The clinical utility of serum uric acid measurements in hypertensive diseases of pregnancy

Article Abstract:

Women with chronic hypertension who have an elevated uric acid level may have an increased risk of preeclampsia. Preeclampsia is characterized by high blood pressure during pregnancy. Researchers measured uric acid levels in blood samples from 344 pregnant women including some with transient hypertension, chronic hypertension, preeclampsia, and chronic hypertension and preeclampsia. Uric acid levels were higher in those with hypertension than in those with normal blood pressure. Women with chronic hypertension and a uric acid level of 5.5 milligrams per deciliter were 2.5 times more likely to develop preeclampsia.

Measurement, Complications and side effects, Risk factors, Preeclampsia, Uric acid, Hypertension in pregnancy, Gestational hypertension

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Is there a benefit to episiotomy at operative vaginal delivery? Observations over ten years in a stable population

Article Abstract:

Episiotomy performed for vaginal childbirth assisted by either vacuum extraction or forceps may increase the risk of vaginal tears but reduce the risk of tears from vagina to rectum. Researchers analyzed the incidence of vaginal or perineal tears following episiotomy at one hospital over a 10-year period during which episiotomy rates dropped significantly. Rates of third- and fourth-degree tears from vagina to rectum decreased significantly, while rates of vaginal tears increased. Episiotomy may not be necessary during vacuum- or forceps-assisted vaginal deliveries.

Care and treatment, Labor, Complicated, Labor complications

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Is there a benefit to episiotomy at spontaneous vaginal delivery? A natural experiment

Article Abstract:

Reducing the episiotomy rate appears to reduce the percentage of deep tears and increase the percentage of uninjured vaginas. An episiotomy is a cut made at the base of the vagina to enlarge the opening for birth. Between 1976 and 1994 the episiotomy rate at a San Francisco hospital fell from 87% to 10%. This was associated with a decline in the percentage of deep tears from 9% to 4% and a rise in the rate of uninjured vaginal openings from 10% to 27%.

Methods, Childbirth, Delivery (Childbirth)

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