American journal of obstetrics and gynecology
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Am. J. Obstet. Gynecol. · Feb 2015
Comparative StudySeverity of influenza and noninfluenza acute respiratory illness among pregnant women, 2010-2012.
The objective of the study was to identify characteristics of influenza illness contrasted with noninfluenza acute respiratory illness (ARI) in pregnant women. ⋯ Influenza had a greater negative impact on pregnant women than noninfluenza ARIs, as indicated by symptom severity and greater likelihood of elevated temperature. These results highlight the importance of preventing and treating influenza illnesses in pregnant women.
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Am. J. Obstet. Gynecol. · Feb 2015
Mode of delivery and postpartum depression: the role of patient preferences.
The purpose of this study was to explore the relationship between strength of preference for vaginal delivery, delivery mode undergone, and postpartum depression. ⋯ Women who have a strong antepartum preference for vaginal delivery and deliver by cesarean may be at increased risk for depression in the early postpartum period.
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Am. J. Obstet. Gynecol. · Feb 2015
Gynecologic robotic laparoendoscopic single-site surgery: prospective analysis of feasibility, safety, and technique.
Multiple reports suggest that laparoendoscopic single-site surgery is technically feasible, safe, and effective in treating a variety of gynecological disease processes. The study purpose was to assess the feasibility and safety of a novel robotic single-site platform (R-LESS) for the surgical treatment of benign and malignant gynecological conditions. ⋯ We present one of the first series of robotic laparoendoscopic single-site surgery for the treatment of various gynecological conditions. When performed by experienced minimally invasive surgeons, R-LESS is feasible and safe in select patients. Further studies are needed to better define the ideal gynecological procedures to perform using robotic single-site surgery and to assess the benefits and costs of R-LESS compared with multiport robotic and conventional laparoscopic approaches.
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Am. J. Obstet. Gynecol. · Feb 2015
Is universal cervical length screening indicated in women with prior term birth?
To determine whether universal transvaginal ultrasound (TVU) cervical length (CL) screening is indicated in women with prior term births. ⋯ Women with prior term birth have a trend toward a lower incidence of CL ≤20 mm, compared with nulliparous women. Further studies are needed to determine whether women with prior term births should be included or excluded from TVU CL screening.
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Am. J. Obstet. Gynecol. · Jan 2015
Randomized Controlled TrialPostpartum pelvic floor muscle training and pelvic organ prolapse--a randomized trial of primiparous women.
Pelvic organ prolapse (POP) is a common and distressing condition. The aim of the present study was to evaluate the effect of pelvic floor muscle training (PFMT) on prevention and treatment of symptoms and signs of POP in primiparous postpartum women. ⋯ No effect was found of postpartum PFMT on POP in primiparous women. More randomized controlled trials are needed before strong conclusions can be drawn on the effect of PFMT on POP in the particular population.