Obstetrics and gynecology
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Obstetrics and gynecology · Sep 2020
Health-Related Quality of Life Improvements in Patients With Endometriosis Treated With Elagolix.
To evaluate the effects of elagolix on clinically meaningful improvements in health-related quality of life (HRQOL) measured by the EHP-30 (Endometriosis Health Profile-30). ⋯ AbbVie Inc.
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Obstetrics and gynecology · Dec 2020
ReviewRethinking Prenatal Screening for Anomalies of Placental and Umbilical Cord Implantation.
The most common anomalies of implantation of the placenta and umbilical cord include placenta previa, placenta accreta spectrum, and vasa previa, and are associated with considerable perinatal and maternal morbidity and mortality. There is moderate quality evidence that prenatal diagnosis of these conditions improves perinatal outcomes and the performance of ultrasound imaging in diagnosing them is considered excellent. The epidemiology of placenta previa is well known, and it is standard clinical practice to assess placental location at the routine screening second-trimester detailed fetal anatomy ultrasound examination. ⋯ The sensitivity and specificity of ultrasonography for the diagnosis of these anomalies is also difficult to assess. Recent epidemiologic studies show an increase in the incidence of placental and umbilical cord implantation anomalies, which may be the result of increased use of assisted reproductive technology and cesarean delivery. There is good evidence to support targeted standardized protocols for women at high risk and that screening and diagnosing placenta accreta spectrum and vasa previa should be integrated into obstetric ultrasound training programs.
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Obstetrics and gynecology · May 2020
Randomized Controlled TrialInternal Iliac Artery Balloon Occlusion for Placenta Previa and Suspected Placenta Accreta: A Randomized Controlled Trial.
To investigate the effect of intraoperative balloon occlusion of the internal iliac arteries in women with placenta previa and antenatally diagnosed placenta accreta. ⋯ Chinese Clinical Trial Registry, ChiCTR-IOR-17012244.
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Obstetrics and gynecology · Dec 2019
Randomized Controlled TrialIbuprofen and Postpartum Blood Pressure in Women With Hypertensive Disorders of Pregnancy: A Randomized Controlled Trial.
To evaluate the effect of ibuprofen on blood pressure in women with a diagnosis of hypertensive disorders of pregnancy and mild hypertension during the immediate postpartum period. ⋯ ClinicalTrials.gov NCT03011567.
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Obstetrics and gynecology · Feb 2016
Multicenter StudyAnatomical Cystocele Recurrence: Development and Internal Validation of a Prediction Model.
To develop a prediction model that estimates the risk of anatomical cystocele recurrence after surgery. ⋯ This prediction model, including history of assisted delivery, preoperative stage, number of compartments, levator defects, and levator hiatus, estimates the risk of anatomical cystocele recurrence.