Obstetrics and gynecology
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Obstetrics and gynecology · Aug 2011
Case ReportsConcurrent postpartum uterine and abdominal wall dehiscence and Streptococcus anginosus infection.
Postpartum uterine scar dehiscence is a rare but potentially lethal complication of cesarean deliveries. ⋯ Uterine scar separation needs to be considered in patients with a fascial dehiscence after cesarean delivery for arrest of labor. Selected cases can be managed conservatively (uterine reclosure), but patients should be counseled about the possible need for hysterectomy at the time of relaparotomy.
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Obstetrics and gynecology · Jul 2011
Randomized Controlled Trial Comparative StudySingle-balloon compared with double-balloon catheters for induction of labor: a randomized controlled trial.
To estimate the efficacy of a single-balloon catheter compared with a double-balloon catheter among women with unfavorable cervices undergoing induction of labor. ⋯ Both the single-balloon and double-balloon catheters are equally efficacious for inducing labor. The double-balloon catheter may be associated with more operative deliveries.
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Obstetrics and gynecology · Jul 2011
Selective serotonin reuptake inhibitors and risk for major congenital anomalies.
To estimate the risk of major congenital anomalies after exposure to selective serotonin reuptake inhibitors during pregnancy. ⋯ Fluoxetine use is associated with an increased risk of isolated ventricular septal defects and paroxetine is associated with right ventricular outflow tract defects. The absolute risk for these specific cardiac anomalies is small but should guide clinicians not to consider fluoxetine or paroxetine the first option when prescribing selective serotonin reuptake inhibitors to women planning pregnancy. Special attention should be given to alcohol use in pregnant women using selective serotonin reuptake inhibitors.
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Obstetrics and gynecology · Jun 2011
Comparative StudyDifferences in primary compared with secondary vestibulodynia by immunohistochemistry.
To assess whether primary and secondary vestibulodynia represent different pathologic pathways. ⋯ Primary and secondary vestibulodynia have significantly different histologic features, suggesting that they may have separate mechanistic pathways. Clinically, this may mean the discovery of distinct conditions.
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Obstetrics and gynecology · Jun 2011
Comparative StudyA comparison of obstetric maneuvers for the acute management of shoulder dystocia.
To assess the efficacy of obstetric maneuvers for resolving shoulder dystocia and the effect that these maneuvers have on neonatal injury when shoulder dystocia occurs. ⋯ Delivery of the posterior shoulder should be considered following the McRoberts maneuver and suprapubic pressure in the management of shoulder dystocia. The need for additional maneuvers was associated with higher rates of neonatal injury.