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This page shows you the most recent publications within this specialty of the MedWorm directory. This is page number 24.

Retrocervical Deep Infiltrating Endometriotic Lesions Larger than Thirty Millimeters are Associated With an Increased Rate of Ureteral Involvement
Abstract: Study Objective: To estimate the presence of ureteral involvement in deep infiltrating endometriosis (DIE) affecting the retrocervical area.Design: Retrospective study of women undergoing laparoscopic treatment of DIE affecting the retrocervical area.Design Classification: Canadian Task Force classification II-3.Setting: Tertiary referral private hospital.Patients: We evaluated 118 women who underwent laparoscopy for the treatment of retrocervical DIE lesions between January 2010 and March 2012.Interventions: All women underwent laparoscopic surgery for the complete treatment of DIE. After surgery all specimens ...
Source: The Journal of Minimally Invasive Gynecology - January 1, 2013 Category: OBGYN Authors: William Kondo, Anibal Wood Branco, Carlos Henrique Trippia, Reitan Ribeiro, Monica Tessmann Zomer Tags: Original Articles Source Type: research

Two- and Three-Dimensional Ultrasonography and Sonohysterography versus Hysteroscopy With Laparoscopy in the Differential Diagnosis of Septate, Bicornuate, and Arcuate Uteri
Abstract: Study Objective: To estimate the diagnostic accuracy and to compare the diagnostic value of 3-dimensional sonohysterography (3D-SIS), 3-dimensional transvaginal ultrasonography (3D-TVS), 2-dimensional sonohysterography (2D-SIS), and 2-dimensional transvaginal ultrasonography (2D-TVS) (initial and expert diagnosis) in the differential diagnosis of septate, bicornuate, and arcuate uteri.Design: Prospective clinical study (Canadian Task Force II-2).Setting: University hospital and private hospital and clinic.Patients: A total of 117 women with a history of recurrent abortions or infertility and a 2D-TVS initial diag...
Source: The Journal of Minimally Invasive Gynecology - January 1, 2013 Category: OBGYN Authors: Artur Ludwin, Kazimierz Pityński, Inga Ludwin, Tomasz Banas, Anna Knafel Tags: Original Articles Source Type: research

Follow-Up in Women With Vaginal Agenesis After Laparoscopic Creation of Neovagina
Abstract: Study Objective: To compare 2 different methods to create a neovagina in patients with Rokitansky syndrome and to describe their functional results during the follow-up.Design: Descriptive study on functional outcome in 32 patients with Rokitansky syndrome (Canadian Task Classification Force II-2).Setting: University tertiary Hospital.Design and Patients: 18 patients (group 1) underwent our original technique. 14 patients (group 2) were operated on with the modified technique.Intervention: Comparison between 2 different techniques of laparoscopic approach.Results: Both groups had excellent surgical outcomes. The ...
Source: The Journal of Minimally Invasive Gynecology - January 1, 2013 Category: OBGYN Authors: Tirso Perez-Medina, Augusto Pereira, Nuria de Argila, Gonzalo Folgueira, Enrique Iglesias Tags: Original Articles Source Type: research

Patient Preferences of Cosmesis for Abdominal Incisions in Gynecologic Surgery
Conclusion: The LESS incision was most preferred in this study. However, the horizontal mini-laparotomy incision and the traditional laparoscopic with low lateral incisions were also highly preferred. Patient perception of the “visibility” of abdominal incisions may be the distinguishing issue to explain the difference in the preferences between the clinics and the differences between the present study and previously published studies of cosmetic preferences.
Source: The Journal of Minimally Invasive Gynecology - January 1, 2013 Category: OBGYN Authors: Patrick P. Yeung, Carlos R. Bolden, Daniel Westreich, Craig Sobolewski Tags: Original Articles Source Type: research

