Obstetrics and gynecology
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Obstetrics and gynecology · Aug 2017
Venous Thromboembolism Prophylaxis During Antepartum Admissions and Postpartum Readmissions.
To characterize the use of venous thromboembolism prophylaxis during antepartum and postpartum hospitalizations in the United States. ⋯ Although antepartum and postpartum venous thromboembolism prophylaxis is becoming increasingly common, particularly in the setting of medical or obstetric risk factors, use of prophylaxis varies regionally and on a hospital level. Some risk factors for venous thromboembolism were associated with lower rates of prophylaxis. The heterogeneity of clinical approaches to venous thromboembolism prophylaxis for these patient populations may represent an opportunity to perform outcomes research to further clarify best practices.
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Obstetrics and gynecology · Aug 2017
Practice GuidelineCommittee Opinion No. 709: Commercial Enterprises in Medical Practice.
Monetary reimbursement of physicians in exchange for medical advice and treatment is well established and accepted in medical practice. However, financial pressures and the pervasiveness of entrepreneurial values have led some physicians to widen the scope of activities for which they seek reimbursement. ⋯ Obstetrician-gynecologists should strive to ensure that commercial enterprises in medical practice do not compromise the patient-focused mission of clinical care. In this Committee Opinion, the American College of Obstetricians and Gynecologists' Committee on Ethics differentiates between commercial activities judged to be generally ethically appropriate for obstetrician-gynecologists and those that are not.
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Obstetrics and gynecology · Jul 2017
Randomized Controlled TrialAnesthetic Cream Use During Office Pessary Removal and Replacement: A Randomized Controlled Trial.
To estimate the effect of lidocaine-prilocaine cream on patient pain at the time of office pessary removal and reinsertion. ⋯ ClinicalTrials.gov, NCT02380742.
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Obstetrics and gynecology · Jul 2017
Observational StudyPostdischarge Opioid Use After Cesarean Delivery.
To characterize postdischarge opioid use and examine factors associated with variation in opioid prescribing and consumption. ⋯ Most women-especially those with normal in-hospital opioid use-are prescribed opioids in excess of the amount needed.
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Obstetrics and gynecology · Jul 2017
Multicenter StudySerial Head and Brain Imaging of 17 Fetuses With Confirmed Zika Virus Infection in Colombia, South America.
To evaluate fetal ultrasound and magnetic resonance imaging findings among a series of pregnant women with confirmed Zika virus infection to evaluate the signs of congenital Zika syndrome with respect to timing of infection. ⋯ Our analysis suggests a period of at least 15 weeks between maternal Zika virus infection in pregnancy and development of microcephaly and highlights the importance of serial and detailed neuroimaging.