OB GYN News articles from July 2002

OB GYN News archives from July 2002

Pregnancy can mask heart disease. (Watch for Onset of Cough).
July 1, 2002... HILTON HEAD, S.C. -- The signs and symptoms of a normal pregnancy can mask the presence of cardiac disease, Dr. Carole Warnes cautioned at the annual meeting of the Society for Obstetric Anesthesia and Perinatology. Especially in high-risk...

Top 10 drugs mentioned during ob.gyn. office visits in 2001. (Vital Signs).
July 1, 2002... VITAL SIGNS Top 10 Drugs Mentioned During Ob.Gyn. Office Visits in 2001 % of All Mentions of Drugs Prenatal Vitamins 6.6 Premarin Tabs 3.8 Ortho Tri-Cyclen ...

Prophylactic oophorectomy cuts ca risk by 75%: procedure tied to lower risk of ovarian and breast cancer in BRCA mutation carriers. (First Prospective Study).
July 1, 2002... ORLANDO, FLA. -- Women at increased risk for breast and ovarian cancer due to BRCA1 and BRCA2 gene mutations can decrease that risk by 75% through prophylactic oophorectomy, according to results of the first prospective follow-up study to...

Severe laceration related to race, perineal length: Asian Americans have twice the risk. (Study of 34,048 Women).
July 1, 2002... LOS ANGELES -- Third and fourth-degree lacerations during delivery are more likely to happen in Asian American women and women with a shortened perineal body, two separate studies concluded. Rates of severe laceration rates in Asian...

Prolonged lower-limb numbness may signal obstetric nerve injury. (After Epidural Use).
July 1, 2002... HILTON HEAD, S.C. -- Lower-limb neurologic complications after labor epidural could be a sign of obstetric nerve injury if symptoms don't resolve within 24 hours, Dr. Manuel Vallejo said. In a study of 20,500 patients who received labor...

Number of partners, HPV status may predict CIN regression. (Study of 93 Patients).
July 1, 2002... SAN FRANCISCO -- High-grade dysplasia regressed naturally in 52% of 93 patients, and spontaneous regression was more likely to occur if the patient tested negative for human papil-lomavirus or had fewer than five sexual partners in her...

CMS to intensify scrutiny of waived office labs. ('Not an Enforcement Effort').
July 1, 2002... Many simple lab tests done in physicians' office labs are not being performed properly, and the Centers for Medicare and Medicaid Services wants to change that. In response to this finding, seen in pilot studies conducted in 10 states, CMS...

Episiotomies still favored by private practitioners. (More Common in Whites, Privately Insured).
July 1, 2002... LOS ANGELES -- Routine episiotomies are falling out of favor in response to a growing body of evidence that they are medically unjustified, but white women, those with private insurance, and those with private practitioners are still...

Episiotomy scars have increased failure rates. (Subsequent Vaginal Delivery).
July 1, 2002... LOS ANGELES -- Scars resulting from episiotomies were nearly twice as likely to fail during a subsequent delivery as scars that resulted from a spontaneous laceration during vaginal delivery, according to the results of a California study. ...

Letters. (Opinion).
July 1, 2002... Residency Scheduling Residents' work hours have been limited for the past 12 years in New York state, where all training programs are mandated to be in compliance ("Duty Hours Dispute May Impact Private Physicians," May 15, 2002, p. 27)....

Should BMD be used to monitor osteoporosis therapy? (Pro & Con).
July 1, 2002... YES We know that in populations, treatments for osteoporosis increase bone mineral density, change biochemical markers of bone turnover, and reduce the risk of fractures. In individual patients, we can't measure changes in the risk of...

Condoms, short cohabitation tied to preeclampsia. (Limited Exposure to Sperm Antigens).
July 1, 2002... Los ANGELES -- Women who have lived with their sexual partners for only a few months and used barrier contraceptives may want to use some other form of birth control for a while before trying to get pregnant, to decrease their risk of...

Douching may double preterm delivery risk. (Bacterial Vaginosis Link).
July 1, 2002... Vaginal douching during pregnancy may nearly double the risk of having a preterm delivery, reported Dr. F. Carol Bruce of the Centers for Disease Control and Prevention, Atlanta, and associates. A survey of 812 women showed that 3.5% of 192...

