A national survey on preterm labor
Article Abstract:
Preterm births (between 20 and 37 weeks of pregnancy) are the leading cause of infant and fetal deaths not due to genetic defects. Effective management of preterm labor (early onset of labor) could reduce these perinatal complications and death and therefore decrease medical costs and minimize family anguish. A comparative analysis was performed on preterm labor management practices among obstetricians nationwide. The survey, mailed to members of the Society of Perinatal Obstetricians (249 responding) and to 750 randomly selected diplomates of the American College of Obstetricians and Gynecologists (441 responding), revealed a wide variation in opinions regarding criteria to diagnose preterm labor, the choice of a tocolytic agent, the use of amniocentesis and the use of corticosteroids. The replies did give evidence of both widespread awareness of and experience with severe B-adrenergic therapy complications up to and including the mother's death. It is concluded that caution in the selection of patients for B-adrenergic tocolytic therapy and the use of these agents must be emphasized.
Publication Name: American Journal of Obstetrics and Gynecology
Subject: Health
ISSN: 0002-9378
Year: 1989
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The effect of chronic nitric oxide synthesis inhibition on blood pressure and angiotensin II responsiveness in the pregnant rat
Article Abstract:
Nitric oxide produced by the inner lining of blood vessels may be partly responsible for increased blood vessel dilation but not for the decrease in blood pressure seen in late pregnancy. Researchers administered aminoguanidine, which inhibits inducible nitric oxide synthesis, the inhibitor of nonselective nitric oxide synthesis (L-NAME), or plain drinking water to pregnant and nonpregnant rats. L-NAME caused an increase in fetal death and a decrease in fetal weight. L-NAME also enhanced responsiveness to blood vessel constrictors and caused hypertension. Pregnant rats treated with L-NAME still experienced vasodilation, whereas nonpregnant rats did not.
Publication Name: American Journal of Obstetrics and Gynecology
Subject: Health
ISSN: 0002-9378
Year: 1997
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Review of the professional medical liability insurance crisis: Lessons from Missouri
Article Abstract:
A study is undertaken to record and mitigate the current professional liability insurance (PLI) crisis in Missouri. The adverse impacts of the crisis on patient care and suggestions to overcome the medical professional liability system are explored.
Publication Name: American Journal of Obstetrics and Gynecology
Subject: Health
ISSN: 0002-9378
Year: 2004
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