Objective Cure Rates and Patient Satisfaction After the Transobturator Tape Procedure During 6.5-Year Follow-Up
Abstract: Study Objective: To report the subjective and objective outcomes and patient satisfaction with the outside-in transobturator tape (TOT) procedure during long-term follow-up.Design: Clinical follow-up study (Canadian Task Force classification II-2).Setting: University hospital.Patients: One hundred ninety-one women who underwent the TOT procedure. Of these, 66% had stress urinary incontinence and 34% had mixed urinary incontinence, and 45% underwent concomitant surgery.Interventions: Patients underwent surgery between May 2003 and December 2004 using the TOT procedure. After a mean follow-up of 6.5 years, postal q...
Source: The Journal of Minimally Invasive Gynecology - January 1, 2013 Category: OBGYN Authors: Pia Heinonen, Seija Ala-Nissilä, Raija Räty, Eija Laurikainen, Pentti Kiilholma Tags: Original Articles Source Type: research

Clinical Relevance of Conversion Rate and its Evaluation in Laparoscopic Hysterectomy
Conclusion: Use of estimated risk factors (BMI, age, uterus weight, and surgical skills) provides better insight into the risk of conversion. Conversion rate can be used as a means of evaluation to ensure better outcomes of LH in future patients.
Source: The Journal of Minimally Invasive Gynecology - January 1, 2013 Category: OBGYN Authors: Andries R.H. Twijnstra, Mathijs D. Blikkendaal, Erik W. van Zwet, Frank W. Jansen Tags: Original Articles Source Type: research

Hysteroscopic Metroplasty for the Septate Uterus: Review and Meta-Analysis
Abstract: The introduction of hysteroscopy to diagnose and treat intrauterine conditions, specifically to divide the uterine septum, or metroplasty, has replaced the traditional laparotomy approach, and objective results demonstrate its salutary effects in women treated. Hysteroscopic metroplasty averts the implications of major invasive abdominal surgery, with good and satisfactory results in pregnancy and live-birth rates, despite the lack of prospective, randomized, controlled studies. A careful review of the published results supports this type of treatment when the uterine septum adversely affects normal reproductive function.
Source: The Journal of Minimally Invasive Gynecology - January 1, 2013 Category: OBGYN Authors: Rafael F. Valle, Geraldine E. Ekpo Tags: Review Articles Source Type: research

Laparoscopically Assisted Vaginal Hysterectomy vs Vaginal Hysterectomy: Meta Analysis
Abstract: Vaginal hysterectomy (VH) is generally considered the surgical approach of choice for treatment of benign uterine disease. Laparoscopically assisted vaginal hysterectomy (LAVH) has been introduced as a surgical alternative to the standard methods of VH. A meta-analysis of randomized controlled trials was conducted to compare LAVH vs VH. Medline, Embase, ISI Web of Knowledge CPCI-S, and the Cochrane Library were searched, and the methodologic quality of trials included was evaluated. Outcomes evaluated were complications, conversion rate, operative time, hospital stay, blood loss, paralytic ileus duration, and wei...
Source: The Journal of Minimally Invasive Gynecology - January 1, 2013 Category: OBGYN Authors: Yunhong Guo, Xiaoyu Tian, Leina Wang Tags: Review Articles Source Type: research

Recurrent Serous Peritoneal Cysts
You can discuss this article with its authors and with other AAGL members at http://www.AAGL.org/jmig-20-1-12-00243
Source: The Journal of Minimally Invasive Gynecology - January 1, 2013 Category: OBGYN Authors: Anton Langebrekke, Erik Qvigstad Tags: Images in Gynecologic Surgery Source Type: research

Narrow-Band Imaging in Laparoscopic Management of Recurrent Platinum Sensitive Ovarian Cancer
You can discuss this article with its authors and with other AAGL members at http://www.AAGL.org/jmig-19-3-12-00003
Source: The Journal of Minimally Invasive Gynecology - January 1, 2013 Category: OBGYN Authors: Maria Lucia Gagliardi, Salvatore Polito, Anna Fagotti, Francesco Fanfani, Giovanni Scambia Tags: Images in Gynecologic Surgery Source Type: research

