Obstetrics and gynecology
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Obstetrics and gynecology · Jun 2004
Intrapartum elective cesarean delivery: a previously unrecognized clinical entity.
The purpose of the study was to investigate the incidence of intrapartum patient choice cesarean delivery-patients' requesting cesarean delivery and physicians' offering it during labor-and factors possibly influencing these requests and offers. ⋯ III
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Aortic dissection is a rare but life-threatening disease. The most common predisposing cause is chronic hypertension. ⋯ Aortic dissection should be considered when a pregnant woman presents with preeclampsia superimposed on chronic hypertension and intractable chest pain.
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Obstetrics and gynecology · May 2004
Review Randomized Controlled Trial Comparative Study Clinical TrialParacervical block in incomplete abortion using manual vacuum aspiration: randomized clinical trial.
To estimate the effectiveness of paracervical block in controlling pain among women treated with manual vacuum aspiration for an incomplete abortion ⋯ The paracervical block technique used in this study along with psychological support was comparable with pain control using psychological support alone; neither pain management regimen provided sufficient pain control. It is recommended that randomized comparative studies be designed to determine the effectiveness of other paracervical block techniques and the efficacy of the use of analgesics in patients suffering from incomplete abortion treated with manual vacuum aspiration.
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Obstetrics and gynecology · May 2004
Multicenter Study Comparative StudyVasa previa: the impact of prenatal diagnosis on outcomes.
To evaluate outcomes and predictors of neonatal survival in pregnancies complicated by vasa previa and to compare outcomes in prenatally diagnosed cases of vasa previa with those not diagnosed prenatally. ⋯ Good outcomes with vasa previa depend primarily on prenatal diagnosis and cesarean delivery at 35 weeks of gestation or earlier should rupture of membranes, labor, or significant bleeding occur.
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Obstetrics and gynecology · May 2004
Case ReportsNitroglycerin for relaxation to establish a fetal airway (EXIT procedure).
The ex utero intrapartum treatment (EXIT) procedure is a technique designed to establish an airway at the time of delivery in fetuses at risk of airway obstruction and requires maintenance of uterine relaxation to continue placental perfusion and prevent placental separation. We describe the use of intravenous nitroglycerin to maintain uterine relaxation during the EXIT procedure. ⋯ Intravenous nitroglycerin is an effective agent for maintenance of uterine relaxation and placental perfusion during the EXIT procedure.