1,721,312 research outputs found
Relazione tra fattori perinatali ed esiti neurologici. Il valore delle meta-analisi e della medicina basata sull'evidenza
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Sonographic Cervical Shortening after Labor Induction is a Predictor of Vaginal Delivery.
No full textObjective Analyzing if the sonographic evaluation of the cervix (cervical shortening) is a prognostic marker for vaginal delivery. Methods Women who underwent labor induction by using dinoprostone were enrolled. Before the induction and three hours after it, the cervical length was measured by ultrasonography to obtain the cervical shortening. The cervical shortening was introduced in logistic regression models among independent variables and for calculating receiver operating characteristic (ROC) curves. Results Each centimeter in the cervical shortening increases the odds of vaginal delivery in 24.4% within 6 hours; in 16.1% within 24 hours; and in 10.5% within 48 hours. The best predictions for vaginal delivery are achieved for births within 6 and 24 hours, while the cervical shortening poorly predicts vaginal delivery within 48 hours. Conclusion The greater the cervical shortening 3 hours after labor induction, the higher the likelihood of vaginal delivery within 6, 24 and 48 hours
Predicting pelvic visceral hypersensitivity from the discomfort of Lugol' test during colposcopy
No full textOBJECTIVE:
Assessing the pelvic visceral hypersensitivity after Lugol' staining during colposcopy.
PATIENTS AND METHODS:
On an unselected sample of 91 patients, pelvic discomfort and discomfort during menstruation, sexual intercourse, defecation, urination were assessed (numeric rating score from 0 to 10) before colposcopy. Few minutes after Lugol' staining, it was assessed the discomforting perception provoked by iodine by using the same numeric rating scale. All those scores were increased by 1 to allow regression models (linear, logarithmic, inverse, cubic, quadratic, exponential).
RESULTS:
The only significant models were the linear, logarithmic and inverse ones for pelvic discomfort overall score and the linear one for sexual intercourse score. A discomfort score of 4.5 or less after Lugol' staining should be a normal reaction to iodine nociception in the vagina.
CONCLUSIONS:
Lugol' staining during colposcopy causes discomfort related with visceral nociception. The rise in numeric rating score after colposcopy can be used for screening pelvic visceral hypersensitivity.OBJECTIVE: Assessing the pelvic visceral hypersensitivity after Lugol' staining during colposcopy.PATIENTS AND METHODS: On an unselected sample of 91 patients, pelvic discomfort and discomfort during menstruation, sexual intercourse, defecation, urination were assessed (numeric rating score from 0 to 10) before colposcopy. Few minutes after Lugol' staining, it was assessed the discomforting perception provoked by iodine by using the same numeric rating scale. All those scores were increased by 1 to allow regression models (linear, logarithmic, inverse, cubic, quadratic, exponential).RESULTS: The only significant models were the linear, logarithmic and inverse ones for pelvic discomfort overall score and the linear one for sexual intercourse score. A discomfort score of 4.5 or less after Lugol' staining should be a normal reaction to iodine nociception in the vagina.CONCLUSIONS: Lugol' staining during colposcopy causes discomfort related with visceral nociception. The rise in numeric rating score after colposcopy can be used for screening pelvic visceral hypersensitivity
Polipectomia isteroscopica: isteroscopia in regime di day surgery versus isteroscopia ambulatoriale
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Anaphylactic-like reaction to lugol solution during colposcopy.
No full text.There are a lack of reports about the adverse effects of Lugol iodine solution staining of the genital epithelia, known as a Schiller test, during colposcopy. We report that during the Schiller test, a patient complained of an anaphylactic-like reaction to the Lugol solution with vaginal and generalized pruritus, vaginal edema, hypotension, tachycardia, and breathing difficulties. Vaginal iodine was completely washed out with saline solution, resulting in improvement and a disappearance of the symptoms without the use of any drugs. The safety of Lugol staining during colposcopy needs to be assessed. © 2009 by The Southern Medical Association
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