172: Tough decisions - full dilatation cesarean sections, a retrospective cohort study

Myomectomy at time of cesarean delivery: a retrospective cohort study

BACKGROUND: Myomectomy at time of cesarean delivery is traditionally discouraged because of the risk of hemorrhage. A retrospective cohort study was performed to determine whether myomectomy at time of cesarean delivery leads to an increased incidence of intrapartum and short-term postpartum complications. METHODS: A computer search of medical records from May 1991 to April 2001 identified a to...

Tough times call for tough decisions.

A Retrospective Cohort Study

BACKGROUND: Evidence regarding nighttime physician staffi ng of ICUs is suboptimal. We aimed to determine how nighttime physician staffi ng models infl uence patient outcomes. METHODS: We performed a multicenter retrospective cohort study in a multicenter registry of US ICUs. Th e exposure variable was the ICU’s nighttime physician staffi ng model. Th e primary outcome was hospital mortality. S...

Laryngeal Mask Airway for Cesarean Delivery: A 5-Year Retrospective Cohort Study

BACKGROUND The laryngeal mask airway (LMA) is the most commonly used rescue airway in obstetric anesthesia. The aim of this retrospective cohort study was to evaluate the application of the LMA in parturients undergoing cesarean delivery (CD) for 5 years in our hospital. As a secondary objective, we investigated the incidence of airway-related complication in obstetric general anesthesia (GA). ...

Tough Decisions for Premature Triplets.

When infants are born at the borderline of viability, doctors and parents have to make tough decisions about whether to institute intensive care or provide only palliative care. Often, these decisions are made in moments of profound emotional turmoil, and parents receive different information from different health professionals. Communication can become garbled. It may be difficult to tell when...