Obstetrics and gynecology
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Obstetrics and gynecology · Oct 2014
Multicenter StudyBody mass index and operative times at cesarean delivery.
To examine the relationship between body mass index (BMI, kg/m) and incision-to-delivery interval and total operative time at cesarean delivery. ⋯ : II.
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Obstetrics and gynecology · Oct 2014
Randomized Controlled Trial Multicenter Study Comparative StudyAssociation of duration of neuroprotective magnesium sulfate infusion with neonatal and maternal outcomes.
To evaluate the association of duration of magnesium sulfate infusion with stillbirth or death, cerebral palsy, and select adverse maternal and neonatal outcomes. ⋯ : II.
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Obstetrics and gynecology · Oct 2014
Randomized Controlled Trial Comparative StudyDay care compared with inpatient management of nausea and vomiting of pregnancy: a randomized controlled trial.
To examine day care treatment of nausea and vomiting of pregnancy compared with the traditional inpatient management of this condition. ⋯ : I.
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Obstetrics and gynecology · Oct 2014
Randomized Controlled Trial Multicenter Study Comparative StudyRelevance of random biopsy at the transformation zone when colposcopy is negative.
A post hoc analysis to determine the diagnostic yield of random biopsy in detecting high-grade cervical disease in women with negative colposcopy. ⋯ : II.
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Obstetrics and gynecology · Oct 2014
ReviewThe maternal early warning criteria: a proposal from the national partnership for maternal safety.
Case reviews of maternal death have revealed a concerning pattern of delay in recognition of hemorrhage, hypertensive crisis, sepsis, venous thromboembolism, and heart failure. Early-warning systems have been proposed to facilitate timely recognition, diagnosis, and treatment for women developing critical illness. A multidisciplinary working group convened by the National Partnership for Maternal Safety used a consensus-based approach to define The Maternal Early Warning Criteria, a list of abnormal parameters that indicate the need for urgent bedside evaluation by a clinician with the capacity to escalate care as necessary in order to pursue diagnostic and therapeutic interventions. This commentary reviews the evidence supporting the use of early-warning systems and describes The Maternal Early Warning Criteria, along with considerations for local implementation.