Accelerated tocolysis lengthened triplet gestations. (Case-Control Study of 40 Women).
July 1, 2002... LOS ANGELES -- Accelerated dosing of continuous subcutaneous terbutaline in women bearing triplets who were at risk of preterm delivery extended gestation by nearly 2 weeks and decreased admissions to the neonatal intensive care unit, Dr. Gary...

Large trial backs use of [MgSO.sub.4] in preeclampsia. (Lower Seizure Rates).
July 1, 2002... A large randomized, prospective, controlled trial confirms that women with preeclampsia are significantly less likely to have life-threatening seizures if given magnesium sulfate either before or after delivery than if given placebo. Many...

Amniocentesis fetal loss rate 1:327 for ob.gyns. (Earlier Study Questioned).
July 1, 2002... LOS ANGELES -- The midtrimester amniocentesis-related fetal loss rate appears to be much lower than previously reported, whether the procedure is performed by an ob.gyn. or a perinatologist, a study of nationwide claims data revealed. ...

Low maternal weight gain ups preterm birth risk. (Bloody Amniotic Fluid Also More Common).
July 1, 2002... LOS ANGELES -- Gaining less than 25 pounds during pregnancy appears to be associated with more adverse outcomes than gaining more than the recommended 25-35 pounds, Dr. Laura Goetzl reported at the annual meeting of the American College of...

Prepregnancy obesity linked to stillbirth. (Risk Doubled).
July 1, 2002... LOS ANGELES -- Women with a body mass index greater than 30 had a twofold risk of unexplained stillbirth in a Canadian study, Dr. Sandra Baydock and Dr. Radha Chari said in a poster presentation at the annual meeting of the American Academy of...

Acetaminophen didn't prevent epidural-associated fever in study. (Inflammation May Be the Culprit).
July 1, 2002... HILTON HEAD, S.C. -- If you're looking for a prophylactic measure to help reduce the risk of maternal fever following epidural analgesia, don't count on acetaminophen, Dr. Laura Goetzl reported during the annual meeting of the Society for...

Vaginal misoprostol corrected missed abortion in small study. (Outpatient Treatment).
July 1, 2002... LOS ANGELES -- A single 800-[micro]g dose of vaginal misoprostol resulted in successful outpatient treatment of missed abortion in 21 of 28 women within 24 hours, lending credence to the notion that medical management could become a safe...

Survey shows vaginal misoprostol preferred for second-trimester abortion. (Less Pain Reported).
July 1, 2002... LOS ANGELES -- Patients undergoing second-trimester pregnancy termination were more accepting of the experience if vaginal misoprostol was used rather than oral misoprostol or an intraamniotic injection of prostaglandin [F.sub.2[alpha]], a...

Anticoagulants, part I. (Drugs, Pregnancy, and Lactation).
July 1, 2002... There are few or no published data describing the use of some new anticoagulants during pregnancy. For those agents, we must use other means such as the drug's chemical characteristics and experimental animal data to determine the magnitude of...

Alpha-1 agonists may be preferable to ephedrine. (Vasopressors For Obstetric Hypotension).
July 1, 2002... HILTON HEAD, S.C. -- The [alpha]-1 agonists, long thought of as drugs of last resort for preventing hypotension associated with neuraxial analgesia in obstetric patients, may not be that bad after all, Dr. Michelle Chochinov reported. The...

More infections occur after C-section in obese women. (Elective and Nonelective Surgeries).
July 1, 2002... Los ANGELES -- A high maternal body mass index predicted an increased risk for infection following elective and nonelective cesarean section in a retrospective study of 574 deliveries. Most previous studies on the risk of infection after...

Intrathecal morphine after C-section may reactivate herpes. (Lesions Reactivated in 38% of 50 Women).
July 1, 2002... HILTON HEAD, S.C. - In women with a history of herpes simplex labialis, intrathecally administered morphine given postoperatively after C-section significantly increases the risk of reactivating the infection, compared with...

Ultrasound, SIS advocated for abnormal bleeding. (Expert Opinion).
July 1, 2002... BOSTON -- When it comes to evaluation of abnormal uterine bleeding, ultrasound is the way to go, and if the endometrium looks suspicious, infuse a little saline into the uterus and do sonohysterography, said Dr. Steven R. Goldstein professor of...

Small study: more anomalies caught with sonohysterography. (Endometrial Monitoring in at-Risk Women).
July 1, 2002... ATLANTA -- Sonohysterography is preferable to biopsy in the evaluation of suspected endometrial abnormalities in women being treated with tamoxifen, Dr. C.M. Kim said at the annual meeting of the Roentgen Ray Society. In a retrospective...

