Obstetrics and gynecology
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Obstetrics and gynecology · Nov 2001
Case ReportsRuptured degenerated uterine fibroid diagnosed by imaging.
We report a ruptured uterine leiomyoma presenting as an acute abdomen. We document computed tomography and magnetic resonance imaging features of a ruptured uterine fibroid. ⋯ This is a report of a ruptured degenerated fibroid causing acute abdomen outside of pregnancy. Computed tomography and magnetic resonance imaging aided in correctly establishing the diagnosis and optimizing the management of this patient.
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Obstetrics and gynecology · Nov 2001
Estimating menstrual blood loss in women with normal and excessive menstrual fluid volume.
To examine the relationship between total fluid volume at menstruation and the volume of blood loss, and to assess the feasibility of using total fluid volume to estimate menstrual blood loss. ⋯ If total fluid volume is measured carefully, the estimate of actual blood loss is sufficiently accurate for clinical purposes. This simple technique has considerable clinical potential, and inexpensive commercial packs for this purpose could easily be developed.
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Obstetrics and gynecology · Oct 2001
Randomized Controlled Trial Comparative Study Clinical TrialLidocaine versus plain saline for pain relief in fractional curettage: a randomized controlled trial.
To compare the efficiency of lidocaine with that of plain saline for paracervical pain relief during fractional curettage. ⋯ Lidocaine is more effective than plain saline for paracervical pain relief during fractional curettage. The anesthetic mechanisms of lidocaine are mechanical distention of tissue and peripheral nerve block.
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Obstetrics and gynecology · Sep 2001
Randomized Controlled Trial Comparative Study Clinical TrialComparison of two oxytocin regimens to prevent uterine atony at cesarean delivery: a randomized controlled trial.
To determine if high-dose oxytocin reduces the need for additional uterotonic agents at cesarean. ⋯ Compared with an infusion rate of 333 mU/min, oxytocin infused at 2667 mU/min for the first 30 minutes postpartum reduces the need for additional uterotonic agents at cesarean delivery.
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Obstetrics and gynecology · Sep 2001
ReviewMultiple courses of antenatal steroids: risks and benefits.
To review the existing literature regarding the effect of multiple courses of antenatal corticosteroids in reducing the occurrence of complications arising because of lung immaturity. ⋯ To date, there are no well-designed RCTs in humans that support the advantages of multiple courses over a single course of antenatal corticosteroids. An increasing body of evidence raises the concern of adverse consequences from the use of repeated courses. While awaiting results from RCTs in progress, we recommend that a single course of antenatal corticosteroids be given to all women at risk for preterm birth at 24-34 weeks' gestation.