Obstetrics and gynecology
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Obstetrics and gynecology · Dec 2005
Comparative Study GuidelineACOG Committee Opinion. Number 326, December 2005. Inappropriate use of the terms fetal distress and birth asphyxia.
The Committee on Obstetric Practice is concerned about the continued use of the term "fetal distress" as an antepartum or intrapartum diagnosis and the term "birth asphyxia" as a neonatal diagnosis. The Committee reaffirms that the term fetal distress is imprecise and nonspecific. The communication between clinicians caring for the woman and those caring for her neonate is best served by replacing the term fetal distress with "nonreassuring fetal status," followed by a further description of findings (eg, repetitive variable decelerations, fetal tachycardia or bradycardia, late decelerations, or low biophysical profile). Also, the term birth asphyxia is a nonspecific diagnosis and should not be used.
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Obstetrics and gynecology · Dec 2005
Comparative StudyRisks associated with selective serotonin reuptake inhibitors in pregnancy.
To study the effects of selective serotonin reuptake inhibitors (SSRIs) on pregnancy outcome. ⋯ Use of SSRIs during pregnancy is not independently associated with increased risk of adverse perinatal outcome other than need for treatment in neonatal special or intensive care unit.
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Obstetrics and gynecology · Dec 2005
Comment Letter Randomized Controlled Trial Comparative StudyEffectiveness of treatment strategies of some women with pelvic inflammatory disease: a randomized trial.
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Obstetrics and gynecology · Nov 2005
Case ReportsPostcesarean pulmonary embolism, sustained cardiopulmonary resuscitation, embolectomy, and near-death experience.
Survival after surgical embolectomy for massive postcesarean pulmonary embolism causing sustained cardiac arrest is rare. ⋯ Massive pulmonary embolism is a potentially treatable catastrophic event after cesarean delivery, even if continuous cardiopulmonary resuscitation is required until life-saving embolectomy is done.
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Obstetrics and gynecology · Nov 2005
Case ReportsMassive pulmonary embolism in pregnancy treated with tissue plasminogen activator.
Systemic thrombolysis with tissue plasminogen activator (t-PA) in pregnancy is still considered an experimental treatment. Several reports have described the successful use of t-PA in the setting of hemodynamic instability in gravidas with massive pulmonary emboli. ⋯ We describe the successful thrombolysis with t-PA of a massive, life-threatening pulmonary embolism without complications followed by a term delivery.