Obstetrics and gynecology
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Obstetrics and gynecology · Mar 2012
Randomized Controlled TrialPostoperative levonorgestrel-releasing intrauterine system for pelvic endometriosis-related pain: a randomized controlled trial.
To estimate the effectiveness of a postoperative levonorgestrel-releasing intrauterine system for relieving pelvic pain in patients with endometriosis. ⋯ The levonorgestrel-releasing intrauterine system is effective and well accepted for long-term therapy after conservative surgery for patients with moderate to severe pain related to endometriosis. It can improve the patient's quality of life, including physical and mental health.
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Obstetrics and gynecology · Feb 2012
Randomized Controlled TrialHigher-dose oxytocin and hemorrhage after vaginal delivery: a randomized controlled trial.
Higher-dose oxytocin is more effective than lower-dose regimens to prevent postpartum hemorrhage after cesarean delivery. We compared two higher-dose regimens (80 units and 40 units) to our routine regimen (10 units) among women who delivered vaginally. ⋯ I.
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Obstetrics and gynecology · Feb 2012
Randomized Controlled Trial Comparative StudyThree-year follow-up of tension-free vaginal tape compared with transobturator tape in women with stress urinary incontinence and intrinsic sphincter deficiency.
To compare the efficacy of tension-free vaginal tape (TVT) to transobturator tape in the treatment of women with stress urinary incontinence (SUI) and intrinsic sphincter deficiency at 3-year follow-up. ⋯ I.
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Obstetrics and gynecology · Dec 2011
Randomized Controlled TrialTransversus abdominis plane infiltration and quality of recovery after laparoscopic hysterectomy: a randomized controlled trial.
To examine the effect of a preoperative transversus abdominis plane infiltration on postoperative quality of recovery and analgesia in patients undergoing laparoscopic hysterectomy. ⋯ I.
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Obstetrics and gynecology · Nov 2011
Randomized Controlled Trial Comparative StudyLabor room setting compared with the operating room for simulated perimortem cesarean delivery: a randomized controlled trial.
To compare the labor room and operating room for perimortem cesarean delivery during simulated maternal arrests occurring outside the operating room. We hypothesized transport to the operating room for perimortem cesarean delivery would delay incision and other important resuscitation milestones. ⋯ Perimortem cesarean delivery performed in the labor room was significantly faster than perimortem cesarean delivery performed after moving to the operating room. Delivery within 5 minutes was challenging in either location despite optimal study conditions (eg, the manikin was light and easily moved; teams knew the scenario mandated perimortem cesarean delivery and were aware of being timed). Our findings imply that perimortem cesarean delivery during actual arrest would require more than 5 minutes and should be performed in the labor room rather than relocating to the operating room.