Obstetrics and gynecology
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Obstetrics and gynecology · Nov 2011
Review Meta AnalysisEffect of regional anesthesia on the success rate of external cephalic version: a systematic review and meta-analysis.
To estimate whether the use of regional anesthesia is associated with increased success of external cephalic version. ⋯ Regional anesthesia is associated with a higher success rate of external cephalic version.
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Obstetrics and gynecology · Nov 2011
Randomized Controlled Trial Comparative StudyLabor room setting compared with the operating room for simulated perimortem cesarean delivery: a randomized controlled trial.
To compare the labor room and operating room for perimortem cesarean delivery during simulated maternal arrests occurring outside the operating room. We hypothesized transport to the operating room for perimortem cesarean delivery would delay incision and other important resuscitation milestones. ⋯ Perimortem cesarean delivery performed in the labor room was significantly faster than perimortem cesarean delivery performed after moving to the operating room. Delivery within 5 minutes was challenging in either location despite optimal study conditions (eg, the manikin was light and easily moved; teams knew the scenario mandated perimortem cesarean delivery and were aware of being timed). Our findings imply that perimortem cesarean delivery during actual arrest would require more than 5 minutes and should be performed in the labor room rather than relocating to the operating room.
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Obstetrics and gynecology · Nov 2011
ReviewVenous thromboembolism prophylaxis in gynecologic surgery: a systematic review.
To comprehensively review and critically assess the available gynecologic surgery venous thromboembolism prophylaxis literature and provide clinical practice guidelines. ⋯ Intermittent pneumatic compression provides sufficient prophylaxis for the majority of gynecology patients undergoing benign surgery. Additional risk factors warrant the use of combined mechanical and pharmacologic prophylaxis.
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To describe the frequency, patterns, and associations of Obstetrics & Gynecology author conflict of interest disclosures over a 2-year period. ⋯ Conflict of interest is disclosed in approximately 20% of original research articles, is more common in level I evidence papers, and appears inconsistent for 12% of repeat authors, suggesting an opportunity to improve disclosure practices.