Obstetrics and gynecology
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Obstetrics and gynecology · Jan 2011
Anesthesia-related maternal mortality in the United States: 1979-2002.
This follow-up paper to Hawkin's original "Anesthesia-related deaths during obstetric delivery in the United States, 1979-1990" showed a dramatic improvement in the relative risk of cesarean section death with general vs regional anesthesia compared with the original 1979-1990.
Where previously (1979-1990) the relative risk of death during GA CS was 16.7, from 1997-2002 the relative risk had fallen to 1.7. Worryingly though this was both due to a falling mortality rate for GA CS and an increasing mortality rate for regional anesthesia CS.
Cesarean section under general anesthesia still exposes mothers to an increased risk of perioperative death, but this risk is much lower than previously, likely due to better anesthesia training, supervision and respect of the obstetric airway.
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Obstetrics and gynecology · Jan 2011
Retraction Of PublicationRetraction. ACOG Committee Opinion No. 281: Rubella vaccination.
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Obstetrics and gynecology · Jan 2011
Multicenter StudyPostpartum hemorrhage resulting from uterine atony after vaginal delivery: factors associated with severity.
To identify factors associated with severity of postpartum hemorrhage among characteristics of women and their delivery, the components of initial postpartum hemorrhage management, and the organizational characteristics of maternity units. ⋯ II.
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Obstetrics and gynecology · Dec 2010
Multicenter StudyContemporary patterns of spontaneous labor with normal neonatal outcomes.
To use contemporary labor data to examine the labor patterns in a large, modern obstetric population in the United States. ⋯ In a large, contemporary population, the rate of cervical dilation accelerated after 6 cm, and progress from 4 cm to 6 cm was far slower than previously described. Allowing labor to continue for a longer period before 6 cm of cervical dilation may reduce the rate of intrapartum and subsequent repeat cesarean deliveries in the United States.