American journal of obstetrics and gynecology
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Am. J. Obstet. Gynecol. · Jun 2006
Randomized Controlled TrialDoes magnesium sulfate reduce the short- and long-term requirements for pain relief after caesarean delivery? A double-blind placebo-controlled trial.
The purpose of this study was to determine whether magnesium sulfate decreases postoperative pain and analgesic consumption. ⋯ Magnesium sulfate does not reduce the severity of short-term or long-term (6 weeks) pain after cesarean delivery.
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Am. J. Obstet. Gynecol. · Jun 2006
The perceived impact of duty hour restrictions on the residency environment: a survey of residency program directors.
The purpose of this study was to characterize residency program director baseline perceptions regarding the effect of resident duty hour limitations on key components of the graduate medical education environment. ⋯ Variations in current opinions regarding the impact of residency duty hour restrictions reflect ongoing bias in those most influential to resident education.
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Am. J. Obstet. Gynecol. · Jun 2006
Is there a useful cesarean birth measure? Assessment of the nulliparous term singleton vertex cesarean birth rate as a tool for obstetric quality improvement.
This study was undertaken to assess the utility of the nulliparous term singleton vertex cesarean birth (NTSV CB) measure as a quality improvement tool for use at the hospital level. ⋯ NTSV CB rate is strongly influenced by elective obstetric practices. The addition of an easily performed maternal age adjustment makes it the most promising CB quality measure for use at the hospital level.
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Am. J. Obstet. Gynecol. · May 2006
Utility of Acute Physiology, Age, and Chronic Health Evaluation (APACHE III) score in maternal admissions to the intensive care unit.
A mean Acute Physiology, Age, and Chronic Health Evaluation (APACHE III) score of > 50 is associated with increased intensive care unit mortality rate in nonpregnant cardiac and trauma patients. The objective was to determine the usefulness of the APACHE III score in maternal admissions to an intensive care unit in a tertiary care center in an urban multicultural city. ⋯ The APACHE III is not associated with risk of intensive care unit-related maternal death.