National vaccine supply shortages *. (Data Watch).
July 1, 2002... DATA WATCH National Vaccine Supply Shortages * Vaccine Shortage Expected Duration Hepatitis B no Diphtheria, yes through end Tetanus,...

Endometrial sampling: brush less painful than curette. (Equivalent Quality).
July 1, 2002... LOS ANGELES -- The endocervical brush is less painful than a metal curette for endocervical sampling at colposcopy in patients with abnormal Pap smears, Dr. Shelly W. Holmstrom said at the annual meeting of the American College of Obstetricians...

Small study reveals physicians often miss PCOS. (56 Patients Studied).
July 1, 2002... LOS ANGELES -- Patients with polycystic ovary syndrome saw a mean of five different medical practitioners before correctly being diagnosed, a survey of 56 patients found. Only 24 patients got a correct diagnosis at their initial visit....

Abnormal vaginal bleeding may indicate placental polyp. (After Abortion or D&C).
July 1, 2002... ATLANTA -- Abnormal vaginal bleeding in a woman of childbearing age may signal the presence of a placental polyp, particularly if she has recently undergone an abortion or dilation and curettage, Dr. Sherelle Laifer-Narin said at the annual...

Insulin resistance in PCOS may be more common in Mexican Americans than whites. (Separate Screening Values Needed?).
July 1, 2002... LOS ANGELES -- Insulin resistance in women with polycystic ovary syndrome was more common and more severe in Mexican Americans than whites in a retrospective study of 102 patients. If larger studies confirm these findings, results of...

New statement defines androgen insufficiency. (Provides Management Algorithm).
July 1, 2002... LOS ANGELES -- A newly published consensus statement on female androgen insufficiency offers a working definition of the condition and an algorithm for its management. It also emphasizes an urgent need for development of a practical,...

Vaginal atrophy returns 4 weeks after stopping ERT. (Study of 20 Postmenopausal Women).
July 1, 2002... LOS ANGELES -- Postmenopausal women who discontinue estrogen replacement therapy return to baseline levels of vaginal atrophy within 4 weeks, according to results of a study presented at the annual meeting of the American College of...

Staining may indicate invasive breast cancer. (Investigational Procedure).
July 1, 2002... SAN FRANCISCO -- In the not too distant future, physicians may be able to identify the patients with early-stage breast cancer who run the highest risk of developing invasive carcinoma and metastases, thanks to a staining test developed at the...

Use of sentinel lymph node biopsy now common in breast ca patients aged 70 and older. (Data From Five U.S. Cancer Centers).
July 1, 2002... HOLLYWOOD, FLA. -- Sentinel lymph node biopsy is becoming standard care for women with early-stage breast cancer as the number of axillary node dissections continues to decrease, according to a comprehensive, multicenter study. "The real...

Second reading ups ca detection. (Dip in Mammogram Recalls).
July 1, 2002... ATLANTA -- Breast cancer detection rates can be increased by almost 10% with consensus double reading of mammograms, Dr. Susan C. Harvey said at the annual meeting of the Roentgen Ray Society. In a study that included 15,985 mammograms, a...

Air pollution may impair sperm number, quality. (Retrospective Analysis of Semen Donations).
July 1, 2002... RANCHO MIRAGE, CALIF. -- Air pollution worsens sperm quality, Dr. Rebecca Z. Sokol said at the annual meeting of the Pacific Coast Reproductive Society. For every one-standard-deviation increase of 10 parts per million in air sulfate...

Chance of pregnancy falls as male partner ages. (Fertility Interval Holds).
July 1, 2002... Increasing age does not shorten a couple's fertile period during each menstrual cycle, but it could cut the chances of achieving pregnancy during that period. Researchers identified an estimated 6-day fertile period, ending on the day of...

CMS held able to fix Medicare payment errors. (Expert Legal Opinion).
July 1, 2002... WASHINGTON -- Medicare has the legal authority to correct errors in its physician payment formula without congressional intervention, health care law expert Terry Coleman said at a press briefing sponsored by the American Medical Association....

Mass. Doctors prefer single-payer health plan. (Survey of 904 Physicians).
July 1, 2002... ATLANTA -- Physicians in Massachusetts favor single-payer national health insurance over managed care and fee-for-service medicine, Dr. David U. Himmelstein reported in a poster presentation at the annual meeting of the Society of General...

