American journal of obstetrics and gynecology
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Am. J. Obstet. Gynecol. · Apr 2007
Risk factors for primary and subsequent anal sphincter lacerations: a comparison of cohorts by parity and prior mode of delivery.
This study was performed to assess the effect of pregnancy, route of delivery, and parity on the risk of primary and subsequent anal sphincter laceration in women at first vaginal delivery (1st VD), vaginal birth after cesarean delivery (VBAC), or second vaginal delivery (2nd VD). ⋯ At this institution, women undergoing VBAC are at similarly high risk of anal sphincter laceration, compared with nulliparous women. Women with prior anal sphincter laceration are at 3 times increased risk for subsequent sphincter laceration, compared with women with prior vaginal delivery without sphincter laceration. Pregnancy by itself does not appear to be an important factor in decreasing the risk of anal sphincter laceration in subsequent deliveries.
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Am. J. Obstet. Gynecol. · Mar 2007
Comparative StudyModelflow: a new method for noninvasive assessment of cardiac output in pregnant women.
Estimation of cardiac output by continuous finger arterial pressure waveform analysis with Modelflow is a noninvasive technique for beat-to-beat hemodynamic assessment. The purpose of this study was to compare this method in pregnant women with the more commonly used Doppler echocardiography. ⋯ After adjustment for pregnancy the Modelflow method is a useful research tool for assessment of stroke volume in pregnant women and offers the advantage of continuous measurement and convenience of application.
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Am. J. Obstet. Gynecol. · Mar 2007
Clinical TrialLaparoscopy-assisted vaginal hysterectomy compared with abdominal hysterectomy in clinical stage I endometrial cancer: safety, recurrence, and long-term outcome.
To determine the feasibility of laparoscopic-assisted vaginal hysterectomy (LAVH) in the treatment of clinical FIGO stage I endometrial adenocarcinoma and long-term survival outcome. ⋯ LAVH with lymphadenectomy in selected population in high-risk patients with clinical stage I endometrial adenocarcinoma and with favorable body mass index of less than 35 kg/m2, appears to be safe procedure.
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Am. J. Obstet. Gynecol. · Jan 2007
Randomized Controlled Trial Comparative StudyClinical efficacy and differential inhibition of menstrual fluid prostaglandin F2alpha in a randomized, double-blind, crossover treatment with placebo, acetaminophen, and ibuprofen in primary dysmenorrhea.
The purpose of this study was to compare acetaminophen with ibuprofen for pain relief and menstrual fluid prostaglandin F2alpha (PGF2alpha) suppression in primary dysmenorrhea. ⋯ Both ibuprofen and acetaminophen were superior to placebo for pain relief and menstrual fluid PGF2alpha suppression, with ibuprofen being more potent.
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Am. J. Obstet. Gynecol. · Dec 2006
Obesity and retropubic surgery for stress incontinence: is there really an increased risk of intraoperative complications?
The objective of the study was to evaluate the impact of obesity on length of surgery, blood loss, and intra- and postoperative complications in women who underwent retropubic surgery for stress urinary incontinence. ⋯ Surgery takes longer for obese patients, but blood loss as recorded by change in hematocrit is lower. Major complications were rare and similar between weight groups, as were infectious complications.