Obstetrics and gynecology
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To quantify anesthesia-related complications associated with cesarean delivery in a well-described, prospectively ascertained cohort from multiple university-based hospitals in the United States and to evaluate whether certain factors would identify women at increased risk for a failed regional anesthetic. ⋯ Regional techniques have become the preferred method of anesthesia for cesarean delivery. Procedure-related complications are rare and attest to the safety of modern obstetric anesthesia for cesarean delivery in the United States.
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Obstetrics and gynecology · Aug 2005
Comparative StudyPrepregnancy obesity and fetal death: a study within the Danish National Birth Cohort.
To examine the association between high prepregnancy body mass index and fetal death, allowing for the effects of gestational age, weight gain, and maternal diseases in pregnancy. ⋯ Prepregnancy obesity was associated with an increasing excess risk of fetal death with advancing gestation, and placental dysfunction may be a possible contributing factor.
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Obstetrics and gynecology · Aug 2005
Randomized Controlled Trial Clinical TrialUse of a bupivacaine continuous wound infusion system in gynecologic oncology: a randomized trial.
The aim of the current study was to evaluate the safety and efficacy of a widely available bupivacaine continuous wound infusion system in gynecologic oncology patients undergoing laparotomy. ⋯ The results suggest that although the continuous infusion system seems safe, it is not efficacious in this patient population.
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Obstetrics and gynecology · Aug 2005
Randomized Controlled Trial Comparative Study Clinical TrialContinuous compared with intermittent epidural infusion on progress of labor and patient satisfaction.
To compare continuous with intermittent epidural infusion on the duration of labor and patients' satisfaction in nulliparous women. ⋯ This study provides evidence that both continuous and intermittent epidural infusion produce comparable analgesia achieving equivalent maternal satisfaction with no difference regarding the duration of labor between them. Although patients receiving epidural analgesia experienced longer labors compared with controls, both mothers and neonates were unharmed.