Expert offers advice on giving media interviews. (Tips From a TV Medical Correspondent).
July 1, 2002... SAN FRANCISCO -- Make the most of your 15 minutes of fame by following some simple precautions when a reporter calls you for an interview, Dr. Judith Reichman advised at the annual meeting of the American College of Obstetricians and...

Kaiser sex survey. (Policy & Practice).
July 1, 2002... A majority of teenagers think their peers are influenced by sexual content on television, and they say the messages they're getting aren't all bad. The survey, from the Kaiser Family Foundation, includes 503 teens aged 15-17. Nearly three out...

Antiabortion centers flex muscle. (Policy & Practice).
July 1, 2002... Crisis pregnancy centers--clinics that provide counseling from an antiabortion perspective--are becoming increasingly organized and more aggressive in their attempts to gain federal and state funding, a public policy report from the Alan...

Injunction against Web site. (Policy & Practice).
July 1, 2002... The U.S. Court of Appeals for the 9th Circuit has upheld an injunction against an antiabortion group's Web site and "wanted" style posters. The court ruled that the American Coalition of Life Activists' "Nuremberg Files" Web site and posters...

Abstinence-only poll. (Policy & Practice).
July 1, 2002... A survey conducted by the New York chapter of Planned Parenthood found that a majority of voters who oppose abortion believe that sex education in schools should mention both abstinence and contraception. The poll included 800 registered voters...

Outcome of low nurse numbers. (Policy & Practice).
July 1, 2002... A new analysis of nurse staffing data shows a direct link between a shortage of nurses and patient complications in hospitals. Researchers for the Agency for Healthcare Research and Quality reexamined nurse staffing data in a 2001 report from...

Adult survivors of childhood ca. (Cancer).
July 1, 2002... Many adult survivors of childhood cancer lack crucial information about their diagnosis and treatment histories, making it difficult for them to get appropriate long-term follow-up care, a study has shown. A survey of 635 childhood cancer...

Colorectal ca prevention. (Cancer).
July 1, 2002... Daily low-dose aspirin may reduce recurrences of colorectal adenomas, the precursor lesion of colorectal cancer, Dr. John A. Baron reported at the annual meeting of the American Association of Cancer Research. In a study of 1,121 patients...

Limit use of Td vaccine. (Infectious Diseases).
July 1, 2002... Physicians can now resume ordering tetanus-diphtheria vaccine but should limit its use to wound care and other priority indications until the end of the summer. Aventis Pasteur has increased its supply of Tetanus and Diphtheria Toxoids...

Hepatitis C, HIV connection. (Infectious Diseases).
July 1, 2002... Mortality rates appear to be increasing among HIV-infected people with concomitant hepatitis C infections, Dr. Douglas T. Dieterich said at an update on viral infections sponsored by the University of British Columbia. Data from one Boston...

Migrainous headaches. (Headache).
July 1, 2002... Migrainous headache--the diagnosis that describes patients who meet most but not all of the International Headache Society's strict diagnostic criteria for migraine--may afflict 3% of the population, based on the results of an epidemiologic...

New trend in triptan therapy. (Headache).
July 1, 2002... A major shift in therapeutic strategy involving triptans for migraine may be underway. "The highest efficacy rates are seen in treating attacks when the pain is mild. Both for initial and for persistent headaches, the likelihood of...

Smallpox vaccine in flux for doctors. (CDC, HHS Consider Recommendations).
July 15, 2002... ATLANTA -- The risk of exposure to smallpox is too small--and the risk posed by the vaccine too great--to justify vaccinating most physicians at this time, the Centers for Disease Control and Prevention's Advisory Committee on Immunization...

Bone density gains from HRT linger for up to 15 years: higher forearm and femoral spine BMD readings seen after 2-3 years of HRT use. (HRT Hailed at Menopause Meeting).
July 15, 2002... BERLIN -- Women who took hormone replacement therapy for 2-3 years as part of Danish clinical trials had denser bones than untreated subjects 5-15 years later, researchers reported at the 10th World Congress on the Menopause. "What you...

Seasonal virus may be cause of vulvar ulcers: reported in pediatric, adolescent patients. (Retrospective Review).
July 15, 2002... MIAMI BEACH -- Unexplained vulvar ulcers in pediatric and adolescent patients may be caused by an unidentified seasonal virus, physicians reported at the annual meeting of the North American Society for Pediatric and Adolescent Gynecology. ...

