Obstetrics and gynecology
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Obstetrics and gynecology · Feb 1998
Comparative StudyA comparative evaluation of collaborative prenatal care.
To evaluate the effectiveness of an advanced-practice nurse-obstetrician collaborative prenatal practice. ⋯ An advanced-practice nurse-obstetrician collaborative practice may be implemented successfully and lead to acceptable perinatal outcomes, as judged by low birth weight and prematurity.
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Obstetrics and gynecology · Feb 1998
Vulvovaginal involvement in toxic epidermal necrolysis: a retrospective study of 40 cases.
To determine the incidence, features, and surgical treatment of vulvovaginal lesions in toxic epidermal necrolysis. ⋯ Genital involvement is frequent during toxic epidermal necrolysis but rarely leads to symptomatic sequelae. Surgery for synechiae is sometimes necessary to recover sexual activity because the vulvovaginal canal is stenotic. Because of the partial effect on pain relief after surgery, a preventive approach should be tried.
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Obstetrics and gynecology · Jan 1998
Comparative StudyPregnancy outcome and weight gain recommendations for the morbidly obese woman.
To compare pregnancy outcomes between morbidly obese and nonobese women and to determine the effect of gestational weight gain on pregnancy outcome in morbidly obese women. ⋯ Gestational weight gain was not associated with adverse perinatal outcome, but it did influence neonatal outcome. To reduce the risk of delivery of an LGA newborn, the optimal gestational weight gain for morbidly obese women should not exceed 25 lb.
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Obstetrics and gynecology · Jan 1998
Comparative StudyUterine side effects of tamoxifen: a need for systematic pretreatment screening.
To determine the effect of tamoxifen on the endometrium in postmenopausal women with breast cancer and to try to identify, by pretreatment screening, subjects at higher risk of developing endometrial cancer. ⋯ It appears that a group of high-risk subjects can be defined on the basis of endometrial evaluation before tamoxifen therapy; these women should be followed carefully because of the high incidence of severe atypical lesions.
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Obstetrics and gynecology · Jan 1998
Comparative StudyDoes delivery improve maternal condition in the respiratory-compromised gravida?
To describe the effect of delivery on respiratory status and outcome in the respiratory-compromised pregnant woman. ⋯ Delivery of respiratory-compromised gravidas resulted in a 28% reduction in fraction of inspired oxygen requirement within 24 hours after delivery. Although most patients were then able to be maintained below critical fraction of inspired oxygen requirement levels (under 0.6), dramatic improvement in overall respiratory function was not observed uniformly. Given the limited benefit of delivery on maternal oxygenation, along with the inherent risks of labor induction in this critically ill population, caution should be exercised in initiating the induction process electively.