Obstetrics and gynecology
-
Obstetrics and gynecology · Dec 1998
Randomized Controlled Trial Clinical TrialA randomized, double-blinded trial of preemptive analgesia in laparoscopy.
We tested the hypothesis that local anesthetic administered before skin incision, an example of preemptive analgesia, reduces postoperative pain for women undergoing laparoscopy, as compared with postincisional local anesthetic or placebo. ⋯ The preemptive administration of bupivacaine before laparoscopy results in decreased postoperative pain and should allow a more rapid return to normal activities. The popular practice of infiltrating bupivacaine at time of incision closure does not offer any benefit in the control of pain after laparoscopy.
-
Obstetrics and gynecology · Dec 1998
Comparative StudyUrinary incontinence and pelvic organ prolapse in nulliparous women.
To determine differences between vaginally parous and nulliparous women presenting with urinary incontinence and pelvic organ prolapse. ⋯ Nulliparous women were less likely to present with pelvic organ prolapse and those with urinary incontinence differed little from incontinent parous women.
-
To examine demographic and behavioral factors related to perineal application of powders. ⋯ Body mass index might confound the relationship between perineal powder application and the development of ovarian cancer. Other factors, such as alcohol and tobacco use and douching, are related to perineal use of powder and may represent similar behavioral characteristics.
-
Obstetrics and gynecology · Nov 1998
ReviewMagnesium sulfate therapy in preeclampsia and eclampsia.
To review the available evidence regarding efficacy, benefits, and risks of magnesium sulfate seizure prophylaxis in women with preeclampsia or eclampsia. ⋯ The evidence to date confirms the efficacy of magnesium sulfate therapy for women with eclampsia and severe preeclampsia. However, there is a need for a randomized controlled trial to determine efficacy of magnesium sulfate therapy for women with mild preeclampsia and gestational hypertension.
-
Obstetrics and gynecology · Oct 1998
Case ReportsCesarean delivery of twins during maternal cardiopulmonary arrest.
In modern times, maternal death is rare. Timely cesarean delivery in the setting of maternal cardiopulmonary arrest may save both the infant and the mother. ⋯ Relieving vena caval occlusion by perimortem cesarean delivery in a term gravida allows chest compressions to provide sufficient cardiac output in the unfortunate event of maternal cardiopulmonary arrest. When delivery occurs within 5 minutes of maternal insult, the neonatal outcome is favorable.