Obstetrics and gynecology
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Obstetrics and gynecology · May 2009
Randomized Controlled Trial Comparative StudyParacervical compared with intracervical lidocaine for suction curettage: a randomized controlled trial.
To estimate the efficacy of paracervical compared with intracervical administration of local anesthesia during first-trimester suction curettage. ⋯ For women undergoing first-trimester suction curettage with conscious sedation, there was no clinically meaningful difference in pain relief between paracervical and intracervical lidocaine. Providers should feel confident that both techniques provide equally effective and acceptable analgesia.
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Obstetrics and gynecology · May 2009
Randomized Controlled TrialEarly compared with late neuraxial analgesia in nulliparous labor induction: a randomized controlled trial.
To determine whether early initiation of neuraxial analgesia (anesthetic[s] placed around the nerves of the central nervous system) compared with systemic opioid analgesia, followed later in labor by epidural analgesia, increases the rate of cesarean delivery in nulliparas undergoing induction of labor. ⋯ Early-labor neuraxial analgesia does not increase the cesarean delivery rate compared with late epidural analgesia in nulliparas undergoing induction of labor.
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Obstetrics and gynecology · May 2009
Predictors of failed pelvic arterial embolization for severe postpartum hemorrhage.
To estimate what factors are associated with a failed pelvic arterial embolization for postpartum hemorrhage and to attempt to estimate efficacy of pelvic arterial embolization in rare conditions. ⋯ The only factors significantly associated with failed pelvic arterial embolization were a higher rate of estimated blood loss (more than 1,500 mL) and more than 5 transfused red blood cell units. Attempted pelvic arterial embolization after a failed vessel ligation procedure and for a secondary postpartum hemorrhage is a good option with high success rates.
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Obstetrics and gynecology · May 2009
Controlled Clinical TrialAntenatal betamethasone administration alters stress physiology in healthy neonates.
To analyze hypothalamic-pituitary-adrenal axis balance in healthy newborns after antenatal betamethasone treatment for lung maturation where delivery could be prolonged until or near term. ⋯ A single course of antenatal betamethasone treatment induces a suppression of stress reactivity in healthy newborns.