Obstetrics and gynecology
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There are several obstetric, medical, and surgical disorders that share many of the clinical and laboratory findings of patients with severe preeclampsia-hemolysis, elevated liver enzymes, and low platelets syndrome. Imitators of severe preeclampsia-hemolysis, elevated liver enzymes, and low platelets syndrome are life-threatening emergencies that can develop during pregnancy or in the postpartum period. These conditions are associated with high maternal mortality, and survivors may face long-term sequelae. ⋯ It is important that the clinician make the accurate diagnosis when possible because the management and complications from these syndromes may be different. For example, severe preeclampsia and acute fatty liver of pregnancy are treated by delivery, whereas it is possible to continue pregnancy in those with thrombotic thrombocytopenic purpura-hemolytic uremic syndrome and exacerbation of systemic lupus erythematosus. This review focuses on diagnosis, management, and counseling of women who develop these syndromes based on results of recent studies.
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Obstetrics and gynecology · Apr 2007
Comparison of maternal and infant outcomes from primary cesarean delivery during the second compared with first stage of labor.
To compare maternal and neonatal outcomes when primary cesarean delivery is performed in the second stage of labor compared with the first stage. ⋯ II.
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Obstetrics and gynecology · Apr 2007
Predictors of physician career satisfaction, work-life balance, and burnout.
To explore factors associated with physician career satisfaction, work-life balance, and burnout focusing on differences across age, gender, and specialty. ⋯ II.
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Obstetrics and gynecology · Mar 2007
Intrapartum epidural analgesia and maternal temperature regulation.
To examine maternal temperature changes after epidural analgesia. ⋯ II.