Obstetrics and gynecology
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Obstetrics and gynecology · Dec 2016
Review Meta Analysis Comparative StudyPrevalence, Indications, Risk Indicators, and Outcomes of Emergency Peripartum Hysterectomy Worldwide: A Systematic Review and Meta-analysis.
To compare prevalence, indications, risk indicators, and outcomes of emergency peripartum hysterectomy across income settings. ⋯ Emergency peripartum hysterectomy is associated with considerable morbidity and mortality and is more frequent in lower-income countries, where it contains a higher risk of mortality. A (previous) cesarean delivery is associated with a higher risk of emergency peripartum hysterectomy.
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Obstetrics and gynecology · Jan 2016
Review Meta Analysis Comparative StudyElectrocardiogram ST Analysis During Labor: A Systematic Review and Meta-analysis of Randomized Controlled Trials.
To compare the effectiveness of cardiotocography plus ST analysis with cardiotocography alone during labor. ⋯ The use of ST analysis during labor as an adjunct to the standard cardiotocography does not improve perinatal outcomes or decrease cesarean delivery.
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Obstetrics and gynecology · Jul 2014
Review Meta AnalysisReducing postoperative pain after tubal ligation with rings or clips: a systematic review and meta-analysis.
To assess the effectiveness of using local anesthesia during interval laparoscopic tubal ligation to control postoperative pain. ⋯ Use of local anesthetic during laparoscopic tubal ligation substantially reduces postoperative pain up to 8 hours after surgery.
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Obstetrics and gynecology · Jul 2014
Review Meta AnalysisPlacental transfusion strategies in very preterm neonates: a systematic review and meta-analysis.
To investigate the effects of interventions promoting placental transfusion at delivery (delayed cord clamping or umbilical cord milking) compared with early cord clamping on outcomes among premature neonates of less than 32 weeks of gestation. ⋯ Results of this meta-analysis suggest that enhanced placental transfusion (delayed umbilical cord clamping or umbilical cord milking) at birth provides better neonatal outcomes than does early cord clamping, most notably reductions in overall mortality, lower risk of intraventricular hemorrhage, and decreased blood transfusion incidence. The optimal umbilical cord clamping practice among neonates requiring immediate resuscitation remains uncertain.
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Obstetrics and gynecology · Jun 2014
Review Meta AnalysisPreemptive use of gabapentin in abdominal hysterectomy: a systematic review and meta-analysis.
To examine the evidence of preemptive use of gabapentin in abdominal hysterectomy. ⋯ I.