J Reprod Med
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To determine the number of rattlesnake bites in pregnant women reported to U.S. poison centers and evaluate whether differences in management, treatments, or outcomes exist between pregnant and non-pregnant female bite victims. ⋯ This rare condition is associated with favorable short-term pregnancy outcomes in the AAPCC database. In the absence of definitive evidence, we recommend standard management, including antivenom when indicated and extended fetal monitoring.
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Randomized Controlled Trial
Ketorolac-mepivacaine lower uterine block for in-office endometrial ablation: a randomized, controlled trial.
To investigate the effectiveness of a nonsteroidal antiinflammatory drug (NSAID) administered in combination with a local anesthetic as a deep paracervical block for in-office endometrial ablations. ⋯ Injectable ketorolac-mepivacaine anesthetic solution functions well as a deep paracervical block for in-office gynecologic procedures, with better postoperative pain control than mepivacaine-alone protocols.
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To assess whether night-float rotation affected resident performance on the Council on Resident Education in Obstetrics and Gynecology (CREOG) in-service examination. ⋯ Although night float rotations necessitate a complete reversal in sleep schedules, we found that night float service did not significantly affect scores On the annual in-service examination. To our knowledge, no studies have evaluated the impact of this schedule on test-taking ability.
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To compare the incidence of respiratory distress syndrome (RDS) in African American and Caucasian neonates after antenatal betamethasone or dexamethasone. ⋯ Among African American neonates, the incidence of RDS was higher in those who received dexamethasone vs. betamethasone.
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Randomized Controlled Trial
Efficacy of letrozole in ovulation induction compared to that of clomiphene citrate in patients with polycystic ovarian syndrome.
To compare the efficacy of letrozole with clomiphene citrate for ovulation induction in patients with polycystic ovarian syndrome (PCOS). ⋯ Letrozole might be an acceptable alternative to clomiphene citrate to induce ovulation and pregnancy in PCOS patients.