Revue française de gynécologie et d'obstétrique
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Rev Fr Gynecol Obstet · Dec 1990
Comparative Study[Labor under peridural anesthesia. Experience at the Maternity Center of the Amiens CHRU].
The study has been carried out on 476 epidural deliveries. 69 per cent of the patients were satisfied. Amongst the 31 per cent of unsatisfied, most claimed that the analgesia was not sufficient, mainly due to delayed re-injections. ⋯ The efficacy of the re-injection for post-operative analgesia is also to be noted (92 per cent success). Finally, whatever the stage of perfection of the epidural technique, it is always better to associate the latter with a good psychoprophylaxis.
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Over a period of 4 months, the authors have observed 414 deliveries, including 30 which presented a hyperthermia exceeding or equal to 37.8 degrees C (7.2%). 27 hyperthermias occurred under peridural analgesia. The thermogenic effect of this loco-regional anesthesia seems debatable since it occurs at an early stage, is transient and has a peripheral effect. ⋯ Peridural analgesia is advocated in most primiparous patients as well as in imperative labor inducements. Sometimes, this permits accepting a longer-lasting labor, exposing the patient to the risk of amniotic infection.
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Urinary tract infections are mainly due to Escherichia coli and certain gynaecological conditions encourage urethral and bladder contamination. The author considers the specific case of pregnant women.
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Rev Fr Gynecol Obstet · Jul 1988
Multicenter Study Comparative Study Clinical Trial Controlled Clinical Trial[Efficacy of oral contraceptives on acne. Apropos of a comparative study of Varnoline vs Diane in 69 women with acne].
The authors conducted a comparative study of the effect of two oral contraceptives Varnoline and Diane in the treatment of androgenic manifestations: acne and hirsutism. The two products tested seem to have a similar efficacy on this type of clinical manifestations.
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A review of 10 cases of severe obstetrical haemorrhage is presented. The etiology is not always clear. ⋯ An early and rapid treatment is essential and based on correcting the fibrinopenia; fibrinogen, in fractioned form, at a mean dose of 3 g, reduces the duration of the syndrome and minimize the risks of complications. In the acute phase, heparin therapy must be avoided because it might aggravate the haemorrhage.