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OBJECTIVE To estimate benefits and risks of transabdominal cervicoisthmic cerclage in women with cervical insufficiency in whom transvaginal cerclage is considered surgically unfeasible. METHODS This was an observational cohort study with historical controls of 101 pregnancies after transabdominal cervicoisthmic cerclage in 101 women with a classic(More)
OBJECTIVE To assess the role of anal sphincter damage following delivery in the development of anorectal complaints and urinary incontinence, and to identify obstetric factors associated with subsequent fecal incontinence. METHODS The retrospective cohort study with matched controls used a postal questionnaire and analysis of delivery and operation(More)
This study was to determine whether pregnancy affects maximal aerobic power. We measured heart rate, O2 uptake (VO2), CO2 production (VCO2), and ventilation at rest and during bicycle (BE) and treadmill exercise (TE) tests with rapidly increasing exercise intensities at 16, 25, and 35 wk gestation and 7 wk after delivery. Maximal heart rate was slightly(More)
This study was designed to determine whether pregnancy affects peak O2 uptake (VO2peak) during swimming compared with cycling. We studied 11 women at 30-34 wk gestation and 8-12 wk postpartum. We measured heart rate (HR), O2 uptake (VO2), CO2 output (VCO2), minute ventilation (VE), and lactic acid concentration. Peak HR was not significantly affected by the(More)
OBJECTIVE To compare the incidence and severity of pregnancy-induced hypertensive disorders in twin pregnancy and in singleton gestation. STUDY DESIGN Case-control study in the setting of a University Hospital. Each pregnancy of a consecutive series of 187 twin pregnancies attending the antenatal clinic and booked before a gestational age of 24 weeks was(More)
OBJECTIVE Our aim was to assess the physiologic response of human fetal heart rate and uterine contractility to moderately strenuous maternal exercise. STUDY DESIGN We measured fetal heart rate and intrauterine pressure with the use of internal monitoring before, during, and after maternal exercise at a heart rate of 140 beats/min on a cycle ergometer in(More)
OBJECTIVE To compare maternal and perinatal complications in triplet and twin pregnancies. STUDY DESIGN Case-controlled study in the setting of a University Hospital. Each pregnancy of a consecutive series of 40 triplet pregnancies of 20 weeks or more was matched for parity and maternal age with two sets of twins delivered in the same year. Primary end(More)
Carrying out the intention to breast-feed was assessed in 185 mothers divided into four groups according to whether labour was spontaneous, with or without oxytocin augmentation, or induced, either by their own choice or on the advice of their obstetrician. Intention to breast-feed was abandoned most frequently by women in whom labour had been electively(More)
In addition to the limited published experience with transabdominal cervical cerclage (TCC) we report the use of this procedure in 14 women with a diagnosis of cervical incompetence, and a cervical deformity or defect precluding the usual transvaginal approach. In 13 pregnant patients and in one nonpregnant woman a band was placed transabdominally around(More)
Reported central hemodynamics obtained with a Swan-Ganz pulmonary artery thermodilution catheter in preeclamptic patients show marked disparity, which has been interpreted to indicate a variable hemodynamic expression of the disease. However, the variability also may be due, at least in part, to the pharmacological treatment that most of the women studied(More)