AAGL Position Statement: Robotic-Assisted Laparoscopic Surgery in Benign Gynecology
You can discuss this article with its authors and with other AAGL members at http://www.AAGL.org/jmig-20-2-12-00632
Source: The Journal of Minimally Invasive Gynecology - January 1, 2013 Category: OBGYN Authors: AAGL Advancing Minimally Invasive Gynecology Worldwide Tags: Special Article Source Type: research

Welcome Message From the Editor-in-Chief
You can discuss this article with its authors and with other AAGL members at http://www.AAGL.org/jmig-20-1-12-00552
Source: The Journal of Minimally Invasive Gynecology - January 1, 2013 Category: OBGYN Authors: Tommaso Falcone Tags: Editorial Source Type: research

Cover 1
Source: The Journal of Minimally Invasive Gynecology - January 1, 2013 Category: OBGYN Source Type: research

Cervical Cancer Screening Guidelines 2012
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - January 1, 2013 Category: Nursing Authors: Nancy K. Lowe Tags: Editorial Source Type: research

Progesterone to prevent preterm birth in twin gestations: what is the next step forward?
PMID: 23237263 [PubMed - in process]
Source: BJOG : An International Journal of Obstetrics and Gynaecology - January 1, 2013 Category: OBGYN Authors: Romero R Tags: BJOG Source Type: research

The clinical utility and indications of chromosomal microarray analysis in prenatal diagnosis.
PMID: 23237264 [PubMed - in process]
Source: BJOG : An International Journal of Obstetrics and Gynaecology - January 1, 2013 Category: OBGYN Authors: Alesi V, Bertoli M, Sinibaldi L, Novelli A Tags: BJOG Source Type: research

Authors' response to: The clinical utility and indications of chromosomal microarray analysis in prenatal diagnosis.
Source: BJOG : An International Journal of Obstetrics and Gynaecology - January 1, 2013 Category: OBGYN Authors: Authors' response to: The clinical utility and indications of chromosomal microarray analysis in prenatal diagnosis. Tags: BJOG Source Type: research

Women's health--what's new worldwide.
PMID: 23237266 [PubMed - in process]
Source: BJOG : An International Journal of Obstetrics and Gynaecology - January 1, 2013 Category: OBGYN Authors: Kirtley S, Thorp J Tags: BJOG Source Type: research

Notice of redundant publication.
Authors: PMID: 23237267 [PubMed - in process]
Source: BJOG : An International Journal of Obstetrics and Gynaecology - January 1, 2013 Category: OBGYN Tags: BJOG Source Type: research

BJOG Editors' Choice.
PMID: 23237268 [PubMed - in process]
Source: BJOG : An International Journal of Obstetrics and Gynaecology - January 1, 2013 Category: OBGYN Authors: Thorp J, Khan K Tags: BJOG Source Type: research

An evidence-based approach to urodynamic testing.
PMID: 23240792 [PubMed - in process]
Source: BJOG : An International Journal of Obstetrics and Gynaecology - January 1, 2013 Category: OBGYN Authors: Brubaker L Tags: BJOG Source Type: research

What is the value of urodynamic studies before stress incontinence surgery?
PMID: 23240793 [PubMed - in process]
Source: BJOG : An International Journal of Obstetrics and Gynaecology - January 1, 2013 Category: OBGYN Authors: Giarenis I, Cardozo L Tags: BJOG Source Type: research

What determines when you go to the toilet? The concept of cognitive voiding.
PMID: 23240794 [PubMed - in process]
Source: BJOG : An International Journal of Obstetrics and Gynaecology - January 1, 2013 Category: OBGYN Authors: Gillespie J Tags: BJOG Source Type: research

Can we prevent childbirth-related pelvic floor dysfunction?
PMID: 23240795 [PubMed - in process]
Source: BJOG : An International Journal of Obstetrics and Gynaecology - January 1, 2013 Category: OBGYN Authors: Freeman R Tags: BJOG Source Type: research

