Obstetrics and gynecology
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Obstetrics and gynecology · Jun 2003
Randomized Controlled Trial Clinical TrialRandomized clinical trial of extended spectrum antibiotic prophylaxis with coverage for Ureaplasma urealyticum to reduce post-cesarean delivery endometritis.
To determine if extended spectrum prophylactic antibiotic treatment (with efficacy against Ureaplasma urealyticum) reduces post-cesarean delivery clinical endometritis. ⋯ Extended spectrum prophylactic antibiotic treatment (with presumed efficacy against U urealyticum) given to women undergoing cesarean delivery at term shortens hospital stay and reduces the frequency of post-cesarean delivery endometritis and wound infections.
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Obstetrics and gynecology · Jun 2003
Case ReportsSuccessful treatment of life-threatening postpartum hemorrhage with recombinant activated factor VII.
Postpartum hemorrhage is one of the most common causes of maternal mortality and morbidity worldwide. The aims of treatment are to maintain the circulation and to stop the bleeding. The latter is achieved by either medical or surgical management. In intractable bleeding, emergency hysterectomy is usually required. ⋯ Recombinant factor VIIa may be an alternative hemostatic agent in a patient with life-threatening postpartum hemorrhage unresponsive to conventional therapy.
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Obstetrics and gynecology · Jun 2003
Case ReportsSuccessful treatment with recombinant factor VIIa for intractable bleeding at pelvic surgery.
Postoperative bleeding may be complicated by failure to identify the site of bleeding, multiple bleeding points, and persistent hemorrhage despite surgical intervention. ⋯ In severe hemorrhage, hemostasis can be achieved with activated recombinant factor VII.
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Obstetrics and gynecology · Jun 2003
Physician cesarean delivery rates and risk-adjusted perinatal outcomes.
To compare perinatal outcomes in obstetric practices with high and low cesarean delivery rates. ⋯ Low cesarean delivery rates reduced the rate of uterine rupture and were not associated with increased perinatal mortality. The data suggest a small increase in intracranial hemorrhages in infants delivered by physicians who perform relatively few cesarean deliveries.
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Obstetrics and gynecology · Jun 2003
Training and competency assessment in electronic fetal monitoring: a national survey.
To investigate current patterns of training and competency assessment in electronic fetal monitoring (EFM) for obstetrics and gynecology residents and maternal-fetal medicine fellows. ⋯ Most US training programs use supervised clinical experience as both their primary source of teaching EFM and their principal competency assessment tool. Residencies are more likely to have formal instruction and assessment than are fellowships. Few programs are using novel strategies (eg, computers or simulators) in their curriculum.