American journal of obstetrics and gynecology
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Am. J. Obstet. Gynecol. · Oct 2001
Comparative StudyAre women who are Jehovah's Witnesses at risk of maternal death?
The purpose of this study was to determine the rates of obstetric hemorrhage and maternal mortality in women who are Jehovah's Witnesses and to evaluate a protocol that uses erythropoietin to optimize the red blood cell mass before delivery. ⋯ Women who are Jehovah's Witnesses are at a 44-fold increased risk of maternal death, which is due to obstetric hemorrhage. Patients should be counseled about this risk of death, and obstetric hemorrhage should be aggressively treated, including a rapid decision to proceed to hysterectomy when indicated.
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Am. J. Obstet. Gynecol. · Oct 2001
Randomized Controlled Trial Comparative Study Clinical TrialA randomized controlled trial comparing oxytocin administration before and after placental delivery in the prevention of postpartum hemorrhage.
To determine if the timing of the administration of prophylactic oxytocin influences the incidence of postpartum hemorrhage caused by uterine atony, retained placenta, and third-stage duration. ⋯ The administration of prophylactic oxytocin before placental delivery does not reduce the incidence of postpartum hemorrhage or third-stage duration, when compared with giving oxytocin after placental delivery. Early administration, however, does not increase the incidence of retained placenta.
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Am. J. Obstet. Gynecol. · Oct 2001
Randomized Controlled Trial Comparative Study Clinical TrialA randomized trial of labor analgesia in women with pregnancy-induced hypertension.
The purpose of this study was to compare the peripartum and perinatal effects of epidural with intravenous labor analgesia in women with pregnancy-induced hypertension. ⋯ Epidural labor analgesia provides superior pain relief but no additional therapeutic benefit to women with pregnancy-induced hypertension.
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Am. J. Obstet. Gynecol. · Oct 2001
Comparative StudyThe effect of sequential use of vacuum and forceps for assisted vaginal delivery on neonatal and maternal outcomes.
To determine the risk of neonatal and maternal disease associated with the sequential use of vacuum and forceps compared with spontaneous vaginal delivery. ⋯ Sequential use of vacuum and forceps is associated with increased risk of both neonatal and maternal injury.
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Am. J. Obstet. Gynecol. · Oct 2001
Comparative StudyInfertility treatment is an independent risk factor for cesarean section among nulliparous women aged 40 and above.
To determine whether nulliparous women > 40 years old with singleton pregnancies who conceived after infertility treatment are at an increased risk for cesarean section compared with older nulliparous patients who conceived spontaneously. ⋯ A history of infertility treatment among nulliparous women > 40 years old with singleton pregnancies increases the risk for cesarean delivery independently of other known risk factors.