American journal of obstetrics and gynecology
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Am. J. Obstet. Gynecol. · Oct 2001
Comparative StudyObstetrical intervention rates and maternal and neonatal outcomes of women with gestational hypertension.
The purpose of this study was to determine the obstetrical intervention rates and maternal and neonatal outcomes of women with gestational hypertension. ⋯ Women with gestational hypertension had obstetrical intervention rates much higher than control subjects and similar to those with preeclampsia and chronic hypertension.
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Am. J. Obstet. Gynecol. · Oct 2001
Randomized Controlled Trial Comparative Study Clinical TrialRectal misoprostol versus intravenous oxytocin for the prevention of postpartum hemorrhage after vaginal delivery.
To compare rectally administered misoprostol to intravenously administered oxytocin for the management of third-stage labor. ⋯ Rectal misoprostol (400 microg) was no more effective than intravenous oxytocin in preventing postpartum hemorrhage.
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Am. J. Obstet. Gynecol. · Oct 2001
Comparative StudyOutcomes of trial of labor following previous cesarean delivery among women with fetuses weighing >4000 g.
To compare outcomes at term of a trial of labor in women with previous cesarean delivery who delivered neonates weighing > 4000 g versus women with those weighing < or = 4000 g. ⋯ A trial of labor after previous cesarean delivery may be a reasonable clinical option for pregnant women with suspected birth weights of > 4000 g, given that the rate of uterine rupture associated with these weights does not appear to be substantially increased when compared to lower birth weights. However, some caution may apply when considering a trial of labor in women with infants weighing > 4250 g. In these women with infants weighing > 4000 g, the likelihood of successful vaginal delivery, although lower than for neonates weighing < or = 4000 g, is still 60%.
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Am. J. Obstet. Gynecol. · Sep 2001
Randomized Controlled Trial Comparative Study Clinical TrialA randomized trial that compared oral cefixime and intramuscular ceftriaxone for the treatment of gonorrhea in pregnancy.
The purpose of this study was to evaluate prospectively the Centers for Disease Control recommendations for the treatment of gonococcal infection in pregnancy. ⋯ Both intramuscular ceftriaxone 125 mg and oral cefixime 400 mg appear to be effective for the treatment of gonococcal infection in pregnancy.
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Destructive procedures to permit vaginal delivery of the fetus with hydrocephalus are rarely performed. ⋯ A reappraisal of the proper role of cephalocentesis in modern obstetrics is offered.