The need for preclinical research on pelvic floor reconstruction.
PMID: 23240796 [PubMed - in process]
Source: BJOG : An International Journal of Obstetrics and Gynaecology - January 1, 2013 Category: OBGYN Authors: Deprest J, Feola A Tags: BJOG Source Type: research

Urinary incontinence in women in rural Pakistan: prevalence, severity, associated factors and impact on life.
CONCLUSIONS: The prevalence of UI reported in rural Pakistan was lower than is generally found in studies from the developed world, but among the women affected it commonly occurred on a daily basis and impacted on their everyday lives, yet few had obtained medical advice. PMID: 23240797 [PubMed - in process]
Source: BJOG : An International Journal of Obstetrics and Gynaecology - January 1, 2013 Category: OBGYN Authors: Jokhio A, Rizvi R, Rizvi J, Macarthur C Tags: BJOG Source Type: research

Prolapse and sexual function in women with benign joint hypermobility syndrome.
CONCLUSIONS: A large number of women with BJHS have prolapse symptoms, which significantly affect their quality of life. POP is more severe in women with BJHS. PMID: 23240798 [PubMed - in process]
Source: BJOG : An International Journal of Obstetrics and Gynaecology - January 1, 2013 Category: OBGYN Authors: Mastoroudes H, Giarenis I, Cardozo L, Srikrishna S, Vella M, Robinson D, Kazkaz H, Grahame R Tags: BJOG Source Type: research

A comparison of genital sensory and motor innervation in women with pelvic organ prolapse and normal controls including a pilot study on the effect of vaginal prolapse surgery on genital sensation: a prospective study.
CONCLUSIONS: The majority of women with prolapse have abnormal genital vibration detection, which is particularly evident after the age of 50 years. Impaired sensory function does not correlate with EMG markers of partial motor denervation. In women with abnormal sensory thresholds, no additional effect was detected following vaginal prolapse repair. PMID: 23240799 [PubMed - in process]
Source: BJOG : An International Journal of Obstetrics and Gynaecology - January 1, 2013 Category: OBGYN Authors: North C, Creighton S, Smith A Tags: BJOG Source Type: research

A decision-analytic Markov model to compare the cost-utility of anterior repair augmented with synthetic mesh compared with non-mesh repair in women with surgically treated prolapse.
Conclusions This model suggests that the use of mesh is not cost-effective. PMID: 23240800 [PubMed - in process]
Source: BJOG : An International Journal of Obstetrics and Gynaecology - January 1, 2013 Category: OBGYN Authors: Jacklin P, Duckett J Tags: BJOG Source Type: research

Deterioration in biomechanical properties of the vagina following implantation of a high-stiffness prolapse mesh.
CONCLUSIONS: Deterioration of the mechanical properties of the vagina was highest following implantation with the stiffest mesh, Gynemesh PS. Such a decrease associated with implantation of a device of increased stiffness is consistent with findings from other systems employing prostheses for support. PMID: 23240801 [PubMed - in process]
Source: BJOG : An International Journal of Obstetrics and Gynaecology - January 1, 2013 Category: OBGYN Authors: Feola A, Abramowitch S, Jallah Z, Stein S, Barone W, Palcsey S, Moalli P Tags: BJOG Source Type: research

Vaginal degeneration following implantation of synthetic mesh with increased stiffness.
CONCLUSION: Mesh implantation with the stiffer mesh Gynemesh PS induced a maladaptive remodelling response consistent with vaginal degeneration. PMID: 23240802 [PubMed - in process]
Source: BJOG : An International Journal of Obstetrics and Gynaecology - January 1, 2013 Category: OBGYN Authors: Liang R, Abramowitch S, Knight K, Palcsey S, Nolfi A, Feola A, Stein S, Moalli P Tags: BJOG Source Type: research

