Obstetrics and gynecology
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Obstetrics and gynecology · Dec 2001
Maternity leave: existing policies in obstetrics and gynecology residency programs.
To survey program directors in obstetrics and gynecology regarding maternity leave and to determine how programs are dealing with maternity leave coverage. ⋯ Most residency programs have written maternity/paternity leave policies. A more flexible curriculum may help to accommodate the residents on leave without overburdening the residents who are left to cover.
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Obstetrics and gynecology · Dec 2001
Committee Opinion: number 263, December 20001. von Willebrand's disease in gynecologic practice.
von Willebrand's disease is one of the most common inherited bleeding disorders. Inherited and acquired disorders of coagulation and hemostasis should be considered in the differential diagnosis of menorrhagia and abnormal uterine bleeding. This Committee Opinion provides screening recommendations for von Willebrand's disease and describes treatment options.
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Obstetrics and gynecology · Nov 2001
Cerebrovascular reactivity in normal pregnancy and preeclampsia.
To compare cerebrovascular reactivity in normotensive and preeclamptic pregnant women. ⋯ Normotensive pregnant women had normal middle cerebral artery responses to both 5% CO2 inhalation and isometric hand-grip test. Preeclamptic patients had elevated baseline cerebral perfusion pressure and reduced vasodilatory responses to both tests. These findings are consistent with a state of vasoconstriction in preeclamptic women that is unresponsive to stimuli that under normal circumstances result in vasodilation.
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Obstetrics and gynecology · Nov 2001
Labor epidural analgesia and intrapartum maternal hyperthermia.
To determine if women receiving continuous epidural analgesia are more likely to develop intrapartum fever and related neonatal effects. ⋯ The use of labor epidural analgesia is associated with a clinically significant increase in the incidence of intrapartum fever.
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Obstetrics and gynecology · Nov 2001
Review Case ReportsSuccessful digoxin therapy of fetal supraventricular tachycardia in a triplet pregnancy.
Fetal supraventricular tachycardia is a rare complication of pregnancy associated with cardiac failure, hydrops, and fetal death. If no underlying cardiac defects are present, medical management with digoxin has been successful. ⋯ Digoxin might be used safely and successfully to treat fetal supraventricular tachycardia in multifetal pregnancies.