American journal of obstetrics and gynecology
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Am. J. Obstet. Gynecol. · May 1999
The preterm prediction study: failure of midtrimester cervical sialidase level elevation to predict subsequent spontaneous preterm birth.
Our objective was to determine any associations among midtrimester cervical fluid sialidase activity, bacterial vaginosis, and subsequent spontaneous preterm birth. ⋯ Elevated cervical fluid sialidase activity at 22 to 24 weeks' gestation did not distinguish women at increased risk for spontaneous preterm birth, nor did it discriminate a subgroup of patients who had bacterial vaginosis associated with spontaneous preterm birth.
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Am. J. Obstet. Gynecol. · Apr 1999
ReviewEpidural analgesia in association with duration of labor and mode of delivery: a quantitative review.
This study was undertaken to quantitatively summarize previous literature on the effects of epidural analgesia in labor on the duration of labor and mode of delivery. ⋯ Epidural analgesia with low-dose bupivacaine may increase the risk of oxytocin augmentation but not that of cesarean delivery.
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Am. J. Obstet. Gynecol. · Apr 1999
Ruptured tubal ectopic pregnancy: risk factors and reproductive outcome: results of a population-based study in France.
The aim of this study was to investigate the determinants of tubal rupture and to describe its treatment and effect on subsequent fertility. ⋯ Although tubal rupture seriously affects the immediate health of the women concerned, it seems to have no independent effect on subsequent fertility. Better knowledge of the risk factors should make it possible to identify those women who will not benefit from nonsurgical treatment.
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Am. J. Obstet. Gynecol. · Apr 1999
Case ReportsManagement of splenic artery aneurysm rupture during trial of scar with epidural analgesia.
We report a case of ruptured splenic artery aneurysm during labor in which the clinical signs were masked by epidural analgesia. A high index of clinical suspicion must be maintained in cases of atypical epidural breakthrough pain, and attending clinicians must be prepared for the unexpected when faced with a maternal collapse.