Obstetrics and gynecology
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Obstetrics and gynecology · Jun 2009
Comparative StudyWhole blood in the management of hypovolemia due to obstetric hemorrhage.
To study the use of blood products including whole blood, for the management of obstetric hemorrhage requiring transfusion. ⋯ III.
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Obstetrics and gynecology · Jun 2009
Comparative StudyNeonatal outcomes after elective cesarean delivery.
To examine the outcomes of neonates born by elective repeat cesarean delivery compared with vaginal birth after cesarean (VBAC) in women with one prior cesarean delivery and to evaluate the cost differences between elective repeat cesarean and VBAC. ⋯ II.
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Obstetrics and gynecology · Jun 2009
Hypertensive disorders and severe obstetric morbidity in the United States.
To examine trends in the rates of hypertensive disorders in pregnancy and compare the rates of severe obstetric complications for delivery hospitalizations with and without hypertensive disorders. ⋯ III.
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Obstetrics and gynecology · May 2009
Randomized Controlled Trial Comparative StudyParacervical compared with intracervical lidocaine for suction curettage: a randomized controlled trial.
To estimate the efficacy of paracervical compared with intracervical administration of local anesthesia during first-trimester suction curettage. ⋯ For women undergoing first-trimester suction curettage with conscious sedation, there was no clinically meaningful difference in pain relief between paracervical and intracervical lidocaine. Providers should feel confident that both techniques provide equally effective and acceptable analgesia.
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Obstetrics and gynecology · May 2009
Randomized Controlled TrialEarly compared with late neuraxial analgesia in nulliparous labor induction: a randomized controlled trial.
To determine whether early initiation of neuraxial analgesia (anesthetic[s] placed around the nerves of the central nervous system) compared with systemic opioid analgesia, followed later in labor by epidural analgesia, increases the rate of cesarean delivery in nulliparas undergoing induction of labor. ⋯ Early-labor neuraxial analgesia does not increase the cesarean delivery rate compared with late epidural analgesia in nulliparas undergoing induction of labor.