Obstetrics and gynecology
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Obstetrics and gynecology · Aug 1999
Spontaneous abortion-related deaths among women in the United States--1981-1991.
To examine trends in spontaneous abortion-related mortality and risk factors for these deaths from 1981 through 1991. ⋯ Women 35 years of age and older, of races other than white, and in the second trimester of pregnancy age are at increased risk of death from spontaneous abortion. In addition, DIC complicates many spontaneous abortion cases that end in death. Because spontaneous abortion is a common outcome of pregnancy, continued monitoring of spontaneous abortion-related deaths is recommended.
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Obstetrics and gynecology · Aug 1999
Randomized Controlled Trial Clinical TrialOral misoprostol for third stage of labor: a randomized placebo-controlled trial.
To investigate whether orally administered misoprostol during the third stage of labor is efficient in reducing postpartum blood loss. ⋯ Oral misoprostol administered in the third stage of labor reduced postpartum blood loss and might be effective in reducing incidence of postpartum hemorrhage.
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Obstetrics and gynecology · Jul 1999
Thoracic-fluid conductivity in peripartum women with pulmonary edema.
To measure the level of thoracic-fluid conductivity associated with pulmonary edema in peripartum women by noninvasive thoracic electrical bioimpedance. ⋯ Preeclampsia was associated with increased thoracic-fluid conductivity stratified between mild and severe disease. Thoracic-fluid conductivity of at least 65 kohm(-1) was strongly associated with peripartum pulmonary edema. Women with values above 65 kohm(-1) might be candidates for medical intervention even without overt clinical symptoms.
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Obstetrics and gynecology · Jun 1999
Endometrial thickness in tamoxifen-treated patients: an independent predictor of endometrial disease.
To assess the independent contribution of transvaginal ultrasound in identifying women at risk for endometrial disorders, and determine whether a cutoff value identifies women who need endometrial histologic assessment. ⋯ In women taking tamoxifen, sonographic endometrial thickness exceeding 9 mm and the presence of vaginal bleeding are independent predictors of endometrial disease. If either exists, hysteroscopy and biopsy should be done.
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Obstetrics and gynecology · Jun 1999
Randomized Controlled Trial Clinical TrialEpidural analgesia and active management of labor: effects on length of labor and mode of delivery.
To determine whether cervical dilatation at the time of placement of patient-requested epidural affects cesarean rates or lengths of labors in actively managed parturients. ⋯ Early epidural placement did not affect lengths of labor or cesarean rates and was actually associated with shorter labor compared with late epidural placement. Women managed actively in labor, regardless of timing of epidural placement, had shorter labors than controls.