Obstetrics and gynecology
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Obstetrics and gynecology · Apr 2011
ReviewDiagnosis, pathophysiology, and management of mood disorders in pregnant and postpartum women.
Mood disorders disproportionately affect women across the lifespan. Mood disorders in pregnancy and the postpartum period are common and have profound implications for women and their children. These include obstetric and neonatal complications, impaired mother-infant interactions, and, at the extreme, maternal suicide and infanticide. ⋯ Counseling may be sufficient for perinatal women who have mild to moderate depression, but women who are severely depressed are likely to require antidepressant treatment. Women with bipolar disorder are at high risk for relapse if mood stabilizer medication is discontinued, and they are vulnerable to relapse near the time of delivery. Comanagement of their care with psychiatrists will increase their chances of avoiding a recurrence of illness.
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Obstetrics and gynecology · Apr 2011
Randomized Controlled Trial Comparative StudyEffects of maternal obesity on tissue concentrations of prophylactic cefazolin during cesarean delivery.
To estimate the adequacy of antimicrobial activity of preoperative antibiotics at the time of cesarean delivery as a function of maternal obesity. ⋯ II.
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Obstetrics and gynecology · Apr 2011
Trends in ectopic pregnancy mortality in the United States: 1980-2007.
To estimate trends in ectopic pregnancy mortality and examine characteristics of recently hospitalized women who died as a result of ectopic pregnancy in the United States. ⋯ Despite a significant decline in ectopic pregnancy mortality since the 1980s, age disparities, and especially racial disparities, persist. Strategies to ensure timely diagnosis and management of ectopic pregnancies can further reduce related mortality and age and race mortality gaps.