to promote the furtherance of the specialty. The American Gynecological Club held its meetings at academic medical centers, spending 2 to 4 days viewing the latest diagnostic and operative techniques and hearing presentations by investigators at that institution. On several occasions, club members spent 1 month visiting the foremost medical centers in Great Britain and continental Europe, where they observed surgical procedures, attended clinics, and established friendships that transcended national boundaries. The early years of the American Gynecological Club represent a somewhat idyllic and bygone era in medicine and obstetrics and gynecology.