Graft-related complications and biaxial tensiometry following experimental vaginal implantation of flat mesh of variable dimensions.
CONCLUSION: Vaginal mesh insertion is associated with GRCs, such as exposure and contraction. Although other factors probably play a role, this study illustrates that mesh size may also induce these complications. In a vaginal surgery model, clinically occurring GRCs can be reproduced. In addition, biomechanics of uncomplicated vaginal explants are comparable with those measured on abdominal explants. PMID: 23240803 [PubMed - in process]
Source: BJOG : An International Journal of Obstetrics and Gynaecology - January 1, 2013 Category: OBGYN Authors: Manodoro S, Endo M, Uvin P, Albersen M, Vláčil J, Engels A, Schmidt B, De Ridder D, Feola A, Deprest J Tags: BJOG Source Type: research

BJOG Editor's Choice.
PMID: 23240804 [PubMed - in process]
Source: BJOG : An International Journal of Obstetrics and Gynaecology - January 1, 2013 Category: OBGYN Authors: Tincello D Tags: BJOG Source Type: research

Sotalol as first line treatment in fetal tachycardias and neonatal follow‐up
ConclusionsSotalol can be recommended as drug of first choice in the treatment of fetal AF and has shown to be an effective and safe first line treatment option for SVT, at least in the absence of hydrops. Postnatal maintenance therapy after successful prenatal therapy is not necessarily indicated, as the risk of recurrence is low beyond 72 hours of age.
Source: Ultrasound in Obstetrics and Gynecology - January 1, 2013 Category: Radiology Authors: Laila B. Heijden, Martijn A. Oudijk, Wendy Manten, Henriette Heide, Lou Pistorius, Matthias W. Freund Tags: Original Article Source Type: research

Accidental out‐of‐hospital deliveries: a case‐control study
ConclusionFour risk factors for accidental OHD were identified. Set up of an anonymous registry of OHD cases could improve our knowledge and screening of women at risk.©2013 The Author(s)/Acta Pædiatrica ©2013 Foundation Acta Pædiatrica
Source: Acta Paediatrica - January 1, 2013 Category: Pediatrics Authors: L. Renesme, R. Garlantézec, F. Anouilh, F. Bertschy, M. Carpentier, J. Sizun Tags: Regular Article Source Type: research

Management of first-trimester complications in the emergency department.
CONCLUSION: Ectopic pregnancy, threatened and inevitable abortions, and incomplete, complete, and missed abortions are common complications during early pregnancy. Various medical and surgical treatment options are available for managing these complications, including expectant management, medical management, and surgery. Am J Health-Syst Pharm. 2013; 70:99-111. PMID: 23292263 [PubMed - in process]
Source: American Journal of Health-System Pharmacy : AJHP - January 1, 2013 Category: Drugs & Pharmacology Authors: Murtaza UI, Ortmann MJ, Mando-Vandrick J, Lee AS Tags: Am J Health Syst Pharm Source Type: research

Self-assessment
Source: Obstetrics, Gynaecology and Reproductive Medicine - January 1, 2013 Category: OBGYN Authors: Alec McEwan Tags: Self-Assessment Source Type: research

Umbilical cord blood banking
Umbilical cord blood has become an established alternative to bone marrow transplantation due to its richness in haematopoietic stem cells (HSCs), and in the UK has been undertaken since 1996. HSCs are multipotent stem cells with the capacity to differentiate into the three classes of blood cells (erythroid, myeloid and lymphoid) and can be used in haematological, immunological and metabolic disorders in children and young adults.
Source: Obstetrics, Gynaecology and Reproductive Medicine - January 1, 2013 Category: OBGYN Authors: Sapna Maheshwari, Marc Turner, Richard A. Anderson Tags: Ethics/Education Source Type: research

