Obstetrics and gynecology
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Obstetrics and gynecology · Nov 1995
Randomized Controlled Trial Comparative Study Clinical TrialRandomized trial of epidural versus intravenous analgesia during labor.
To compare the effects of epidural analgesia with intravenous (IV) analgesia on the outcome of labor. ⋯ Although labor epidural analgesia is superior to meperidine for pain relief, labor is prolonged, uterine infection is increased, and the number of operative deliveries are increased. A two- to fourfold increased risk of cesarean delivery is associated with epidural treatment in both nulliparous and parous women.
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To identify risk factors for fever in labor. ⋯ Epidural analgesia, duration of labor, and a long interval from rupture of membranes to delivery were independent risk factors for maternal fever in labor.
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Obstetrics and gynecology · Oct 1995
Case ReportsSuccessful urokinase treatment of massive pulmonary embolism in pregnancy.
Thrombolytic agents have been used successfully to treat patients with massive pulmonary embolism and cardiorespiratory insufficiency, but experience with these drugs in pregnancy is limited. ⋯ Thrombolytic therapy can be life-saving and should be considered in the treatment of hemodynamically significant pulmonary embolism in pregnancy.
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Obstetrics and gynecology · Oct 1995
Case ReportsPregnancy in a combined liver and kidney transplant recipient with type 1 primary hyperoxaluria.
Little is known about pregnancy outcomes in multiple organ transplant recipients. We present a case of pregnancy in a patient after liver and kidney transplantation for the genetic disorder of type 1 primary hyperoxaluria. ⋯ Combined liver and kidney transplant recipients who become pregnant can have a successful outcome.
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Obstetrics and gynecology · Oct 1995
Case ReportsStaphylococcal septicemia and adult respiratory distress syndrome in pregnancy treated with extracorporeal carbon dioxide removal.
Septicemia in pregnancy may take an especially fulminant course. Adult respiratory distress syndrome (RDS) and disseminated intravascular coagulation (DIC) are associated life-threatening complications. Treatment consists of appropriate antibiotic coverage and supportive measures. ⋯ Extracorporeal carbon dioxide removal may improve survival in gravidas with adult RDS by decreasing the required airway pressures for ventilation, thus permitting pulmonary recovery.