Obstetrics and gynecology
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Intestinal obstruction during pregnancy is rare, with volvulus being responsible for about 25% of cases. ⋯ Volvulus in pregnancy carries a high mortality rate, often because diagnosis is delayed due to avoidance of radiography and because of similarity of symptoms to other clinical entities. A high index of suspicion for volvulus must be maintained when a pregnant patient presents with obstructive symptoms. Abdominal radiographs may be justified in aiding the diagnosis, and diagnostic laparoscopy is a viable alternative when the patient has an acute abdomen.
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Obstetrics and gynecology · Aug 2009
Meta Analysis Comparative StudyEffects of antenatal exposure to magnesium sulfate on neuroprotection and mortality in preterm infants: a meta-analysis.
To review the evidence regarding neuroprotective effects of antenatal exposure to magnesium sulfate. ⋯ Fetal exposure to magnesium sulfate in women at risk of preterm delivery significantly reduces the risk of cerebral palsy without increasing the risk of death.
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Obstetrics and gynecology · Aug 2009
Multicenter Study Clinical TrialA multiinstitutional experience with robotic-assisted hysterectomy with staging for endometrial cancer.
To report perioperative outcomes and learning curve characteristics from a multiinstitutional experience with robotic-assisted surgical staging for endometrial cancer. ⋯ III.
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Obstetrics and gynecology · Aug 2009
Carpenter-Coustan criteria compared with the national diabetes data group thresholds for gestational diabetes mellitus.
To examine perinatal outcomes in women who would meet the diagnostic criteria for gestational diabetes mellitus (GDM) according to the Carpenter and Coustan but not by the National Diabetes Data Group (NDDG) thresholds. ⋯ II.
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Obstetrics and gynecology · Aug 2009
Case ReportsListeriosis in pregnancy complicated by postpartum heart block.
Listeria monocytogenes is a food-borne pathogen that primarily affects pregnant women. Cardiac involvement is an uncommon complication of infection. We present a case of a gravida with Listeria bacteremia at 36 weeks of gestation. ⋯ Heart block is a rarely reported and possibly overlooked complication of listeriosis. Mothers with listerial infection should be screened for cardiac complications to avoid unexpected decompensation.