Obstetrics and gynecology
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Obstetrics and gynecology · Aug 1999
Randomized Controlled Trial Clinical TrialOral misoprostol for third stage of labor: a randomized placebo-controlled trial.
To investigate whether orally administered misoprostol during the third stage of labor is efficient in reducing postpartum blood loss. ⋯ Oral misoprostol administered in the third stage of labor reduced postpartum blood loss and might be effective in reducing incidence of postpartum hemorrhage.
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Obstetrics and gynecology · Jun 1999
Randomized Controlled Trial Clinical TrialEpidural analgesia and active management of labor: effects on length of labor and mode of delivery.
To determine whether cervical dilatation at the time of placement of patient-requested epidural affects cesarean rates or lengths of labors in actively managed parturients. ⋯ Early epidural placement did not affect lengths of labor or cesarean rates and was actually associated with shorter labor compared with late epidural placement. Women managed actively in labor, regardless of timing of epidural placement, had shorter labors than controls.
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Obstetrics and gynecology · May 1999
Randomized Controlled Trial Comparative Study Clinical TrialTopical lidocaine-prilocaine versus lidocaine for neonatal circumcision: a randomized controlled trial.
To evaluate epicutaneous application of 5% lidocaine-prilocaine and 30% lidocaine cream anesthetics for neonatal circumcision. ⋯ Epicutaneous 5% lidocaine-prilocaine was more effective than 30% lidocaine for neonatal circumcision, better reducing neonatal stress indicators. Lidocaine-prilocaine significantly shortened crying time during one of the most painful phases of circumcision. Both topical anesthetics were more effective than placebo in attenuating the behavioral and physiologic indicators of neonatal pain.
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Obstetrics and gynecology · Mar 1999
Randomized Controlled Trial Clinical TrialThe effect of spinal anesthesia on the success rate of external cephalic version: a randomized trial.
To identify the effect of spinal anesthesia on the success rate of external cephalic version after 36 weeks' gestation. ⋯ Spinal anesthesia does not increase the external cephalic version success rate in singleton pregnancies with breech presentations after 36 weeks' gestation.
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Obstetrics and gynecology · Jan 1999
Randomized Controlled Trial Clinical TrialRandomized controlled trial of depot leuprolide in patients with chronic pelvic pain and clinically suspected endometriosis. Pelvic Pain Study Group.
To evaluate and compare the safety and efficacy of leuprolide versus placebo in managing chronic pelvic pain in women with clinically suspected endometriosis. ⋯ Depot leuprolide was effective and safe for treating patients with chronic pelvic pain and clinically suspected endometriosis, confirming the potential of its empiric use in these patients.