Obstetrics and gynecology
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Obstetrics and gynecology · Oct 2003
Intrapartum computerized fetal heart rate parameters and metabolic acidosis at birth.
To estimate to what extent computerized fetal heart rate (FHR) parameters are affected by labor and to estimate the relationship between FHR parameters and the degree of fetal metabolic acidosis in laboring patients at term. ⋯ In term pregnant women with reassuring FHR tracing, labor causes an increase in both short- and long-term FHR variation, which was abolished in the presence of nonreassuring FHR tracing. Computer-derived FHR parameters studied during the last hour of labor were not correlated with the degree of metabolic acidosis as measured in the umbilical artery at birth.
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Obstetrics and gynecology · Oct 2003
Changes in maternal characteristics and obstetric practice and recent increases in primary cesarean delivery.
To estimate the contribution of changes in maternal characteristics (namely, age, parity, prepregnancy weight, weight gain in pregnancy, smoking status) and obstetric practice (namely, labor induction, epidural anesthesia, delivery by an obstetrician, midpelvic forceps delivery) to recent increases in primary cesarean delivery rates. ⋯ Recent increases in primary cesarean delivery rates are a consequence of changes in maternal characteristics. Obstetric practice, which has altered due to changes in maternal characteristics and concerns related to fetal and maternal safety, has also contributed to increases in primary cesarean delivery.
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Obstetrics and gynecology · Oct 2003
Case ReportsEmbolization of a uterine arteriovenous malformation followed by a twin pregnancy.
Uterine arteriovenous malformation is a lesion that can cause recurrent pregnancy loss. Very few successful pregnancies have been reported after selective embolization of an arteriovenous malformation. ⋯ Uterine arteriovenous malformation can be successfully treated with selective embolization, with good obstetric outcome.
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Obstetrics and gynecology · Oct 2003
ACOG committee opinion number 288, October 2003: professional liability and gynecology-only practice.
Some Fellows of the American College of Obstetricians and Gynecologists limit the scope of their practices solely to gynecology. The College considers early pregnancy complications (often up to 12-14 weeks of gestation) to be within the definition of gynecology. Liability insurance should cover the role of gynecologists in the management of early pregnancy-related conditions.
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Obstetrics and gynecology · Oct 2003
ACOG committee opinion number 286, October 2003: patient safety in obstetrics and gynecology.
Emphasis on patient safety has increased in the past few years mostly in response to the Institute of Medicine report "To Err Is Human: Building a Safer Health System." Obstetrician*gynecologists should incorporate elements of patient safety into their practices and also encourage others to use these practices. The American College of Obstetricians and Gynecologists (ACOG) is committed to improving quality and safety in women's health care. ⋯ The American College of Obstetricians and Gynecologists continues to emphasize its long-standing commitment to quality and patient safety by codifying a set of objectives that should be adopted by obstetrician*gynecologists in their practices. Obstetrician*gynecologists are encouraged to promulgate these principles in the hospitals and other settings where they practice.