Obstetrics and gynecology
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Obstetrics and gynecology · Sep 2008
Clinical TrialTopical gabapentin in the treatment of localized and generalized vulvodynia.
To evaluate the clinical efficacy and tolerability of topical gabapentin in the treatment of women with vulvodynia. ⋯ III.
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To survey authors submitting manuscripts to a leading specialty journal regarding their assessment of editorial review. The study sought factors affecting authors' satisfaction and whether authors rated the journal review processes differently from the commentary provided by different reviewers. ⋯ III.
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Obstetrics and gynecology · Aug 2008
Case ReportsEczema herpeticum in pregnancy and neonatal herpes infection.
Eczema herpeticum is caused by herpes simplex infection of atopic dermatitis. The infection typically causes a vesiculopustular rash, but can disseminate and be life threatening. ⋯ Early diagnosis and treatment of eczema herpeticum is necessary to prevent poor outcomes in pregnancy. Prophylactic acyclovir may help prevent eczema herpeticum in pregnancy.
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Takotsubo cardiomyopathy is a cardiac condition associated with the acute onset of chest pain, abnormalities in cardiac enzymes and electrocardiogram, and a distinct pattern of left ventricular dysfunction on echocardiography. This case evaluates an obstetric patient diagnosed with Takotsubo cardiomyopathy during her 23rd week of pregnancy. ⋯ Although uncommon, physicians who manage cardiac complications should be familiar with the diagnosis and management of Takotsubo cardiomyopathy.
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Obstetrics and gynecology · Aug 2008
The accuracy of predicting parity as a prerequisite for cesarean delivery on maternal request.
The National Institutes of Health and American College of Obstetricians and Gynecologists consensus guidelines state that cesarean delivery on maternal request is not recommended for women desiring several children. We sought to estimate the accuracy with which women were able to predict their final parity. ⋯ At the time of first pregnancy, many women underestimate their final parity. This raises questions about making an estimate of parity a consideration for offering cesarean delivery on maternal request.