Obstetrics and gynecology
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Obstetrics and gynecology · Aug 1999
Randomized Controlled Trial Clinical TrialOral misoprostol for third stage of labor: a randomized placebo-controlled trial.
To investigate whether orally administered misoprostol during the third stage of labor is efficient in reducing postpartum blood loss. ⋯ Oral misoprostol administered in the third stage of labor reduced postpartum blood loss and might be effective in reducing incidence of postpartum hemorrhage.
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To determine whether obstetric admissions to the intensive care unit (ICU) are useful quality-assurance indicators. ⋯ The most common precipitants of ICU admission were obstetric hemorrhage and uncontrolled hypertension. Improved management strategies for these problems may significantly reduce major maternal morbidity.
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Obstetrics and gynecology · Aug 1999
Spontaneous abortion-related deaths among women in the United States--1981-1991.
To examine trends in spontaneous abortion-related mortality and risk factors for these deaths from 1981 through 1991. ⋯ Women 35 years of age and older, of races other than white, and in the second trimester of pregnancy age are at increased risk of death from spontaneous abortion. In addition, DIC complicates many spontaneous abortion cases that end in death. Because spontaneous abortion is a common outcome of pregnancy, continued monitoring of spontaneous abortion-related deaths is recommended.