Vital signs.
July 15, 2002... VITAL SIGNS Top 10 Reasons for Ob.Gyn. Office Visits in 2001 % of Office Visits Supervising Normal Pregnancy 16.7 Gynecologic...

For many pregnant women with asthma, inappropriate treatment may be the norm. (Premature Labor Risk 89% Greater).
July 15, 2002... ATLANTA - Pregnant women with asthma often do not get proper asthma treatment, according to the findings of a study of 763 pregnant women. And pregnant women with asthma had an 89% increased risk of premature labor, compared with those...

Statin treatment leaves luteal cycles unchanged. (Four Months of Therapy).
July 15, 2002... ATLANTA -- Statins do not disrupt the luteal cycle in reproductive-age women, based on results from a controlled study with 86 women. This confirmation is important since the newest guidelines for cholesterol testing and management call...

Federal Task Force endorses routine screening for depression. (Primary Care Settings).
July 15, 2002... Regular screening of adult patients for depression is an effective strategy in primary care settings, the U.S. Preventive Services Task Force has concluded. The recommendation addresses the concern that half of the 5%-10% of adults with...

ACGME will limit residents' work hours by July 2003. (80-Hour-Week Maximum).
July 15, 2002... Responding to concerns that resident sleep deprivation poses a risk to patient safety the Accreditation Council for Graduate Medical Education has imposed limits on resident duty hours. Institutions must place a higher value on resident...

Cut hours, not the match. (Guest Editorial).
July 15, 2002... On May 7, 2002, three residents filed suit on behalf of all residents against the National Residency Match Program, the American Medical Association, the associations representing and regulating residency programs, and a handful of residency...

Letters.
July 15, 2002... Traditional Cerclage Removal I am in complete agreement with Dr. Frank J. Craparo that it would be wise to stick with a more traditional approach of removing cerclage in a woman who has preterm premature rupture of membranes ("Cerclage in...

Should health care providers be required to dispense emergency contraception? (Pro & Con).
July 15, 2002... YES There was a recent court case in California Y E S involving a public health nurse who was fired for refusing to dispense emergency contraception. The jury decided in her favor, and she was awarded $47,000 in back pay and damages. ...

Limited surgery for early ovarian ca yields success. (Fertility Spared).
July 15, 2002... LOS ANGELES - Conservative surgery for borderline ovarian tumors resulted in 100% survival without any recurrences and preserved fertility in some cases in a retrospective study of 25 patients. Borderline ovarian tumors account for 10%-15%...

Fertility-sparing surgery suitable for some cancer cases. (Cervical Disease).
July 15, 2002... VAIL, COLO. -- Fertility-sparing surgery is emerging as an attractive option in selected patients with cervical cancer, Dr. Susan A. Davidson said at a conference on obstetrics and gynecology sponsored by the University of Colorado. ...

Genes may hold clues to ca treatment response. (Advanced Ovarian Cancer).
July 15, 2002... MIAMI BEACH -- A set of 10 genes has been identified as a possible marker for responsiveness to standard chemotherapy in women with ovarian cancer, Dr. Lynn C. Hartmann reported at the annual meeting of the Society of Gynecologic Oncologists....

Estradiol may relieve perimenopausal depression. (Small Study of Patch Users).
July 15, 2002... PHILADELPHIA -- Short-term transdermal estradiol rapidly and substantially ameliorated depressive symptoms in perimenopausal but not postmenopausal women in a small open trial. The antidepressant activity was independent of effects on...

Study finds blood pressure unaffected by ERT. (Two Years of Therapy).
July 15, 2002... RANCHO MIRAGE, CALIF., -- Two years of estrogen replacement therapy in 222 postmenopausal women did not affect blood pressure readings in either normotensive patients or those with well-controlled blood pressure who were on antihypertensive...

Ovarian ca risk linked to some HRT regimens. (Do not Alter Prescribing).
July 15, 2002... Hormone replacement therapies using estrogen alone or in combination with sequential progestin supplementation may put women at significantly increased risk of epithelial ovarian cancer, reported Dr. Tomas Riman of Falu Hospital, Falun, Sweden,...

Avert exercise-induced amenorrhea by eating. (Restoring Normal LH Pulsatility).
July 15, 2002... ST. Louis -- An increase in caloric intake appears to be the simplest way for a woman to prevent or correct exercise-related amenorrhea. That's because energy deficiency, not exercise "stress," causes the disruption of the reproductive...

