Obstetrics and gynecology
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To describe the incidence and characteristics of terminal fetal heart rate decelerations and to estimate their association with acidemia. ⋯ II.
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Obstetrics and gynecology · Oct 2013
Comparative StudyElective induction of labor at term compared with expectant management: maternal and neonatal outcomes.
To test the association of elective induction of labor at term compared with expectant management and maternal and neonatal outcomes. ⋯ : II.
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Obstetrics and gynecology · Oct 2013
Comparative StudyCost-effectiveness of preoperative imaging for appendicitis after indeterminate ultrasonography in the second or third trimester of pregnancy.
To assess the cost-effectiveness of diagnostic laparoscopy, computed tomography (CT), and magnetic resonance imaging (MRI) after indeterminate ultrasonography in pregnant women with suspected appendicitis. ⋯ Depending on imaging costs and resource availability, both CT and MRI are potentially cost-effective. The risk of radiation-associated childhood cancer from CT has little effect on population-level outcomes or cost-effectiveness but is a concern for individual patients. For pregnant women with suspected appendicitis, an extremely high level of clinical diagnostic certainty must be reached before proceeding to operation without preoperative imaging.
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Obstetrics and gynecology · Oct 2013
Comparative StudyComparison of robotic and laparoscopic hysterectomy for benign gynecologic disease.
Use of robotically assisted hysterectomy for benign gynecologic conditions is increasing. Using the most recent, available nationwide data, we examined clinical outcomes, safety, and cost of robotic compared with laparoscopic hysterectomy. ⋯ : II.
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Obstetrics and gynecology · Sep 2013
Randomized Controlled Trial Comparative StudyLidocaine spray compared with submucosal injection for reducing pain during loop electrosurgical excision procedure: a randomized controlled trial.
To examine the effectiveness of lidocaine spray compared with conventional lidocaine submucosal injection during a loop electrosurgical excision procedure (LEEP). ⋯ I.