Obstetrics and gynecology
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Obstetrics and gynecology · Jan 2003
Randomized Controlled Trial Comparative Study Clinical TrialOil-soluble contrast during hysterosalpingography in women with proven tubal patency.
To determine if there are therapeutic advantages to oil-soluble contrast medium compared with water-soluble medium during hysterosalpingography. A randomized, controlled trial including 56 infertile patients undergoing hysterosalpingography was performed. After a hysterosalpingogram with water-soluble contrast demonstrated tubal patency, 30 patients were randomized to receive oil-soluble contrast medium (oil group) and 26 patients received no additional contrast medium (control group). ⋯ There were 18 (64%) pregnancies in the oil group and 14 (56%) pregnancies in the control group. Mean time to achieve pregnancy was shorter in the oil group: 3.8 months in the oil group compared with 6.1 months in the control group (P =.06) There was a clinically meaningful improvement in pregnancy rates between the oil group and the control group at 1 month postprocedure (relative risk [RR] 2.1, 95% confidence interval [CI] 0.6, 7.2). However, at 12 months postprocedure, the advantage was diminished. (RR 1.3, CI 0.8, 2.1)Eighteen months after hysterosalpingography, contrast does not appear to influence cumulative pregnancy rates; however, the addition of oil-soluble contrast medium to water-soluble contrast medium may have the potential to reduce the time to conception.
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Obstetrics and gynecology · Jan 2003
Post-cesarean delivery fever and uterine rupture in a subsequent trial of labor.
To evaluate the association of uterine rupture during a trial of labor after cesarean with postpartum fever after the prior cesarean delivery. ⋯ Postpartum fever after cesarean delivery is associated with an increased risk of uterine rupture during a subsequent trial of labor.