Obstetrics and gynecology
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Obstetrics and gynecology · Jul 2006
Multicenter StudyDecision-to-incision times and maternal and infant outcomes.
To measure decision-to-incision intervals and related maternal and neonatal outcomes in a cohort of women undergoing emergency cesarean deliveries at multiple university-based hospitals comprising the National Institute of Child Health and Human Development Maternal-Fetal Medicine Units Network. ⋯ II-2.
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Obstetrics and gynecology · May 2005
Randomized Controlled Trial Multicenter Study Comparative Study Clinical TrialSubcutaneous tissue reapproximation, alone or in combination with drain, in obese women undergoing cesarean delivery.
To compare the efficacy of subcutaneous suture reapproximation alone with suture plus subcutaneous drain for the prevention of wound complications in obese women undergoing cesarean delivery. ⋯ The additional use of a subcutaneous drain along with a standard subcutaneous suture reapproximation technique is not effective for the prevention of wound complications in obese women undergoing cesarean delivery.
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Obstetrics and gynecology · May 2004
Multicenter Study Comparative StudyVasa previa: the impact of prenatal diagnosis on outcomes.
To evaluate outcomes and predictors of neonatal survival in pregnancies complicated by vasa previa and to compare outcomes in prenatally diagnosed cases of vasa previa with those not diagnosed prenatally. ⋯ Good outcomes with vasa previa depend primarily on prenatal diagnosis and cesarean delivery at 35 weeks of gestation or earlier should rupture of membranes, labor, or significant bleeding occur.
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Obstetrics and gynecology · Mar 2002
Randomized Controlled Trial Multicenter Study Clinical TrialRisk factors for difficult delivery in nulliparas with epidural analgesia in second stage of labor.
To identify risk factors for difficult delivery among nulliparas in the second stage of labor with continuous epidural analgesia, and to develop a multivariable model that is predictive of difficult delivery. ⋯ Our observations concerning maternal characteristics and obstetric variables are consistent with previous observations with the exception of time of induction of the epidural. The predictive model may be useful in defining high-risk populations for subsequent intervention studies designed to assess approaches to reduce difficult delivery.