Obstetrics and gynecology
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Obstetrics and gynecology · May 2005
Case ReportsPregnancy after gastric bypass surgery and internal hernia formation.
Gastric bypass is a surgical procedure that is increasingly performed in the United States to treat morbid obesity. Because of the changes associated with pregnancy, women with a history of gastric bypass surgery may be at an increased risk of gastrointestinal complications during the antepartum period, as demonstrated by these cases. ⋯ As obstetricians, we should be aware of the potential for internal hernias in pregnant patients who have undergone bariatric surgery.
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Obstetrics and gynecology · May 2005
Comment Letter Review Comparative StudyWorld Health Organization systematic review of screening tests for preeclampsia.
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Obstetrics and gynecology · May 2005
Review Meta Analysis Comparative StudyExpectant, medical, or surgical management of first-trimester miscarriage: a meta-analysis.
To quantify the relative benefits and harms of different management options for first-trimester miscarriage. ⋯ One additional success can be achieved among 3 women treated surgically rather than medically. Expectant management has had remarkably variable success rates across these studies, depending probably on the type of miscarriage. Greater standardization of outcomes should be a goal of future research.
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Obstetrics and gynecology · May 2005
Randomized Controlled Trial Multicenter Study Comparative Study Clinical TrialSubcutaneous tissue reapproximation, alone or in combination with drain, in obese women undergoing cesarean delivery.
To compare the efficacy of subcutaneous suture reapproximation alone with suture plus subcutaneous drain for the prevention of wound complications in obese women undergoing cesarean delivery. ⋯ The additional use of a subcutaneous drain along with a standard subcutaneous suture reapproximation technique is not effective for the prevention of wound complications in obese women undergoing cesarean delivery.