Obstetrics and gynecology
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Obstetrics and gynecology · Dec 2012
Review Meta AnalysisDexamethasone for antiemesis in laparoscopic gynecologic surgery: a systematic review and meta-analysis.
To estimate the beneficial and harmful effects of dexamethasone for prevention of postoperative nausea and vomiting in women undergoing laparoscopic gynecologic surgery. ⋯ This systematic review provides evidence that dexamethasone decreases the incidence of postoperative nausea and vomiting after laparoscopic gynecologic surgery, with no observed increase in side effects.
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Obstetrics and gynecology · Nov 2012
Meta AnalysisRisk of fever after misoprostol for the prevention of postpartum hemorrhage: a meta-analysis.
To estimate the incidence and risk of misoprostol-induced fever with different doses and routes when used for the prevention of postpartum hemorrhage. ⋯ The incidence of fever with misoprostol is related to both its dosage and route with the highest incidences found in the high-dose sublingual routes. However, this is not the only influence on postnatal fever. There appear also to be other effects that could be genetic or cultural.
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Obstetrics and gynecology · Sep 2012
Review Meta Analysis Comparative StudySuprapubic compared with transurethral bladder catheterization for gynecologic surgery: a systematic review and meta-analysis.
Suprapubic catheterization is commonly used for postoperative bladder drainage after gynecologic procedures. However, recent studies have suggested an increased rate of complications compared with urethral catheterization. We undertook a systematic review and meta-analysis of randomized controlled trials comparing suprapubic catheterization and urethral catheterization in gynecologic populations. ⋯ Based on the best available evidence, no route for bladder drainage in gynecologic patients is clearly superior. The reduced rate of infective morbidity with suprapubic catheterization is offset by a higher rate of catheter-related complications and crucially does not translate into reduced hospital stay. As yet, there are insufficient data to determine which route is most appropriate for catheterization; therefore, cost and patient-specific factors should be paramount in the decision. Minimally invasive surgery may alter the requirement for prolonged postoperative catheterization.
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Obstetrics and gynecology · Jan 2012
Meta Analysis Comparative StudyST analysis of the fetal electrocardiogram in intrapartum fetal monitoring: a meta-analysis.
To compare the effects of ST-waveform analysis in combination with cardiotocography with conventional cardiotocography for intrapartum fetal monitoring. ⋯ The additional use of ST analysis for intrapartum monitoring reduced the incidence of operative vaginal deliveries and the need for fetal blood sampling but did not reduce the incidence of metabolic acidosis at birth.