Obstetrics and gynecology
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Obstetrics and gynecology · May 2015
Assessing White's classification of pregestational diabetes in a contemporary diabetic population.
To assess the validity of White's classification, including the role of chronic hypertension, in a contemporary diabetic population. ⋯ II.
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Obstetrics and gynecology · May 2015
Risk for preterm and very preterm delivery in women who were born preterm.
To evaluate whether women who themselves were born preterm are at increased risk of preterm delivery and, if so, whether known maternal complications of preterm birth such as hypertension or diabetes explain this risk. ⋯ II.
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Obstetrics and gynecology · May 2015
Multicenter Study Observational StudyQuantitative fetal fibronectin to predict preterm birth in asymptomatic women at high risk.
To evaluate the diagnostic accuracy of cervicovaginal fluid quantitative fetal fibronectin, measured by a bedside analyzer, to predict spontaneous preterm birth before 34 weeks of gestation. ⋯ II.
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Obstetrics and gynecology · May 2015
Randomized Controlled TrialCefazolin prophylaxis in obese women undergoing cesarean delivery: a randomized controlled trial.
To compare adipose tissue concentration among obese women receiving 2 g compared with 3 g of precesarean cefazolin prophylaxis. ⋯ I.
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Obstetrics and gynecology · May 2015
Case ReportsIatrogenic Wernicke encephalopathy in a patient with severe hyperemesis gravidarum.
Hyperemesis gravidarum complicates 0.5-2.0% of pregnancies and may lead to substantial nutritional deficiencies. Total parenteral nutrition can be used in severe cases in an attempt to avoid such deficiencies. Rarely, thiamine deficiency resulting in Wernicke encephalopathy occurs, with significant maternal morbidity. ⋯ Pregnancies complicated by hyperemesis gravidarum treated with total parenteral nutrition represent potential high-risk clinical scenarios for thiamine deficiency. Compositions of total parenteral nutrition are not standardized. Thus, physicians must confirm repletion of all essential components to avoid significant morbidity.