Obstetrics and gynecology
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Obstetrics and gynecology · Apr 2012
Uterine rupture with attempted vaginal birth after cesarean delivery: decision-to-delivery time and neonatal outcome.
To estimate the time from the diagnosis of uterine rupture to delivery that would prevent adverse neonatal sequelae. ⋯ II.
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Obstetrics and gynecology · Mar 2012
Intraoperative hypothermia during cytoreductive surgery for ovarian cancer and perioperative morbidity.
To evaluate intraoperative hypothermia as a predictor for morbidity after open abdominal surgery for ovarian cancer. ⋯ Surgical hypothermia is an independent predictor of early perioperative complications and overall survival after cytoreductive surgery for ovarian cancer. This is a critically important finding, because maintaining normothermia is an inexpensive modifiable factor, which could result in reduced morbidity.
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Obstetrics and gynecology · Mar 2012
Hepatic rupture in hemolysis, elevated liver enzymes, low platelets syndrome.
Rupture of hepatic hematoma associated with hemolysis, elevated liver enzymes, low platelets (HELLP) syndrome is a catastrophic complication of pregnancy. Maternal and fetal mortality rates are still high despite advances in diagnosis and treatment. We aimed to present our experience at two referral centers for hepatic disease and to compare it with cases from the literature. ⋯ The use of hepatic artery embolization to address hepatic rupture associated with HELLP syndrome may help minimize morbidity and maternal mortality.
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Obstetrics and gynecology · Mar 2012
Randomized Controlled TrialPostoperative levonorgestrel-releasing intrauterine system for pelvic endometriosis-related pain: a randomized controlled trial.
To estimate the effectiveness of a postoperative levonorgestrel-releasing intrauterine system for relieving pelvic pain in patients with endometriosis. ⋯ The levonorgestrel-releasing intrauterine system is effective and well accepted for long-term therapy after conservative surgery for patients with moderate to severe pain related to endometriosis. It can improve the patient's quality of life, including physical and mental health.
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To estimate if neonates with early-onset group B streptococcus (GBS) sepsis have clinical evidence of fetal infection during labor or at delivery. ⋯ We believe that these findings are compelling evidence that fetuses with early-onset GBS may have signs of sepsis peripartum. We hypothesize that these data support the concept that early-onset GBS represents a spectrum of infection that often precedes birth.