Obstetrics and gynecology
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Obstetrics and gynecology · Mar 1999
Transvaginal endometrial sonography in postmenopausal women taking tamoxifen.
To evaluate sonographic measurements of endometrial thickness in postmenopausal women taking adjuvant tamoxifen therapy for breast cancer, and to correlate sonographic and pathologic findings to symptoms and duration of tamoxifen therapy. ⋯ With a sensitivity of detecting endometrial abnormalities of 84%, transvaginal sonography was useful for studying postmenopausal tamoxifen-treated women.
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Obstetrics and gynecology · Mar 1999
Clinical TrialEpidural analgesia and intrapartum fever: placental findings.
To assess whether epidural analgesia is associated with fever, independent of maternal infection, by evaluating the relationship between epidural analgesia and inflammation of the placenta. ⋯ Epidural analgesia is associated with intrapartum fever, but only in the presence of placental inflammation. This suggests that the fever reported with epidural analgesia is due to infection rather than the analgesia itself.
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Obstetrics and gynecology · Mar 1999
Comparative StudyDelivery after previous cesarean: a risk evaluation. Swiss Working Group of Obstetric and Gynecologic Institutions.
To examine the risks of vaginal delivery after previous cesarean and to find criteria to help decide whether a trial of labor or an elective repeat cesarean should be preferred. ⋯ A history of cesarean delivery significantly elevates the risks for mother and child in future deliveries. Nonetheless, a trial of labor after previous cesarean is safe. Induction of labor, epidural anesthesia, failure to progress, and abnormal fetal heart rate pattern are all associated with failure of a trial of labor and uterine rupture.
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Obstetrics and gynecology · Mar 1999
Pediatrician attendance at cesarean delivery: necessary or not?
To determine whether it is necessary for a pediatrician to attend all cesarean deliveries. ⋯ Because there is no higher incidence of low Apgar scores in cesarean deliveries using regional anesthesia for nonfetal indications compared with vaginal deliveries, there is no convincing need for pediatrician attendance at such deliveries.
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Obstetrics and gynecology · Feb 1999
C-type natriuretic peptide levels in women with gestational hypertension and preeclampsia.
To measure plasma levels of C-type natriuretic peptide in women with normal pregnancies and those complicated by gestational hypertension and preeclampsia. ⋯ Our results suggest that C-type natriuretic peptide plasma levels are not significantly different in normal pregnancies and those complicated by gestational hypertension or preeclampsia. In hypertensive pregnancy disorders, C-type natriuretic peptide showed a distinct course compared with atrial natriuretic peptide and brain natriuretic peptide.