OB/GYN Clinical Alert – November 1, 2006
November 1, 2006
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The Effect of Maternal Oxygen Administration on Fetal Pulse Oximetry During Labor in Fetuses with Nonreassuring Fetal Heart Rate Patterns
For years clinicians have been administering oxygen by mask to patients with worrisome fetal heart rate patterns. Yet, a Cochrane database review has questioned this practice because of the lack of solid date to demonstrate its benefit. -
Treating PMDD with an Oral Contraceptive
In a multi-center, double-blind, placebo-controlled crossover study, drospirenone 3 mg plus ethinyl estradiol 20 micrograms was administered for 24 days per month to patients with premenstrual dysphoric disorder (PMDD) according to criteria established in the Diagnostic and Statistical Manual IV. -
Resecting the Primary When Patients Present with Metastatic Breast Cancer: The Swiss Experience
The role of primary tumor resection for those who present with disseminated breast cancer has not been established. Rapiti and colleagues performed a population-based study to determine the impact of local surgery on survival in women with breast cancer who, at the time of initial presentation, were known to have distant metastases. -
Acute Uterine Bleeding Treatment with Medroxyprogesterone Acetate or Birth Control Pills
In a prospective, randomized trial, both norethindrone 1 mg/ethinyl estradiol 35 mg taken three times a day initially as well as medroxyprogesterone acetate 20 mg t.i.d. initially were comparably effective and reasonably well tolerated. -
Special Feature: Expanding the Treatment Options for Recurrent Ovarian Cancer Patients
Despite the grim statistics, recurrent ovarian cancer is somewhat distinguished from other solid tumors in its ability to retain and regain some "sensitivity" to chemotherapy long into its natural progression. -
Pharmacology Watch: Wait and See Prescriptions for Treatment of Otitis Media
New Hope for Macular Degeneration?; Can Cialis be Used for Edema?; FDA Actions -
Clinical Briefs in Primary Care supplement