Prenatal diagnosis of single gene disorders
Abstract: Genetic disease can be due to imbalance of whole chromosomes, smaller microdeletions/duplications or at the single gene level where even a single base change can cause significant disease. This review focuses on those disorders caused by single gene defects and their diagnosis during pregnancy. In many cases the genomic location of a specific gene is known and the disease-causing mutation in a particular family may have been identified. In others, diagnosis may rely on other methodologies such as ultrasound or biochemical testing. Until recently this testing has relied upon invasive testing of a pregnancy. Howeve...
Source: Obstetrics, Gynaecology and Reproductive Medicine - January 1, 2013 Category: OBGYN Authors: Anna Wilsdon, Jacqueline Eason Tags: Case-Based Learning Source Type: research

Screening for gynaecological conditions
Abstract: Well-organized cervical screening programmes have reduced the mortality from cervical cancer by up to 50% in the developed world. Despite the successful development of human papillomavirus vaccines there is likely to remain a need for cervical screening for the foreseeable future. In contrast, the value of mass screening for other gynaecological cancers remains unproven, although current screening methods can detect early stage ovarian cancer in asymptomatic individuals. Breast screening does appear to be associated with a reduction in mortality in women aged 50–69 years but disagreement remains about its value...
Source: Obstetrics, Gynaecology and Reproductive Medicine - January 1, 2013 Category: OBGYN Authors: Ian M. Symonds Tags: Reviews Source Type: research

Risk management in gynaecology
Abstract: The majority of gynaecology patients are fit women receiving relatively straightforward care. However, human error is inevitable. Furthermore, new treatments and technologies are constantly emerging, today's trainees are less experienced than their predecessors, and the need for team work is greater than ever. These and other factors pose threats to patient safety, and these threats can be addressed through risk management. This review describes risk management principles and tools applicable to gynaecology and highlights common sources of patient safety incidents in gynaecology clinics, wards and operating theat...
Source: Obstetrics, Gynaecology and Reproductive Medicine - January 1, 2013 Category: OBGYN Authors: Leroy C. Edozien Tags: Reviews Source Type: research

Management of HIV infection in pregnancy
Abstract: Human immunodeficiency virus (HIV) remains an important global infection and cause of significant morbidity and mortality. The majority of new HIV infection occurs in the developing world, where women and their children are greatly affected by the consequences of HIV associated disease. By comparison, in the developed world, women represent a minority of those with new HIV infection. The problems associated with the management of pregnancy and childbirth require specialist care across multidisciplinary teams to ensure the best clinical outcome for mothers and their babies, as well as assuring the confidentiality ...
Source: Obstetrics, Gynaecology and Reproductive Medicine - January 1, 2013 Category: OBGYN Authors: Abdul W. Khan, Lauren Bull, Simon Barton Tags: Reviews Source Type: research

Editorial Board
Source: Obstetrics, Gynaecology and Reproductive Medicine - January 1, 2013 Category: OBGYN Source Type: research

The Learning Curve Associated with the Epidural Technique Using the Episure™ AutoDetect™ Versus Conventional Glass Syringe: An Open-Label, Randomized, Controlled, Crossover Trial of Experienced Anesthesiologists in Obstetric Patients.
CONCLUSIONS: When used by experienced obstetric anesthesiologists, the spring-loaded syringe was associated with a similar overall rate for establishing successful epidural labor analgesia, a shorter elapsed time to epidural catheter insertion, particularly when the anesthesiologist was randomized to use the novel syringe first, and a similar Cusum curve when compared with a conventional glass syringe. Attending versus fellow anesthesiologists and an initial technique preference for loss-of-resistance to continuous saline were associated with greater analgesia success with the novel syringe. PMID: 23223103 [PubMed - in process]
Source: Anesthesia and Analgesia - January 1, 2013 Category: Anesthesiology Authors: Carabuena JM, Mitani AM, Liu X, Kodali BS, Tsen LC Tags: Anesth Analg Source Type: research

