Obstetrics and gynecology
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Obstetrics and gynecology · Feb 2020
Race and Ethnicity, Medical Insurance, and Within-Hospital Severe Maternal Morbidity Disparities.
To examine within-hospital racial and ethnic disparities in severe maternal morbidity rates and determine whether they are associated with differences in types of medical insurance. ⋯ Within hospitals in New York City, black and Latina women are at higher risk of severe maternal morbidity than white women; this is not associated with differences in types of insurance.
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Obstetrics and gynecology · Jan 2020
Persistent Opioid Use After Hysterectomy in the United States, 2005-2015.
To assess variables associated with opioid prescriptions filled perioperatively after hysterectomy and the risk of prolonged opioid use through 1 year after hysterectomy. ⋯ Most women who underwent hysterectomy in the United States from 2005 to 2015 filled a perioperative opioid prescription with a median quantity of 30 pills. The risk of prolonged opioid use through 6 months is quite low, at 0.06% or 1 in 1,547.
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Obstetrics and gynecology · Dec 2019
Randomized Controlled TrialIbuprofen and Postpartum Blood Pressure in Women With Hypertensive Disorders of Pregnancy: A Randomized Controlled Trial.
To evaluate the effect of ibuprofen on blood pressure in women with a diagnosis of hypertensive disorders of pregnancy and mild hypertension during the immediate postpartum period. ⋯ ClinicalTrials.gov NCT03011567.
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Obstetrics and gynecology · Nov 2019
Case ReportsExtracorporeal Therapies for Amniotic Fluid Embolism.
Amniotic fluid embolism (AFE) is a catastrophic disease with significant mortality. Because the cardiopulmonary dysfunction associated with AFE is self-limited, the disease could be well suited to the use of extracorporeal therapies. ⋯ Extracorporeal therapies can support severely ill women affected by AFE and could be considered even in the presence of disseminated intravascular coagulation and bleeding.
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Obstetrics and gynecology · Nov 2019
Comparative StudyComparison of Midwifery and Obstetric Care in Low-Risk Hospital Births.
To compare midwife and obstetrician labor practices and birth outcomes in women with low-risk pregnancies delivered in the hospital. ⋯ In low-risk pregnancies, midwifery care in labor was associated with decreased intervention, decreased cesarean and operative vaginal births, and, in multiparous women, an increased risk for shoulder dystocia. Greater integration of midwifery care into maternity services in the United States may reduce intervention in labor and potentially even cesarean delivery, in low-risk pregnancies. Larger research studies are needed to evaluate uncommon but important maternal and newborn outcomes.