Obstetrics and gynecology
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Obstetrics and gynecology · Dec 2002
Review Comparative StudySystematic review of randomized controlled trials of misoprostol to prevent postpartum hemorrhage.
To assess the effects of prophylactic misoprostol use in the third stage of labor compared with injectable uterotonics or placebo or no treatment. ⋯ Injectable oxytocin or oxytocin-ergot preparations are more effective than misoprostol as part of the active management of the third stage of labor.
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Obstetrics and gynecology · Nov 2002
Case ReportsRupture of the symphysis pubis during vaginal delivery followed by two subsequent uneventful pregnancies.
Rupture of the symphysis pubis during vaginal delivery is a rare but debilitating complication. Factors contributing to rupture are poorly defined. ⋯ Severe symphyseal rupture during vaginal delivery can be managed without surgery. Risk factors for rupture are not well defined. Based on a literature review, there is a significant risk of repeat symphyseal rupture with subsequent vaginal delivery.
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Obstetrics and gynecology · Nov 2002
ReviewExpectant management versus labor induction for suspected fetal macrosomia: a systematic review.
To systematically review and summarize the medical literature regarding the effects of expectant management and labor induction on mode of delivery and perinatal outcomes in patients with suspected fetal macrosomia. ⋯ Based on data from observational studies, labor induction for suspected fetal macrosomia results in an increased cesarean delivery rate without improving perinatal outcomes. Although their statistical power is limited, randomized clinical trials have not confirmed these findings.
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Placenta accreta is the abnormal attachment of the placenta to the uterus. It occurs when the decidua basalis is either absent or incomplete. It is uncommon and most often presents with a retained placenta and hemorrhage. ⋯ Sonohysterography is a useful tool in discriminating a solid intracavitary mass from a placenta accreta postpartum.
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Obstetrics and gynecology · Nov 2002
Case ReportsCoarctation of the descending thoracic aorta diagnosed during pregnancy.
Coarctation of the aorta is an uncommon condition complicating pregnancy. It is often associated with hypertension and usually involves the aortic isthmus. ⋯ Unusual sites of coarctation of the aorta complicating pregnancy include the descending thoracic aorta.