Obstetrics and gynecology
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Obstetrics and gynecology · Sep 1996
Randomized Controlled Trial Comparative Study Clinical TrialA randomized controlled trial of postoperative nasogastric tube decompression in gynecologic oncology patients undergoing intra-abdominal surgery.
To evaluate the effect of nasogastric decompression after extensive intra-abdominal surgery in gynecologic oncology patients. ⋯ Postoperative nasogastric tube decompression in gynecologic oncology patients undergoing extensive intra-abdominal surgery does not appear to provide any substantial benefit but significantly increases patient discomfort. As a result of this study, we have eliminated postoperative nasogastric decompression except in highly selected circumstances, such as extensive bowel surgery in patients with prior irradiation or substantial edema from bowel obstruction.
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Obstetrics and gynecology · Sep 1996
Comparative StudyPreterm delivery and perinatal death among black and white infants in a Chicago-area perinatal registry.
To explore associations between race, preterm delivery, etiologic classification of preterm delivery, and perinatal mortality. ⋯ Black infants born preterm after PROM appear to have a survival advantage compared with their white counterparts, an effect not observed within other etiologic categories of preterm delivery.
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Obstetrics and gynecology · Sep 1996
Comparative StudyCost analysis of shared oocyte in vitro fertilization.
To estimate the cost per woman delivered of a shared oocyte in an in vitro fertilization (IVF) program, and to compare these costs with those of a routine IVF program. ⋯ Shared IVF is a very cost-effective program and others donors and recipients an otherwise unavailable opportunity.
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To use data from the Centers for Disease Control and Prevention's (CDC) Pregnancy-Related Mortality Surveillance System to examine trends in pregnancy-related mortality and risk factors for pregnancy-related death. ⋯ Increased efforts to identify pregnancy-related deaths have contributed to an increase in the reported pregnancy-related mortality ratio. More than half of such deaths, however, are probably still unreported. Adequate surveillance of pregnancy-related mortality and morbidity is necessary for interpreting trends, identifying high-risk groups, and developing effective interventions.
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Obstetrics and gynecology · Aug 1996
Multicenter Study Clinical TrialInduction of ovulation in clomiphene-resistant polycystic ovary syndrome with pulsatile GnRH.
To determine the efficacy of pulsatile GnRH alone and in combination with clomiphene citrate or gonadotropins in a stepwise approach for inducing ovulation in women with clomiphene-resistant polycystic ovary syndrome (PCOS). ⋯ The use of subcutaneous pulsatile GnRH alone and in combination with clomiphene citrate or gonadotropins for induction of ovulation in clomiphene-resistant PCOS in a stepwise approach produces a high cumulative conception rate associated with a low rate of multiple pregnancy and ovarian hyperstimulation syndrome.