Obstetrics and gynecology
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Obstetrics and gynecology · Dec 2007
Randomized Controlled TrialExternal cephalic version for breech presentation with or without spinal analgesia in nulliparous women at term: a randomized controlled trial.
To compare the success of external cephalic version using spinal analgesia with no analgesia among nulliparas. ⋯ I.
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Obstetrics and gynecology · Dec 2007
Review Meta AnalysisAdvance provision of emergency contraception for pregnancy prevention: a meta-analysis.
Advance provision of emergency contraception can circumvent some obstacles to timely use. We performed a meta-analysis to summarize randomized controlled trials evaluating advance provision of emergency contraception to explore effects on pregnancy rates, sexually transmitted infections, and sexual and contraceptive behaviors. ⋯ III.
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Obstetrics and gynecology · Dec 2007
GuidelineACOG Committee Opinion No. 390, December 2007. Ethical decision making in obstetrics and gynecology.
Physicians vary widely in their familiarity with ethical theories and methods and their sensitivity toward ethical issues. It is important for physicians to improve their skills in addressing ethical questions. ⋯ By considering the ethical frameworks involving principles, virtues, care and feminist perspectives, concern for community, and case precedents, they can enhance their ability to make ethically justifiable clinical decisions. Guidelines,consisting of several logical steps, are offered to aid the practitioner in analyzing and resolving ethical problems.
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Obstetrics and gynecology · Dec 2007
Practice GuidelineACOG Committee Opinion No. 394, December 2007. Cesarean delivery on maternal request.
Cesarean delivery on maternal request is defined as a primary cesarean delivery at maternal request in the absence of any medical or obstetric indication. A potential benefit of cesarean delivery on maternal request is decreased risk of hemorrhage for the mother. ⋯ Cesarean delivery on maternal request should not be performed before gestational age of 39 weeks has been accurately determined unless there is documentation of lung maturity. Cesarean delivery on maternal request is not recommended for women desiring several children, given that the risks of placenta previa, placenta accreta, and the need for gravid hysterectomy increase with each cesarean delivery.