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Teamwork Assessment Tools in Obstetric Emergencies: A Systematic Review
Team-based training and simulation can improve patient safety, by improving communication, decision making, and performance of team members. Currently, there is no general consensus on whether or not a specific assessment tool is better adapted to evaluate teamwork in obstetric emergencies. The purpose of this qualitative systematic review was to find the tools available to assess team effectiv…
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Obstetrics and Gynecology Emergencies
This issue of Critical Care Clinics featuring Obstetrics and Gynecologic Emergencies began 20 years ago when a rather new obstetrician found herself knee deep in trouble with a patient experiencing an amniotic fluid embolism. Fortunately, the critical care team led by a very experienced intensivist arrived quickly, and because a multidisciplinary approach was taken, the patient experienced a ve…
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Penggunaaan ultrasound di anestesi obstetri
Insidensi masalah medis kompleks diantara populasi obstetrik semakin meningkat, dan anestesia untuk pasien parturient rentan terhadap kompleksitas ini. USG memberikan visualisasi yang akurat terhadap struktur anatomis internal yang bisa membantu asesmen kondisi klinis dan meningkatkan keamanan intervensi terapeutik. Prosedur USG dalam anestesi obstetrik telah digunakan dalam memandu blokade neu…
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Traumatic Abruptio Placenta Scale (TAPS): a proposed grading system of comput…
Placental abruption (PA) is one of the worst possible manifestations of injury in the pregnant trauma patient with ultrasound as the current initial imaging examination of choice, despite its known limitations in placental evaluation. Pregnant patients who undergo computed tomography (CT) for evaluation of potential maternal injuries provide an additional source of imaging for placental evalua…
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Abruptio placentae in cynomolgus macaques (Macaca fascicularis): male bias
The incidence of placenta abruptio in the colony was 15.7/1000 births. In the abruptio placentae group, male fetuses had lower placental disk length and increased femur length compared with female fetuses. The feto-pacental ratio and fetal weight were lower in the male fetuses in the abruption group compared with those in the stillbirth group without abruption placentae.
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Prospective risk of abruptio placentae
AP developed in 2649 (0.90%) women. The prevalence of AP (6.7% among women who gave birth at GW 30–33) sharply decreased with advancing GW at delivery to 0.9% for GW 37 and 0.1% for GW 42. The highest prospective risk of AP, 9 per 1000 women at GW 30, decreased linearly with advancing gestation to 1 per 1000 women at GW 42. AP accounted for 4.7% (1591/33 725) of all preterm births at GW
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Potential Impact of Obstetrics and Gynecology Hospitalists on Safety of Obste…
More than 4 million women give birth annually in the United States, making child birth one of the most common reasons for hospital care1 and amplifying the significance of changes in complications. Although there is almost universal agreement on the need for improved safety, care delivery models to achieve this goal of safer care are evolving.
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Obstetrics and Gynecology Hospitalist Fellowships
The enormous proliferation of managed care over the past 3 decades has resulted in the need for judicious use of health care resources and cost reduction. This has led to several changes in practice patterns to maintain efficiency and patient safety. Under these circumstances and because most resources are spent in acute hospital settings, it is not surprising that physicians dedicated to hospi…
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