Obstetrics and gynecology
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Obstetrics and gynecology · Feb 2018
Antecedents of Abnormally Invasive Placenta in Primiparous Women: Risk Associated With Gynecologic Procedures.
To evaluate the association between prior invasive gynecologic procedures and the risk of subsequent abnormally invasive placenta (ie, placenta accreta, increta, and percreta). ⋯ Women with a history of prior invasive gynecologic procedures were more likely to develop abnormally invasive placenta. These insights may be used to inform management of pregnancies in women with a history of gynecologic procedures.
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Obstetrics and gynecology · Jan 2018
Opioid Knowledge and Prescribing Practices Among Obstetrician-Gynecologists.
To describe obstetrician-gynecologists' (ob-gyns) knowledge and prescribing practices regarding opioid analgesics. ⋯ Obstetrician-gynecologists reported prescribing a median of 26 opioid pills across all indications combined. Amount prescribed varied widely by indication but not by reported adherence to recommended prescribing practices. This study highlights an urgent need for increased efforts to improve ob-gyns' knowledge of opioid use, misuse, disposal, and best prescribing practices.
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Obstetrics and gynecology · Jan 2018
Randomized Controlled TrialLiposomal Bupivacaine During Robotic Colpopexy and Posterior Repair: A Randomized Controlled Trial.
To evaluate the effect of liposomal bupivacaine on postoperative pain among patients undergoing robotic sacrocolpopexy with posterior repair. ⋯ ClinicalTrials.gov, NCT02449915.
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Obstetrics and gynecology · Jan 2018
Comparative StudyTerm Elective Induction of Labor and Pregnancy Outcomes Among Obese Women and Their Offspring.
To evaluate whether elective induction of labor between 39 through 41 weeks of gestation, as compared with expectant management, is associated with reduced cesarean delivery and other adverse outcomes among obese women and their offspring. ⋯ Elective labor induction after 39 weeks of gestation was associated with reduced maternal and neonatal morbidity among obese women. Further prospective investigation is necessary.
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To characterize risk and timing of postpartum stroke readmission after delivery hospitalization discharge. ⋯ Although patients with chronic hypertension and hypertensive diseases of pregnancy are at higher risk of postpartum stroke, they account for a minority of such strokes. The majority of readmissions for postpartum stroke occur within 10 days of discharge; optimal blood pressure management may be particularly important during this period.