Obstetrics and gynecology
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To examine the effectiveness of any tocolytic compared with a placebo or no tocolytic for preterm labor. ⋯ Although tocolytics prolong pregnancy, they have not been shown to improve perinatal or neonatal outcomes and have adverse effects on women in preterm labor.
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Obstetrics and gynecology · Oct 1999
Diagnostic accuracy of ultrasound above and below the beta-hCG discriminatory zone.
To evaluate clinical use and accuracy of transvaginal ultrasound for diagnosing intrauterine pregnancies, spontaneous miscarriages, and ectopic pregnancies in women who present with beta-hCG concentrations above or below an established discriminatory zone. ⋯ The sensitivity, predictive value, and accuracy of transvaginal ultrasound for diagnosing complications of early pregnancy were poor when beta-hCG levels were below the discriminatory zone at presentation. Ultrasound impressions should be correlated with beta-hCG concentrations.
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Obstetrics and gynecology · Sep 1999
Comparative StudyOphthalmic artery velocimetry in normotensive and preeclamptic women with or without photophobia.
To compare ophthalmic arterial velocimetry in normotensive and preeclamptic gravidas with and without photophobia. ⋯ Preeclamptic women, especially those with photophobia, have orbital vascular vasodilation or hyperperfusion, or both.
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To determine whether obstetric admissions to the intensive care unit (ICU) are useful quality-assurance indicators. ⋯ The most common precipitants of ICU admission were obstetric hemorrhage and uncontrolled hypertension. Improved management strategies for these problems may significantly reduce major maternal morbidity.