Obstetrics and gynecology
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Obstetrics and gynecology · Sep 2010
Adherence to evidence-based guidelines for preoperative testing in women undergoing gynecologic surgery.
To examine adherence to evidence-based recommendations for preoperative testing and health care costs associated with excessive testing. ⋯ III.
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Obstetrics and gynecology · Sep 2010
Practice GuidelineCommittee opinion no. 465: antimicrobial prophylaxis for cesarean delivery: timing of administration.
Antimicrobial prophylaxis for cesarean delivery has been a general practice for cesarean deliveries because it significantly reduces postoperative maternal infectious morbidity. Recently, several randomized clinical trials investigated the timing of antimicrobial prophylaxis for cesarean delivery. The Committee on Obstetric Practice recommends antimicrobial prophylaxis for all cesarean deliveries unless the patient is already receiving appropriate antibiotics (eg, for chorioamnionitis) and that prophylaxis should be administered within 60 minutes of the start of the cesarean delivery.
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To describe the methods for assigning the cause of death for stillbirths enrolled in the Stillbirth Collaborative Research Network (SCRN). ⋯ A new system, Initial Causes of Fetal Death, to assign cause of death in stillbirths was developed by the SCRN investigators for use in this study but has broader applicability. Initial Causes of Fetal Death is a standardized method to assign probable and possible causes of death of stillbirths based on information routinely collected during prenatal care and the clinical evaluation of fetal death.
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Obstetrics and gynecology · Aug 2010
Case ReportsUse of hemostatic gel in postpartum hemorrhage due to placenta previa.
Hemostasis for placenta previa is notoriously difficult because of the poor contractility of the lower segment. A hemostatic gel offers a new type of hemostatic matrix, which may have advantages. ⋯ Hemostatic gel is easily applicable and provides quick and effective hemostatic control in the lower segment, where surgical intervention may be difficult.