Obstetrics and gynecology
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Obstetrics and gynecology · Jul 2002
Randomized Controlled Trial Comparative Study Clinical TrialEpidural analgesia lengthens the Friedman active phase of labor.
To estimate the effect of epidural analgesia on the Friedman labor curve. ⋯ Epidural analgesia prolonged the active phase of labor by 1 hour compared with Friedman's original criteria.
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Obstetrics and gynecology · Jun 2002
Secondary cytoreductive surgery for recurrent epithelial ovarian cancer.
To review our experience with secondary cytoreductive surgery for recurrent epithelial ovarian cancer with regard to its feasibility, morbidity, mortality, patient selection, and survival. ⋯ For carefully selected patients with recurrent epithelial ovarian cancer: 1) complete surgical resection is feasible more commonly than with primary cytoreduction, 2) serious morbidity and mortality are acceptable, and 3) significant survival benefit accrues when a) all macroscopic disease can be resected, or b) the disease-free interval is 24 months or more.
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To review new evidence regarding ten controversial issues in the use of contraceptive methods among women with special conditions and to present World Health Organization recommendations derived in part from this evidence. ⋯ Of ten contraceptive method and condition combinations assessed, the evidence supported an increased risk of cardiovascular complications with combined OC use by women with hypertension or migraine. As new evidence becomes available, assessment of risk and recommendations for use of contraceptive methods can be revised accordingly.
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Obstetrics and gynecology · May 2002
Randomized Controlled Trial Clinical TrialAutologous blood transfusion in radical hysterectomy with and without erythropoietin therapy.
To investigate whether preoperative treatment with erythropoietin facilitates the collection of a sufficient amount of autologous blood in a short period of time. ⋯ Most women can predeposit three units of whole blood in only 2 weeks without obtaining severe anemia. By treating women with erythropoietin, one out of seven can be prevented from a hemoglobin level below the 100 g/L limit for donation.
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Obstetrics and gynecology · May 2002
Randomized Controlled Trial Clinical TrialA randomized controlled trial of early oral analgesia in gynecologic oncology patients undergoing intra-abdominal surgery.
To evaluate the safety and efficacy of early oral analgesia after intra-abdominal surgery in gynecologic oncology patients. ⋯ Early oral analgesia in gynecologic oncology patients undergoing intra-abdominal surgery is safe and efficacious.