Obstetrics and gynecology
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To review our experience with the diagnosis and management of necrotizing fasciitis after cesarean delivery. ⋯ Necrotizing fasciitis is infrequent (1.8 per 1000 women) after cesarean delivery at our institution, but it does result in appreciable morbidity and mortality.
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We evaluated the need for vigorous resuscitation (bag-and-mask ventilation, tracheal intubation, and cardiopulmonary resuscitation) in certain common cesarean deliveries at term to evaluate the need for pediatrician attendance on behalf of the fetus. ⋯ Both repeat cesarean deliveries and cesareans done for nonprogressive labor without signs of fetal heart rate abnormality, when performed under regional anesthesia, may not need a pediatrician in attendance because of minimal fetal risk.
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Obstetrics and gynecology · Dec 1996
Association of epidural analgesia with cesarean delivery in nulliparas.
To evaluate whether epidural analgesia during the first stage of labor is associated with an increased risk of cesarean delivery. ⋯ Epidural analgesia may increase substantially the risk of cesarean delivery. Although the causal nature of this association remains open to debate, prenatal care providers should routinely discuss the risks and benefits of epidural analgesia with women during their pregnancies so that they can make informed decisions about the use of pain relief during labor.
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Obstetrics and gynecology · Dec 1996
ReviewFetal RhD typing by polymerase chain reaction in pregnancies complicated by rhesus alloimmunization.
To review the specificity and sensitivity of diagnostic techniques using the polymerase chain reaction (PCR) on amniotic fluid (AF) samples for the determination of fetal RhD status. ⋯ This lower rate of procedure-related loss makes RhD typing using AF the preferred method for assessing the fetal Rh status in cases of a heterozygous paternal genotype.