Obstetrics and gynecology
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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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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
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.
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Although currently in the early clinical research phase, the first successful birth of a child after uterus transplant is an early step toward another reproductive option for women with uterine factor infertility. Uterus transplantation uniquely brings together the fields of assisted reproductive technology and transplant medicine and represents the world's first ephemeral transplant completed to improve quality of life rather than extending life. However, the ethical, legal, and social implications of uterus transplantation must be carefully analyzed for the donor, recipient, and resulting child before uterus transplant moves from clinical research to clinical practice.