Obstetrics and gynecology
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Obstetrics and gynecology · Mar 2002
Randomized Controlled Trial Clinical TrialA randomized trial of intrapartum analgesia in women with severe preeclampsia.
To estimate whether the cesarean delivery rate differs between women with severe preeclampsia who receive intrapartum epidural analgesia versus patient-controlled intravenous opioid analgesia. ⋯ Compared with patient-controlled intravenous opioid analgesia, intrapartum epidural analgesia did not significantly increase the cesarean delivery rate in women with severe preeclampsia at our level III center, and it provided superior pain relief.
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Obstetrics and gynecology · Mar 2002
Randomized Controlled Trial Multicenter Study Clinical TrialRisk factors for difficult delivery in nulliparas with epidural analgesia in second stage of labor.
To identify risk factors for difficult delivery among nulliparas in the second stage of labor with continuous epidural analgesia, and to develop a multivariable model that is predictive of difficult delivery. ⋯ Our observations concerning maternal characteristics and obstetric variables are consistent with previous observations with the exception of time of induction of the epidural. The predictive model may be useful in defining high-risk populations for subsequent intervention studies designed to assess approaches to reduce difficult delivery.
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Obstetrics and gynecology · Feb 2002
Multicenter Study Comparative StudyThe efficacy of telecolposcopy compared with traditional colposcopy.
Rural women have increased rates of cervical neoplasia, but colposcopic services are limited in rural clinics. The purpose of this study was to estimate the efficacy of telecolposcopy for women in rural health care sites. ⋯ Teleconsultation was used for a substantial number of examinations. Diagnostic accuracy was maintained, but determination of colposcopic examination adequacy may be impaired by telecolposcopy. Telecolposcopy may help reduce barriers to medical access for women in rural areas.
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Obstetrics and gynecology · Feb 2002
Adjuvant high dose rate vaginal brachytherapy as treatment of stage I and II endometrial carcinoma.
To evaluate the efficacy of high dose rate vaginal brachytherapy in the treatment of International Federation of Gynecology and Obstetrics stage IB, IC, and II endometrial carcinoma after surgical staging and complete lymphadenectomy. ⋯ Adjuvant high dose rate vaginal brachytherapy in thoroughly staged patients with intermediate-risk endometrial carcinoma provides excellent overall and disease-free survival with less toxicity and at less cost compared with whole-pelvic radiation.
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Obstetrics and gynecology · Feb 2002
Case ReportsComplications of third-trimester amniocentesis using continuous ultrasound guidance.
The objective of the study was to estimate the risks of third-trimester amniocentesis with continuous ultrasound guidance. ⋯ Third-trimester amniocentesis performed with continuous ultrasound guidance has a high success rate and low risk for complications.