The effect of obstetric resident gender on forceps delivery rate

Article Abstract:

Male medical interns are more likely to use forceps during childbirth than female medical interns. This was the conclusion of researchers who analyzed data on 367,542 deliveries performed by 830 medical interns between 1994 and 1998.

Usage, Practice, Childbirth, Delivery (Childbirth), Residents (Medicine), Obstetrical forceps, Forceps delivery

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Pyelonephritis in pregnancy: once-a-day ceftriaxone versus multiple doses of cefazolin

Article Abstract:

A once-a-day dose of intravenous ceftriaxone appears to be as effective as three-times-daily doses of cefazolin in treating kidney infection in pregnant women. A group of 178 pregnant women admitted to the hospital with a kidney infection were randomly assigned to receive one or the other regimens. Initial therapy failed among 5.7% of of cefazolin patients and 3.3% of ceftriaxone patients. Cure, as defined by negative urine culture, was achieved in 85% of cefazolin patients and 88.7% of ceftriaxone patients. Relapse occurred among 6.7% of cefazolin patients and 4.8% of ceftriaxone patients. Overall, the mean total cost of ceftriaxone treatment was $3202 less than cefazolin treatment. A once-a-day intravenous dosing regimen would also allow many pregnant women to be treated at home by visiting nurses after a one-day hospital admission. This would minimize disruption of the patient's life and further reduce cost.

Evaluation, Drug therapy, Pregnancy, Complications of, Pregnancy complications, Pyelonephritis, Ceftriaxone, Cefazolin

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Preinduction cervical ripening with commercially available prostaglandin E2 gel: a randomized, double-blind comparison with a hospital-compounded preparation

Article Abstract:

The commercially available cervical ripening gel, dinoprostone, may be more effective than gels prepared by hospital pharmacists. Hospital-compounded prostaglandin E2 gel preparations are much less expensive than dinoprostone. Researchers compared the effectiveness of dinoprostone applied to the cervices of 70 women undergoing labor induction to that of a hospital-prepared gel on 64 women. Both gels had the same concentration, 0.5 milligrams, of prostaglandin E2. Women receiving dinoprostone had a lower cesarean section rate (12.9%) than did the women receiving the hospital-compounded gel (28.1%). More fetal heart rate abnormalities, resulting in cesarean sections, occurred in the hospital-compounded gel group. The differences in how the two gels worked could not be detected, but the low cost of the hospital-prepared gel was offset by the increase in cost associated with higher rates of cesarean section amongst women using it.

Health aspects, Cervix uteri, Labor, Induced (Obstetrics), Induced labor, Prostaglandins E, Incompetent cervix

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