Obstetrics and gynecology
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Obstetrics and gynecology · Sep 2004
Responses by pregnant Jehovah's Witnesses on health care proxies.
To review the treatment options presented on the New York State Health Care Proxy for Jehovah's Witnesses, which is signed by pregnant women when they present for care. ⋯ This review refutes the commonly held belief that all Jehovah's Witnesses refuse to accept blood or any of its products. In this population of pregnant women, the majority were willing to accept some form of blood or blood products. This information can be used to help health care providers counsel a patient when she is initially faced with considering these issues and may help to remove the stigma of accepting one of the options.
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Obstetrics and gynecology · Aug 2004
Randomized Controlled Trial Clinical TrialBupivacaine plus epinephrine for laparoscopic myomectomy: a randomized placebo-controlled trial.
To evaluate the effectiveness of the injection of bupivacaine plus epinephrine before laparoscopic myomectomy. ⋯ The injection of bupivacaine plus epinephrine during laparoscopic myomectomy is effective in reducing blood loss, total operative and enucleation time, degree of surgical difficulty, and postoperative pain.
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Obstetrics and gynecology · Aug 2004
Practice Guideline GuidelineACOG Committee Opinion. Number 297, August 2004. Nonmedical use of obstetric ultrasonography.
The American College of Obstetricians and Gynecologists (ACOG) has endorsed the "Prudent Use" statement from the American Institute of Ultrasound in Medicine (AIUM) discouraging the use of obstetric ultrasonography for nonmedical purposes (eg, solely to create keepsake photographs or videos). The ACOG Committee on Ethics provides reasons in addition to those offered by AIUM for discouraging this practice.
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Obstetrics and gynecology · Aug 2004
Ethnic differences of polymorphisms in cytokine and innate immune system genes in pregnant women.
Investigations of the possible role of polymorphic genes in pregnancy outcome may be influenced by ethnic variations in genotype or allele frequencies. Differences in allelic carriage of immune system-related genes among white, black, and Hispanic pregnant women living in New York City and Boston were evaluated. ⋯ Investigations of the role of genetic factors affecting pregnancy outcome must be cognizant of ethnic variations when enrolling case and control subjects for studies on allele and genotype frequencies.
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Obstetrics and gynecology · Aug 2004
Effect of prior vaginal delivery or prior vaginal birth after cesarean delivery on obstetric outcomes in women undergoing trial of labor.
We sought to study the effects of prior vaginal delivery or prior vaginal birth after cesarean delivery (VBAC) on the success of a trial of labor after a cesarean delivery. ⋯ A prior vaginal delivery and, particularly, a prior VBAC are associated with a higher rate of successful trial of labor compared with patients with no prior vaginal delivery. In addition, prior VBAC is associated with an increased rate of uterine scar dehiscence.