Obstetrics and gynecology
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Obstetrics and gynecology · Jul 2001
Effects of oxytocin receptor antagonist atosiban on pregnant myometrium in vitro.
To investigate dose-dependent effects of oxytocin receptor antagonist, atosiban, on oxytocin-induced contractions of myometrial strips from healthy pregnant women. ⋯ The oxytocin receptor antagonist atosiban showed a significant, dose-dependent inhibition of oxytocin-induced contractions of human myometrium in vitro. It might be effective in tocolysis at term.
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The President's Program at the 2000 Annual Clinical Meeting of ACOG addressed the question of how best to maintain professional values in the current, market-driven health care environment. The author's presentation during that presidential program provided the basis of this article. In today's corporate environment, the distinction between the practice of medicine and the business of medicine has become blurred. ⋯ To ease the discomfort of practicing in a new corporate age, physicians must maintain medical professionalism and hence reassert the primacy of professional values in caring for patients. Individually, physicians must exercise professionalism in their roles as educators and practitioners. Collectively, the profession of medicine must exercise professionalism by advocating patients' interests and by accepting accountability for both long-established and emerging obligations that physicians have to their patients and to society.
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Obstetrics and gynecology · Jun 2001
Comparative StudyProlonged pregnancy: induction of labor and cesarean births.
To determine the effects of labor induction on cesarean delivery in post-date pregnancies. ⋯ Risk factors intrinsic to the patient, rather than labor induction itself, are the cause of excess cesarean deliveries in women with prolonged pregnancies.
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Obstetrics and gynecology · Jun 2001
Long hours and little sleep: work schedules of residents in obstetrics and gynecology.
To investigate residents' work schedules and their attitudes toward limiting their hours. ⋯ Residents in obstetrics and gynecology report working long hours, and experiencing periods of little sleep. Most want their work hours to be limited. Fatigue is a major concern among residents that want their hours limited. A sizable minority worries that such limits might also limit their experience.
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Obstetrics and gynecology · Jun 2001
Provider attitudes about gaining consent for perinatal autopsy.
To examine the attitudes of neonatologists, obstetricians, midwives, and neonatal nurses toward perinatal autopsy and survey physicians about whom they perceive influence women's decisions on autopsy consent. ⋯ Physicians are not averse to seeking consent for perinatal autopsies. Midwives and nurses are influenced by the three factors studied, which might negatively influence the consent rate for perinatal autopsies. Intervention strategies aimed at changing nurses' attitudes should be considered.