Obstetrics and gynecology
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Obstetrics and gynecology · Jul 2014
Neonatal and maternal outcomes with prolonged second stage of labor.
To assess neonatal and maternal outcomes when the second stage of labor was prolonged according to American College of Obstetricians and Gynecologists guidelines. ⋯ : II.
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Obstetrics and gynecology · Jul 2014
Review Meta AnalysisReducing postoperative pain after tubal ligation with rings or clips: a systematic review and meta-analysis.
To assess the effectiveness of using local anesthesia during interval laparoscopic tubal ligation to control postoperative pain. ⋯ Use of local anesthetic during laparoscopic tubal ligation substantially reduces postoperative pain up to 8 hours after surgery.
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Obstetrics and gynecology · Jul 2014
Review Meta AnalysisPlacental transfusion strategies in very preterm neonates: a systematic review and meta-analysis.
To investigate the effects of interventions promoting placental transfusion at delivery (delayed cord clamping or umbilical cord milking) compared with early cord clamping on outcomes among premature neonates of less than 32 weeks of gestation. ⋯ Results of this meta-analysis suggest that enhanced placental transfusion (delayed umbilical cord clamping or umbilical cord milking) at birth provides better neonatal outcomes than does early cord clamping, most notably reductions in overall mortality, lower risk of intraventricular hemorrhage, and decreased blood transfusion incidence. The optimal umbilical cord clamping practice among neonates requiring immediate resuscitation remains uncertain.