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OBJECTIVE We sought to identify associated characteristics of face presentation and to examine factors that were associated with mode of delivery in the setting of face presentation. STUDY DESIGN This was a retrospective cohort study of women who were diagnosed with face presentation during labor. We examined maternal, fetal, and labor characteristics to(More)
OBJECTIVE To summarize the efficacy of postabortion uterine artery embolization in cases of refractory hemorrhage. METHODS Forty-two women were identified who had postabortion uterine artery embolization at San Francisco General Hospital between January 2000 and August 2007. Seven underwent embolization for hemorrhage caused by abnormal placentation. (More)
IMPORTANCE Prenatal genetic testing guidelines recommend providing patients with detailed information to allow informed, preference-based screening and diagnostic testing decisions. The effect of implementing these guidelines is not well understood. OBJECTIVE To analyze the effect of a decision-support guide and elimination of financial barriers to(More)
OBJECTIVE To compare 30-mL and 60-mL Foley balloon inflation for labor induction and the effect on length of labor and mode of delivery. METHODS Women with term, vertex, singleton pregnancies (n=192) and a Bishop score less than 5 were assigned randomly to receive a transcervical Foley balloon inflated to either 30 mL or 60 mL. Exclusion criteria were(More)
OBJECTIVE The purpose of the study was to define predictors of successful rotation and rate of cesarean delivery after manual rotation of the fetal occiput from occiput posterior or transverse position. STUDY DESIGN A retrospective cohort study comprised patients who underwent a trial of manual rotation of the fetal occiput from occiput posterior or(More)
OBJECTIVE To examine mode of delivery and perinatal outcomes in women with occiput posterior (OP) or transverse (OT) position in the second stage of labour with a trial of manual rotation compared to expectant management. METHODS A retrospective cohort study was designed to examine mode of delivery and perinatal morbidity in women who underwent a trial of(More)
BACKGROUND Intrahepatic cholestasis of pregnancy (ICP) has important fetal implications. There is increased risk for poor fetal outcomes, including preterm delivery, meconium staining of amniotic fluid, respiratory distress, fetal distress and demise. METHODS One hundred and one women diagnosed with ICP between January 2005 and March 2009 at San Francisco(More)
This paper describes a generic schematic knowledge representation, acquisition, and manipulation system (SKRAM) applied to diagnostic problem solving in analog circuits. SKRAM is a general purpose declarative, schema-oriented system composed of five layers: (1) an object-oriented implementation layer, (2) a logical layer defining object features, i.e.,(More)