American journal of obstetrics and gynecology
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Am. J. Obstet. Gynecol. · Sep 2013
The obstetrical and neonatal impact of maternal opioid detoxification in pregnancy.
The purpose of this study was to analyze the obstetric and neonatal impact of an opioid detoxification program during pregnancy, as well as to examine variables associated with successful opioid detoxification. ⋯ Opiate detoxification in pregnancy requires a significant time commitment and extended treatment, however, can be successfully achieved in compliant parturients. Importantly, maternal demographics and drug histories do not portend success, supporting continued opiate detoxification being offered to all women expressing intent.
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Am. J. Obstet. Gynecol. · Aug 2013
External funding of obstetrical publications: citation significance and trends over 2 decades.
The objective of the study was to identify the external funding status of the most frequently cited obstetrical publications (citation classics) and to assess trends in funded vs nonfunded manuscripts as well as each publication's type of external funding. ⋯ Our findings provide useful data regarding the importance of securing NIH-based funding for physicians contemplating academic careers in obstetrics.
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Am. J. Obstet. Gynecol. · Aug 2013
Surgical site infections and cellulitis after abdominal hysterectomy.
To identify risk factors for and outcomes of surgical site infections and cellulitis after abdominal hysterectomies. ⋯ Preoperative showers, antimicrobial prophylaxis, surgical techniques preventing seromas, and the operating room environment may affect the risk of surgical site infections and cellulitis after abdominal hysterectomies.
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Am. J. Obstet. Gynecol. · Aug 2013
Racial and ethnic disparities in preterm births in infants conceived by in vitro fertilization in the United States.
The objective of the study was to examine racial and ethnic differences in preterm births in infants conceived by in vitro fertilization (IVF). ⋯ There exist notable racial and ethnic disparities in preterm births in infants conceived by IVF, suggesting that mechanisms other than socioeconomic disparities contribute to this difference.
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Am. J. Obstet. Gynecol. · Jul 2013
Review Meta AnalysisMisoprostol to reduce intraoperative and postoperative hemorrhage during cesarean delivery: a systematic review and metaanalysis.
To evaluate the efficacy and safety of prophylactic misoprostol use at cesarean delivery for reducing intraoperative and postoperative hemorrhage. ⋯ Misoprostol combined with oxytocin appears to be more effective than oxytocin alone in reducing intraoperative and postoperative hemorrhage during cesarean section. There were no significant differences in intraoperative and postoperative hemorrhage when misoprostol was compared to oxytocin. However, these findings were based on a few trials with methodological limitations.