Obstetrics and gynecology
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Obstetrics and gynecology · Aug 2005
Comparative StudyPrepregnancy obesity and fetal death: a study within the Danish National Birth Cohort.
To examine the association between high prepregnancy body mass index and fetal death, allowing for the effects of gestational age, weight gain, and maternal diseases in pregnancy. ⋯ Prepregnancy obesity was associated with an increasing excess risk of fetal death with advancing gestation, and placental dysfunction may be a possible contributing factor.
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Obstetrics and gynecology · Aug 2005
Randomized Controlled Trial Clinical TrialUse of a bupivacaine continuous wound infusion system in gynecologic oncology: a randomized trial.
The aim of the current study was to evaluate the safety and efficacy of a widely available bupivacaine continuous wound infusion system in gynecologic oncology patients undergoing laparotomy. ⋯ The results suggest that although the continuous infusion system seems safe, it is not efficacious in this patient population.
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Obstetrics and gynecology · Aug 2005
Randomized Controlled Trial Comparative Study Clinical TrialContinuous compared with intermittent epidural infusion on progress of labor and patient satisfaction.
To compare continuous with intermittent epidural infusion on the duration of labor and patients' satisfaction in nulliparous women. ⋯ This study provides evidence that both continuous and intermittent epidural infusion produce comparable analgesia achieving equivalent maternal satisfaction with no difference regarding the duration of labor between them. Although patients receiving epidural analgesia experienced longer labors compared with controls, both mothers and neonates were unharmed.
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Obstetrics and gynecology · Jul 2005
Review Meta Analysis Comparative StudyCerclage for short cervix on ultrasonography: meta-analysis of trials using individual patient-level data.
Preterm birth is the main cause of perinatal morbidity and mortality. A short cervical length on transvaginal ultrasonography predicts preterm birth. Our aim was to estimate by meta-analysis of randomized trials whether cerclage prevents preterm birth in women with a short cervical length. ⋯ Cerclage does not prevent preterm birth in all women with short cervical length on transvaginal ultrasonography. In the subgroup analysis of singleton gestations with short cervical length, especially those with a prior preterm birth, cerclage may reduce preterm birth, and a well-powered trial should be carried out in this group of patients. In contrast, in twins, cerclage was associated with a significantly higher incidence of preterm birth.
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Obstetrics and gynecology · Jul 2005
Randomized Controlled Trial Comparative Study Clinical TrialTopical analgesia for endometrial biopsy: a randomized controlled trial.
To estimate whether benzocaine spray applied to the cervix and the endocervical canal before performing office endometrial biopsy improves patient comfort during the procedure. ⋯ I.