Obstetrics and gynecology
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Obstetrics and gynecology · May 2012
Distribution of American Congress of Obstetricians and Gynecologists fellows and junior fellows in practice in the United States.
To develop effective policies addressing access to health care for all women in the United States, we report the distribution of the American Congress of Obstetricians and Gynecologists (ACOG) Fellows and Junior Fellows in practice at county and state levels. ⋯ III.
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Obstetrics and gynecology · May 2012
Maternal drug use and its effect on neonates: a population-based study in Washington State.
To estimate the effect of maternal illicit and prescription drug use on neonates in Washington State between 2000 and 2008. ⋯ II.
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Obstetrics and gynecology · May 2012
ACOG Committee Opinion No. 524: Opioid abuse, dependence, and addiction in pregnancy.
Opioid use in pregnancy is not uncommon, and the use of illicit opioids during pregnancy is associated with an increased risk of adverse outcomes. The current standard of care for pregnant women with opioid dependence is referral for opioid-assisted therapy with methadone, but emerging evidence suggests that buprenorphine also should be considered. Medically supervised tapered doses of opioids during pregnancy often result in relapse to former use. ⋯ During the intrapartum and postpartum period, special considerations are needed for women who are opioid dependent to ensure appropriate pain management, to prevent postpartum relapse and a risk of overdose, and to ensure adequate contraception to prevent unintended pregnancies. Patient stabilization with opioid-assisted therapy is compatible with breastfeeding. Neonatal abstinence syndrome is an expected and treatable condition that follows prenatal exposure to opioid agonists.
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Obstetrics and gynecology · May 2012
Randomized Controlled TrialParacervical block for pain control in first-trimester surgical abortion: a randomized controlled trial.
Despite lack of efficacy data, the majority of first-trimester surgical abortions are performed with a paracervical block. Women may be unnecessarily exposed to a painful injection and potentially noxious medication. Our objective was to estimate the effect of a paracervical block and the effect of gestational age on patient pain perception. ⋯ I.
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Obstetrics and gynecology · May 2012
ACOG Committee Opinion No. 526: Standardization of practice to improve outcomes.
Protocols and checklists have been shown to improve patient safety through standardization and communication. Standardization of practice to improve quality outcomes is an important tool in achieving the shared vision of patients and their health care providers.