Obstetrics and gynecology
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Obstetrics and gynecology · Feb 2000
Progesterone, inhibin, and hCG multiple marker strategy to differentiate viable from nonviable pregnancies.
To determine whether a combination of serum and urine biomarkers drawn from symptomatic pregnant women will help early differentiation of viable from nonviable pregnancies. ⋯ Serum progesterone appeared to be the single most specific biomarker for distinguishing viable from nonviable pregnancies. When a dual-biomarker strategy was applied, combining serum progesterone with hCG, specificity improved significantly, which suggests that a multiple biomarker strategy might help distinguish viable from nonviable pregnancies in early gestation.
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Obstetrics and gynecology · Feb 2000
Computed tomography-guided pudendal block for treatment of pelvic pain due to pudendal neuropathy.
Severe pelvic pain secondary to pudendal neuropathy can be treated with repeated local anesthetic nerve blocks or with surgical decompression of the nerve. Computed tomographic (CT) needle guidance to identified reliable anatomic points might be useful for improved success rates. ⋯ We believe this technique warrants further evaluation and application in instances where noninvasive therapy of pudendal neuropathy is indicated.
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To estimate the risk of need for urgent delivery after third-trimester amniocentesis as currently done using ultrasound guidance to assess fetal lung maturity. ⋯ Although complications that required urgent delivery after third-trimester amniocentesis are rare, the risks of the procedure should be carefully weighed against the benefits.
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Obstetrics and gynecology · Dec 1999
Clinical chorioamnionitis and histologic placental inflammation.
To estimate the rate of histologic chorioamnionitis in the presence of diagnosed clinical chorioamnionitis and determine whether clinical markers of maternal and neonatal infection are associated with histologic chorioamnionitis. ⋯ Clinical chorioamnionitis and possible neonatal infection were not supported by histologic evidence for infection in 38.1% and 26.8% of cases, respectively, suggesting other noninflammatory causes of signs and symptoms.
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Obstetrics and gynecology · Dec 1999
Anatomy of pelvic arteries adjacent to the sacrospinous ligament: importance of the coccygeal branch of the inferior gluteal artery.
To describe the arterial vascular anatomy in the area of the sacrospinous ligament. ⋯ Sutures placed through the sacrospinous ligament at least 2.5 cm from the ischial spine along the superior border of the sacrospinous ligament and without transgressing the entire thickness are in an area generally free of arterial vessels.