American journal of obstetrics and gynecology
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Am. J. Obstet. Gynecol. · Nov 2014
Resident participation in laparoscopic hysterectomy: impact of trainee involvement on operative times and surgical outcomes.
The purpose of this study was to determine the impact of resident involvement on morbidity after total laparoscopic hysterectomy for benign disease. ⋯ Resident involvement in total laparoscopic hysterectomy for benign disease was associated with clinically appreciable longer surgical time and small differences in the rates of postoperative transfusions, reoperation, and readmission. However, the rates of overall complications, severe complications, and 30-day mortality rate remain comparable.
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Am. J. Obstet. Gynecol. · Nov 2014
Assessment of cesarean delivery availability in 26 low- and middle-income countries: a cross-sectional study.
We sought to assess the capacity to provide cesarean delivery (CD) in health facilities in low- and middle-income countries. ⋯ Provision of CD in facilities in low- and middle-income countries is hindered by a lack of an adequate anesthetic and surgical workforce and availability of oxygen, anesthesia, and blood banks.
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Am. J. Obstet. Gynecol. · Nov 2014
Clinical significance of amniotic fluid sludge in twin pregnancies with a short cervical length.
The objective of the study was to determine the clinical significance of amniotic fluid (AF) sludge in twin pregnancies with a short cervix. ⋯ The presence of AF sludge in twin pregnancies with a short cervix is a risk factor for extreme prematurity, histological chorioamnionitis, and perinatal death. Twin A had higher rates of funisitis and neonatal morbidity in the presence of AF sludge.
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Am. J. Obstet. Gynecol. · Oct 2014
Comparative Study Clinical TrialPrediction of postoperative pain after gynecologic laparoscopy for nonacute pelvic pain.
The primary objectives of this study were to explore the pain experience after gynecologic laparoscopy that is performed for nonacute pain conditions and to determine whether preoperative psychologic tests and quantitative tests of sensitization can predict postoperative pain. ⋯ Pain after laparoscopic surgery for nonacute painful conditions can be predicted by baseline pain, catastrophizing, and the presence of allodynia, which is a simple swab test that indicates sensitization.
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Am. J. Obstet. Gynecol. · Oct 2014
Progression of ultrasound findings of fetal syphilis after maternal treatment.
The purpose of this study was to evaluate ultrasound findings of fetal syphilis and to describe their progression after maternal treatment. ⋯ Sonographic signs of fetal syphilis confer a higher risk of congenital syphilis at delivery for all maternal stages. Hepatomegaly develops early and resolves last after antepartum treatment.