Estimate of the relative risk of succinylcholine for triggering malignant hyperthermia.
CONCLUSIONS: Our results provide no insight into the triggering mechanism for MH (i.e., succinylcholine could in isolation have an extremely low incidence of inducing MH, yet markedly increase the risk when administered in combination with volatile anesthetics). Until more epidemiologic data are collected and analyzed, having dantrolene available, where succinylcholine may be used, is reasonable, and this practice should be maintained. PMID: 23223104 [PubMed - in process]
Source: Anesthesia and Analgesia - January 1, 2013 Category: Anesthesiology Authors: Dexter F, Epstein RH, Wachtel RE, Rosenberg H Tags: Anesth Analg Source Type: research

A Prospective Randomized Trial of Lidocaine 30 mg Versus 45 mg for Epidural Test Dose for Intrathecal Injection in the Obstetric Population.
CONCLUSIONS: Our results suggest that there is unlikely to be a large difference in the ability of these doses to detect unintentional intrathecal catheter placement. While the negative predictive value for intrathecal injection is very high for both doses, the 95% CI for the sensitivity of either dose is too wide to demonstrate clinical safety to identify all intrathecal catheters. A much larger study is warranted to assess whether there is a lower sensitivity with the 30-mg dose, or a propensity toward high cephalad motor block levels with the 45-mg dose. PMID: 23223105 [PubMed - in process]
Source: Anesthesia and Analgesia - January 1, 2013 Category: Anesthesiology Authors: Pratt S, Hess P, Vasudevan A Tags: Anesth Analg Source Type: research

Transport decreases the quality of cardiopulmonary resuscitation during simulated maternal cardiac arrest.
CONCLUSIONS: Our data confirm our hypothesis and demonstrate that transport negatively affects the overall quality of resuscitation on a mannequin during simulated maternal arrest. These findings, together with previously published data on transport-related delays when moving from the labor room to the operating room further strengthen recommendations that perimortem cesarean delivery should be performed at the site of maternal cardiac arrest. PMID: 23223106 [PubMed - in process]
Source: Anesthesia and Analgesia - January 1, 2013 Category: Anesthesiology Authors: Lipman SS, Wong JY, Arafeh J, Cohen SE, Carvalho B Tags: Anesth Analg Source Type: research

Intermittent epidural bolus compared with continuous epidural infusions for labor analgesia: a systematic review and meta-analysis.
CONCLUSIONS: IEB is an appealing concept; current evidence suggests IEB slightly reduces local anesthetic usage and improves maternal satisfaction. Given the wide CIs of the pooled results for many outcomes, definite conclusions cannot be drawn for those outcomes, but there is also a potential that IEB improves instrumental delivery rate and need of anesthesia interventions. More study is required to conceptualize the ideal IEB regimen and investigate its effect on labor analgesia and obstetric outcomes. PMID: 23223119 [PubMed - in process]
Source: Anesthesia and Analgesia - January 1, 2013 Category: Anesthesiology Authors: George RB, Allen TK, Habib AS Tags: Anesth Analg Source Type: research

Why do pharmacologic test doses fail to identify the unintended intrathecal catheter in obstetrics?
PMID: 23264171 [PubMed - in process]
Source: Anesthesia and Analgesia - January 1, 2013 Category: Anesthesiology Authors: Mhyre JM Tags: Anesth Analg Source Type: research

Complex challenges in treating depression during pregnancy.
Abstract The treatment of depression during pregnancy can be challenging for patients and providers alike. An increasing attention to perinatal mood disorders has led to an expanding literature that is often difficult for providers to navigate. It can be a challenge for providers to feel comfortable reviewing the broad scope of the risks and benefits of treatments in the context of the limitations of the literature. Women who are depressed during pregnancy have been found to have an elevated risk of poor obstetrical outcomes, although studies of the relationship between depression and outcomes are limited. Women wh...
Source: The American Journal of Psychiatry - January 1, 2013 Category: Psychiatry Authors: Chaudron LH Tags: Am J Psychiatry Source Type: research