Obstetrics and gynecology
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Obstetrics and gynecology · Mar 1996
Comment Letter Randomized Controlled Trial Comparative Study Clinical TrialRandomized trial of epidural versus intravenous analgesia during labor.
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A modified amniocentesis technique can reduce the failure rate in cases of tenting of the membranes. Failure to aspirate amniotic fluid (AF) because of amniotic membrane tenting may persist after advancement and rotation of the needle. ⋯ Under real-time ultrasonographic guidance, the tip of the stylet is then rapidly advanced 5-10 mm beyond the tip of the needle. During genetic amniocentesis, we have used the longer stylet technique to pierce tented membranes without complications in 21 of 22 cases.
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Obstetrics and gynecology · Feb 1996
Influence of acid-base status at birth and Apgar scores on survival in 500-1000-g infants.
To evaluate the influence of acid-base status at birth and Apgar scores on survival in very low birth weight infants. ⋯ One- and 5-minute Apgar scores are better predictors of survival than umbilical artery blood gases in neonates weighing 500-1000 g at birth.
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To estimate the cost per woman delivered of pregnancies from an in vitro fertilization (IVF) program, and to assess what factors contribute to the cost. ⋯ In vitro fertilization can be cost-effective if steps are taken to minimize high-order multiple (triplet or more) pregnancies.
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Obstetrics and gynecology · Jan 1996
The prevalence of dysmenorrhea, dyspareunia, pelvic pain, and irritable bowel syndrome in primary care practices.
To determine the prevalence of dysmenorrhea, dyspareunia, pelvic pain, and irritable bowel syndrome in a clinical population of reproductive-age women. ⋯ Dysmenorrhea, dyspareunia, pelvic pain, and irritable bowel syndrome are common complaints among women of reproductive age and are not consistently associated with demographic risk factors. Therefore, inquiry about these pelvic pain complaints should be a routine part of health care for women.