Obstetrics and gynecology
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Obstetrics and gynecology · Apr 2015
Committee Opinion No. 629: Clinical guidelines and standardization of practice to improve outcomes.
Protocols and checklists have been shown to reduce patient harm through improved standardization and communication. Implementation of protocols and guidelines often is delayed because of lack of health care provider awareness or difficult clinical algorithms in medical institutions. However, the use of checklists and protocols clearly has been demonstrated to improve outcomes and their use is strongly encouraged. Checklists and protocols should be incorporated into systems as a way to help practitioners provide the best evidence-based care to their patients.
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Obstetrics and gynecology · Apr 2015
Contribution of placenta accreta to the incidence of postpartum hemorrhage and severe postpartum hemorrhage.
To quantify the contribution of placenta accreta to the rate of postpartum hemorrhage and severe postpartum hemorrhage. ⋯ Placenta accreta is too infrequent to account for the recent temporal increase in postpartum hemorrhage but contributes substantially to the proportion of postpartum hemorrhage with hysterectomy.
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Obstetrics and gynecology · Apr 2015
Randomized Controlled TrialLow-dose aspirin and preterm birth: a randomized controlled trial.
To evaluate the association between low-dose aspirin initiated before conception and the risk of preterm birth. ⋯ ClinicalTrials.gov, www.clinicaltrials.gov, NCT00467363.
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To describe which obstetric patients lose enough blood during postpartum hemorrhage to receive a reinfusion of intraoperative blood salvage. ⋯ Although intraoperative blood salvage was attempted on many patients, on only 21% of the women was a sufficient amount of intraoperative shed blood collected to proceed with reinfusion. Patients who experienced bleeding or who underwent a cesarean hysterectomy were the most likely to receive a reinfusion of intraoperative blood salvage-processed blood.
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Obstetrics and gynecology · Apr 2015
ReviewOral and intramuscular treatment options for early postpartum endometritis in low-resource settings: a systematic review.
To suggest options for oral and intramuscular antibiotic treatment of early postpartum endometritis in low-resource community settings where intravenous antibiotics are unavailable. ⋯ This review provides suggestions for oral, intramuscular, and combined antimicrobial regimens that may warrant additional study. Experimental trials should consider clinical effectiveness, safety and side effects profiles, and feasibility of community-based treatment.