Office-based cystometry identifies stress incontinence imposters. (Avoid Extensive Urodynamic Testing).
July 15, 2002... WASHINGTON -- About two-thirds of the patients who walk in your door with symptoms of stress incontinence actually have the disorder. Identifying the other third doesn't necessarily require hauling out electronic urodynamic testing, Dr....

HPV vaccine may reach market within next 5 years. (Expert Opinion).
July 15, 2002... WHISTLER, B.C. -- A human papilloma virus vaccine that can be used to prevent infection may be available within the next 5 years, Dr. Ian H. Frazer said at an update on viral infections sponsored by the University of British Columbia. "A...

History, exam offer best clues to pelvic pain origin. (Laparoscopy Ineffective for DX).
July 15, 2002... MONTREAL -- Laparoscopy is a poor tool for diagnosing the cause of many forms of pelvic pain, failing to identify pathology in up to 40% of patients, Dr. Deborah Metzger said at the 1.1+/- World Congress on Human Reproduction. ...

Latest IVF protocols prove more user friendly. (Fewer Shots, side Effects).
July 15, 2002... RANCHO MIRAGE, CALIF. - In vitro fertilization is getting a bit easier on patients than it used to be. Success rates are high enough now that convenience is drawing more attention. "There's a big push to make in vitro fertilization (IVF)...

Mobile epidurals: vaginal delivery success. (Pelvic Muscle Strength may be Key).
July 15, 2002... HILTON HEAD ISLAND, S.C. -- Just how mobile do patients on mobile epidurals need to be? Apparently, it may not matter. The major benefit of mobile (walking) epidurals in terms of spontaneous vaginal birth doesn't boil down to the degree of...

Epidural, spinal analgesia: no FHR anomalies. (Study of 100 Patients).
July 15, 2002... HILTON HEAD ISLAND, S.C. -- Neuraxial analgesia does not appear to raise the risk of fetal heart rate or uterine contraction abnormalities, compared with systemic labor analgesia, Dr. Barbara Scavone noted at the annual meeting of the Society...

Intraabdominal surgery riskier in first trimester. (Delivery before 20 weeks' Gestation).
July 15, 2002... LOS ANGELES -- A number of factors, including the timing and length of surgery, greatly influence outcomes associated with intraabdominal surgery during pregnancy, a retrospective analysis of 59 cases revealed. Women undergoing surgery...

Less recurrent preterm labor with terbutaline. (Twin Gestations).
July 15, 2002... LOS ANGELES -- Women pregnant with twins who were given oral maintenance tocolysis after stabilization of preterm labor were less likely to have a recurrence and had longer gestations if treated with oral terbutaline rather than nifedipine, a...

Benefits of breast-feeding on child's intelligence questioned. (Evidence from Metaanalysis Scrutinized).
July 15, 2002... The evidence that breast-feeding benefits a child's intelligence remains unconvincing, according to Dr. Anjali Jain of the University of Chicago Children's Hospital and colleagues. In a metaanalysis of 40 published, English-language studies...

Breast-feeding may halve the risk of postpartum depression. (Large, Diverse National Sample).
July 15, 2002... BARCELONA, SPAIN -- Breast-feeding may reduce the risk of postpartum depression in the year after delivery by nearly half, compared with bottle-feeding, Dr. Elizabeth S. Mezzacappa reported at the annual meeting of the American Psychosomatic...

Local anesthetic reduced morphine use in study. (Postoperative C-section Pain).
July 15, 2002... The 20 women who received an infusion of 0.25% bupivacaine rated their pain in the days after C-section at essentially the same levels reported by the 16 women who had an infusion of normal saline. LOS ANGELES -- Women given continuous...

Low-dose lorazepam can reverse morphine-induced hypothermia. (Post Cesarean Section).
July 15, 2002... HILTON HEAD ISLAND, S.C. -- Among patients who received morphine after cesarean section, 7% developed hypothermia, and lorazepam normalized temperatures in 80% of these women, according to the findings of an early report presented at the annual...

Small study: uterine packing halts postpartum bleeding. (When Standard Tx Fails).
July 15, 2002... LOS ANGELES -- Uterine packing, a long-neglected technique to treat postpartum hemorrhage, was safe and generally effective in a retrospective study of 20 women who failed other treatments, Dr. Suzelle A. Hendsch said. Once a common part...