Obstetrics and gynecology
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Obstetrics and gynecology · Oct 2003
Case ReportsEmbolization of a uterine arteriovenous malformation followed by a twin pregnancy.
Uterine arteriovenous malformation is a lesion that can cause recurrent pregnancy loss. Very few successful pregnancies have been reported after selective embolization of an arteriovenous malformation. ⋯ Uterine arteriovenous malformation can be successfully treated with selective embolization, with good obstetric outcome.
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Obstetrics and gynecology · Oct 2003
ACOG committee opinion number 288, October 2003: professional liability and gynecology-only practice.
Some Fellows of the American College of Obstetricians and Gynecologists limit the scope of their practices solely to gynecology. The College considers early pregnancy complications (often up to 12-14 weeks of gestation) to be within the definition of gynecology. Liability insurance should cover the role of gynecologists in the management of early pregnancy-related conditions.
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Obstetrics and gynecology · Oct 2003
ACOG committee opinion number 286, October 2003: patient safety in obstetrics and gynecology.
Emphasis on patient safety has increased in the past few years mostly in response to the Institute of Medicine report "To Err Is Human: Building a Safer Health System." Obstetrician*gynecologists should incorporate elements of patient safety into their practices and also encourage others to use these practices. The American College of Obstetricians and Gynecologists (ACOG) is committed to improving quality and safety in women's health care. ⋯ The American College of Obstetricians and Gynecologists continues to emphasize its long-standing commitment to quality and patient safety by codifying a set of objectives that should be adopted by obstetrician*gynecologists in their practices. Obstetrician*gynecologists are encouraged to promulgate these principles in the hospitals and other settings where they practice.
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Obstetrics and gynecology · Sep 2003
Comparative StudyIs the intrapartum biophysical profile useful?
To assess the role of biophysical profile (BPP) during normal labor. The secondary goal was to assess the effect of oxytocics, regional anesthesia, and ruptured membranes on fetal behavior during labor. ⋯ Fetal heart rate monitoring alone did not predict the need for cesarean delivery or neonatal outcome, whereas the BPP did. Biophysical profile could prove to be a clinically useful adjunctive tool in the assessment of fetal well-being in labor.
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Obstetrics and gynecology · Sep 2003
Case ReportsAmniotic fluid embolism causing catastrophic pulmonary vasoconstriction: diagnosis by transesophageal echocardiogram and treatment by cardiopulmonary bypass.
Amniotic fluid embolism is a rare yet often lethal peripartum complication resulting from rapid cardiovascular collapse. Progress toward a better understanding of this entity has failed to identify either the underlying hemodynamic pathophysiology or an effective evidence-based treatment. ⋯ Timely placement of transesophageal echocardiogram revealed catastrophic pulmonary vasoconstriction as the cause of circulatory collapse in a patient with amniotic fluid embolism, supporting the use of cardiopulmonary bypass as an effective intervention.