Obstetrics and gynecology
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Obstetrics and gynecology · Jun 2014
Randomized Controlled TrialLocating pain in breast cancer survivors experiencing dyspareunia: a randomized controlled trial.
To locate sites of genital tenderness in breast cancer survivors not using estrogen who experience dyspareunia and to test the hypothesis that tenderness is limited to the vulvar vestibule rather than the vagina and is reversed by topical anesthetic. ⋯ I.
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Obstetrics and gynecology · Jun 2014
Multicenter StudyPredictive value of cervical length measurement and fibronectin testing in threatened preterm labor.
To estimate the performance of combining cervical length measurement with fetal fibronectin testing in predicting delivery in women with symptoms of preterm labor. ⋯ II.
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Obstetrics and gynecology · Jun 2014
Effect of excess gestational weight gain on pregnancy outcomes in women with type 1 diabetes.
To evaluate the prevalence and clinical effects of excess gestational weight gain on birth weight and other pregnancy outcomes in women with type 1 diabetes. ⋯ II.
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Obstetrics and gynecology · May 2014
Facility-based identification of women with severe maternal morbidity: it is time to start.
Although maternal deaths have been the traditional indicator of maternal health, these events are the "tip of the iceberg" in that there are many women who have significant complications of pregnancy, labor, and delivery. Identifying women who experience severe maternal morbidity and reviewing their care can provide critical information to inform quality improvement in obstetrics. In this commentary, we review methods to identify women who experienced severe complications of pregnancy. We propose a simple validated approach based on transfusion of four or more units of blood products, admission to an intensive care unit, or both as a starting point for identification and review of severe maternal morbidity in health care settings for the purpose of understanding successes and failures in systems of care.
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To perform an econometric analysis to examine the influence of procedure volume, variation in hospital accounting methodology, and use of various analytic methodologies on cost of robotically assisted hysterectomy for benign gynecologic disease and endometrial cancer. ⋯ The cost of robotic gynecologic surgery decreases with increased procedure volume. However, in all of the scenarios modeled, robotically assisted hysterectomy remained substantially more costly than laparoscopic hysterectomy.