Obstetrics and gynecology
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Obstetrics and gynecology · May 2005
Review Meta Analysis Comparative StudyExpectant, medical, or surgical management of first-trimester miscarriage: a meta-analysis.
To quantify the relative benefits and harms of different management options for first-trimester miscarriage. ⋯ One additional success can be achieved among 3 women treated surgically rather than medically. Expectant management has had remarkably variable success rates across these studies, depending probably on the type of miscarriage. Greater standardization of outcomes should be a goal of future research.
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Obstetrics and gynecology · May 2005
Comment Letter Review Comparative StudyWorld Health Organization systematic review of screening tests for preeclampsia.
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Obstetrics and gynecology · Nov 2004
Review Case ReportsAbdominal compartment syndrome secondary to ovarian mucinous cystadenoma.
Abdominal compartment syndrome secondary to a very large benign ovarian tumor has been rarely reported in gynecology. With the increase of intraabdominal pressure in abdominal compartment syndrome, all major organ systems are adversely affected, causing a potentially fatal condition. ⋯ Timely aggressive resuscitation, prompt surgical decompression, and intensive perioperative hemodynamic management are required for patients with ovarian mucinous cystadenoma complicated by abdominal compartment syndrome.
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Obstetrics and gynecology · May 2004
Review Randomized Controlled Trial Comparative Study Clinical TrialParacervical block in incomplete abortion using manual vacuum aspiration: randomized clinical trial.
To estimate the effectiveness of paracervical block in controlling pain among women treated with manual vacuum aspiration for an incomplete abortion ⋯ The paracervical block technique used in this study along with psychological support was comparable with pain control using psychological support alone; neither pain management regimen provided sufficient pain control. It is recommended that randomized comparative studies be designed to determine the effectiveness of other paracervical block techniques and the efficacy of the use of analgesics in patients suffering from incomplete abortion treated with manual vacuum aspiration.
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Women with polycystic ovarian syndrome have chronic anovulation and androgen excess not attributable to another cause. This condition occurs in approximately 4% of women. The fundamental pathophysiologic defect is unknown, but important characteristics include insulin resistance, hyperandrogenism, and altered gonadotropin dynamics. ⋯ However, women with polycystic ovarian syndrome also have a substantially higher prevalence of diabetes and increased risk factors for cardiovascular disease. They should also be screened, therefore, for these conditions and followed closely if any risk factors are uncovered. For obese women with polycystic ovarian syndrome, behavioral weight management is a central component of the overall treatment strategy.