Obstetrics and gynecology
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Obstetrics and gynecology · Jul 2005
Review Meta Analysis Comparative StudyCerclage for short cervix on ultrasonography: meta-analysis of trials using individual patient-level data.
Preterm birth is the main cause of perinatal morbidity and mortality. A short cervical length on transvaginal ultrasonography predicts preterm birth. Our aim was to estimate by meta-analysis of randomized trials whether cerclage prevents preterm birth in women with a short cervical length. ⋯ Cerclage does not prevent preterm birth in all women with short cervical length on transvaginal ultrasonography. In the subgroup analysis of singleton gestations with short cervical length, especially those with a prior preterm birth, cerclage may reduce preterm birth, and a well-powered trial should be carried out in this group of patients. In contrast, in twins, cerclage was associated with a significantly higher incidence of preterm birth.
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Obstetrics and gynecology · Jul 2005
Randomized Controlled Trial Comparative Study Clinical TrialTopical analgesia for endometrial biopsy: a randomized controlled trial.
To estimate whether benzocaine spray applied to the cervix and the endocervical canal before performing office endometrial biopsy improves patient comfort during the procedure. ⋯ I.
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Obstetrics and gynecology · Jul 2005
Comparative StudyHigher-risk behavioral practices associated with bacterial vaginosis compared with vaginal candidiasis.
Bacterial vaginosis has been associated with hormonal factors and sexual practices; however, the cause is unclear, and the notion that bacterial vaginosis is a sexually transmitted infection is still debated. To investigate whether bacterial vaginosis is associated with specific sexual practices or instead has features in common with a sexually transmitted infection, we compared behavioral associations in women with bacterial vaginosis to women with vaginal candidiasis. ⋯ II-2.
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Obstetrics and gynecology · Jul 2005
Comment Letter Comparative StudyAbdominal pain, bloating, and urgency.