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 · 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 · Jul 2016
ReviewGraft and Mesh Use in Transvaginal Prolapse Repair: A Systematic Review.
To update clinical practice guidelines on graft and mesh use in transvaginal pelvic organ prolapse repair based on systematic review. ⋯ Synthetic mesh augmentation of anterior wall prolapse repair improves anatomic outcomes and bulge symptoms compared with native tissue repair. Biologic grafts do not improve prolapse repair outcomes in any compartment. Mesh erosion occurred in up to 36% of patients, but reoperation rates were low.
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Obstetrics and gynecology · Jul 2016
ReviewGraft and Mesh Use in Transvaginal Prolapse Repair: A Systematic Review.
To update clinical practice guidelines on graft and mesh use in transvaginal pelvic organ prolapse repair based on systematic review. ⋯ Synthetic mesh augmentation of anterior wall prolapse repair improves anatomic outcomes and bulge symptoms compared with native tissue repair. Biologic grafts do not improve prolapse repair outcomes in any compartment. Mesh erosion occurred in up to 36% of patients, but reoperation rates were low.
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Obstetrics and gynecology · May 2016
ReviewOndansetron Use in Pregnancy and Birth Defects: A Systematic Review.
To examine the risk of birth defects in children born to women who used ondansetron early in pregnancy for nausea and vomiting of pregnancy or hyperemesis gravidarum. ⋯ The overall risk of birth defects associated with ondansetron exposure appears to be low. There may be a small increase in the incidence of cardiac abnormalities in ondansetron-exposed neonates. Therefore, ondansetron use for nausea and vomiting of pregnancy should be reserved for those women whose symptoms have not been adequately controlled by other methods.