Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstétrique et gynécologie du Canada : JOGC
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J Obstet Gynaecol Can · Sep 2012
A contemporary approach to the obstetric management of women with heart disease.
Recommendations for the peripartum obstetric management of women with heart disease have included early induction of labour, shortening the second stage of labour during vaginal delivery, and low threshold for elective Caesarean section, although such techniques may result in complications. The objective of this study was to determine whether a less aggressive approach without routine preterm induction, shortening of the second stage, or Caesarean section adversely affects the mother or neonate. ⋯ This large study has shown that in women with heart disease, avoidance of early induction of labour, rare use of Caesarean section for cardiac indications, and selective use of invasive monitoring produces safe obstetric outcomes.
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J Obstet Gynaecol Can · Jun 2012
Pain and psychological characteristics in women waiting for gynaecological surgery.
Pain is frequently a complaint prior to gynaecological surgery. Psychological factors are also known to influence the experience of pain. The primary objective of this study was to assess the prevalence of pain and the relationship between psychological factors and pain in women awaiting gynaecological surgery. ⋯ The responses suggest a substantial burden of pain, anxiety, and depressive symptoms in women awaiting gynaecological surgery. Further research is needed to assess the management of these symptoms and their impact on health care resources and the well-being of women in this setting.
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J Obstet Gynaecol Can · May 2012
Pregnancy outcomes among solid organ transplant recipients in British Columbia.
Since 1954, over 14 000 women have given birth after having had an organ transplantation. Unfortunately, some women and physicians remain misinformed about the feasibility and outcomes of pregnancy post transplantation. Our primary objective was to assess their perceptions and difficulties with regard to becoming pregnant. Our secondary objectives were to determine the incidence of pregnancies among transplant recipients in British Columbia and any maternal, graft, or fetal complications. ⋯ Overall, pregnancy appears to be safe following solid organ transplantation, but careful monitoring and counselling are recommended.