Obstetrics and gynecology
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Obstetrics and gynecology · Jul 2009
Comparative StudyDiagnosing pulmonary embolism in pregnancy using computed-tomographic angiography or ventilation-perfusion.
To estimate the rate of nondiagnosis for patients who initially undergo computed-tomographic angiography compared with those who undergo ventilation-perfusion imaging to diagnose pulmonary embolism in pregnancy. ⋯ II.
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Acute traumatic injury during pregnancy is a significant contributor to maternal and fetal morbidity and mortality in the United States. Motor vehicle accidents are the leading cause of injury-related maternal death, followed by violence and assault. Lack of seat belts or other restraints increases the risks of both maternal and fetal morbidity and mortality. ⋯ Perimortem cesarean delivery should be considered early in the resuscitation of a pregnant trauma victim, especially when fetal viability is a concern. Once the mother is stabilized in the emergency setting, she should be transported for appropriate maternal and fetal observation until both mother and fetus are clear of danger. It is essential that the clinician and staff maintain thorough and accurate documentation and recording of the chronology of events, the maternal and fetal assessment, and the management and outcome of the pregnancy.
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Obstetrics and gynecology · Jul 2009
Effect of 17alpha-hydroxyprogesterone caproate on glucose intolerance in pregnancy.
To estimate whether 17alpha-hydroxyprogesterone caproate treatment in pregnancy increases the frequency of abnormal glucose screening and gestational diabetes mellitus (GDM). ⋯ II.
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To identify factors associated with peripartum hysterectomy performed within 30 days postpartum. ⋯ II.