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Evidence-based Obstetrics and Gynecology最新文献

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Drugs and medication in pregnancy 怀孕期间的药物和药物
Pub Date : 2018-12-21 DOI: 10.1002/9781119072980.CH23
M. Feghali, S. Caritis
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引用次数: 0
Contraception and sterilization 避孕和绝育
Pub Date : 2018-12-21 DOI: 10.1002/9781119072980.CH9
Rasha S. Khoury, Danielle M. Roncari
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引用次数: 0
Intrauterine fetal demise 宫内胎儿死亡
Pub Date : 2018-12-21 DOI: 10.1002/9781119072980.CH45
R. S. Berry
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引用次数: 8
Antepartum/intrapartum fetal surveillance 产前/产时胎儿监护
Pub Date : 2018-12-21 DOI: 10.1002/9781119072980.CH47
David A. Miller
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引用次数: 0
Miscarriage and ectopic pregnancy 流产和异位妊娠
Pub Date : 2018-12-21 DOI: 10.1002/9781119072980.CH4
Celso Silva, Anita S H Patel
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引用次数: 2
Induction/augmentation of labor 引产/助产
Pub Date : 2018-12-21 DOI: 10.1002/9781119072980.CH50
C. Farinelli, L. Sheibani, D. Wing
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引用次数: 1
Preterm labor 早产
Pub Date : 2018-12-21 DOI: 10.1002/9781119072980.ch37
Joses A. Jain, C. Gyamfi‐Bannerman
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引用次数: 0
Operative vaginal delivery 阴道手术分娩
Pub Date : 2018-12-21 DOI: 10.1002/9781119072980.CH54
G. Dildy, S. Clark
Operative vaginal delivery is used to achieve or expedite safe vaginal delivery for maternal or fetal indications. Examples include maternal exhaustion and an inability to push effectively; medical indications such as maternal cardiac disease and a need to avoid pushing in the second stage of labor; prolonged second stage of labor, arrest of descent, or rotation of the fetal head; and nonreassuring fetal heart rate patterns in the second stage of labor. Operative vaginal delivery is beneficial for women because it avoids cesarean delivery and its associated morbidities. The short-term risks of cesarean delivery include hemorrhage, infection, prolonged healing time, and increased cost. The long-term morbidities associated with cesarean delivery include the high likelihood of repeat cesarean delivery, the complications that can occur with trial of labor after cesarean delivery, and the risks of placental abnormalities such as placenta accreta. For the fetus showing signs of possible compromise, successful operative vaginal delivery can shorten the exposure to additional labor and reduce or prevent the effect of intrapartum insults (2). Often, operative vaginal delivery can be safely accomplished more quickly than cesarean delivery. The rate of operative vaginal delivery has decreased over the past few decades, accounting for part of the increase in cesarean birth rates in the United States. As the rate of cesarean delivery increased over the past two decades, the rate of operative vaginal delivery decreased from 9.01% of all deliveries in 1992 to 3.30% of all deliveries in 2013 (1). Nonetheless, operative vaginal delivery remains an important part of modern obstetric care and in the appropriate circumstances can be used to safely avoid cesarean delivery. Operative vaginal deliveries are accomplished by applying direct traction on the fetal skull with forceps or applying traction to the fetal scalp by means of a vacuum extractor (3). Various types of forceps and vacuum extractors have been developed for this purpose, and readers should refer to textbooks for review of these instruments (4–6). Whichever instrument is used, the indications for operative vaginal delivery are the same (Box 1). Operative vaginal deliveries are classified by the station of the fetal head at application and the degree of rotation necessary for delivery (Box 2). In an evaluation of the American College of Obstetricians and Gynecologists’ classification, investigators demonstrated that the lower the fetal head and the less rotation required, Operative Vaginal Delivery
手术阴道分娩是用来实现或加快安全阴道分娩的产妇或胎儿指征。例子包括母亲的疲惫和无法有效地推动;医学指征,如产妇心脏疾病和需要避免在分娩第二阶段推;分娩第二阶段延长,停止下降或胎头旋转;以及分娩第二阶段胎儿心率不稳定的情况。阴道手术分娩对妇女是有益的,因为它避免了剖宫产及其相关的发病率。剖宫产的短期风险包括出血、感染、愈合时间延长和费用增加。与剖宫产相关的长期发病率包括重复剖宫产的高可能性、剖宫产后试产时可能出现的并发症以及胎盘异常(如胎盘增生)的风险。对于有可能出现妥协迹象的胎儿,成功的阴道手术分娩可以缩短额外分娩的时间,减少或防止产时损伤的影响(2)。通常,阴道手术分娩比剖宫产更安全、更快。在过去的几十年里,阴道分娩的手术率有所下降,这是美国剖宫产率上升的部分原因。随着近二十年剖宫产率的上升,阴道手术分娩的比例从1992年的9.01%下降到2013年的3.30%(1)。尽管如此,阴道手术分娩仍然是现代产科护理的重要组成部分,在适当的情况下可以安全避免剖宫产。手术阴道分娩是通过用镊子直接牵引胎儿颅骨或通过真空抽提器牵引胎儿头皮来完成的(3)。为此目的已经开发了各种类型的镊子和真空抽提器,读者应该参考教科书来复习这些工具(4-6)。无论使用何种器械,手术阴道分娩的适应症都是相同的(方框1)。手术阴道分娩是根据使用时胎儿头的位置和分娩所需的旋转程度进行分类的(方框2)。在对美国妇产科医师学会分类的评估中,研究者证明,胎儿头越低,需要的旋转越少,手术阴道分娩
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引用次数: 0
Evidence-Based Medicine in Obstetrics and Gynecology 妇产科循证医学
Pub Date : 2018-12-21 DOI: 10.1002/9781119072980.CH1
J. Guise
While all clinicians want to use the best evidence to make health care decisions, with 37 reviews, 47 randomized control trials (RCTs), and two guidelines published every day, it is impossible for practicing clinicians to keep up with all the new evidence and decide whether it is sufficient to suggest that they should change their practice. This book provides a summary of evidence for the major clinical areas of practice within the specialty of Obstetrics and Gynecology (OB/GYN), and this chapter (i) provides an overview and context, discussing the history of evidence based medicine (EBM) in OB/GYN; (ii) describes the importance and conduct of a systematic evidence review, a hallmark of EBM and contemporary evidence-based decision-making; and (iii) provides additional EBM resources and references for interested readers.
虽然所有临床医生都希望使用最佳证据来做出医疗保健决定,每天发表37篇综述,47项随机对照试验(rct)和两份指南,但执业临床医生不可能跟上所有新证据的步伐,并决定是否足以建议他们改变自己的做法。这本书提供了妇产科(OB/GYN)专业内的主要临床实践领域的证据摘要,本章(i)提供了概述和背景,讨论了OB/GYN的循证医学(EBM)的历史;(ii)描述系统证据审查的重要性和实施,这是循证医学和当代循证决策的标志;(iii)为有兴趣的读者提供额外的循证医学资源和参考资料。
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引用次数: 1
Preterm premature rupture of membranes (PPROM) 胎膜早破(PPROM)
Pub Date : 2018-12-21 DOI: 10.1002/9781119072980.CH38
G. Graham, S. Bakaysa
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引用次数: 1
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Evidence-based Obstetrics and Gynecology
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