The case for simulation as part of a comprehensive patient safety program.


:Simulation in obstetrics allows us to practice in a safe environment. Simulations can improve the performance of individuals and obstetric teams. The evidence is overwhelming that, with simulated practice, obstetricians improve their technical and communication skills. Evidence is emerging that simulation ultimately may improve clinical outcomes. It stands to reason that simulation in obstetrics should be incorporated into comprehensive patient safety programs.


Am J Obstet Gynecol


Argani CH,Eichelberger M,Deering S,Satin AJ




Has Abstract


2012-06-01 00:00:00














  • Improving patient understanding of preeclampsia: a randomized controlled trial.

    abstract:OBJECTIVE:We developed a standardized educational tool to inform women about preeclampsia. The objective of this study was to assess whether exposure to this tool led to superior understanding of the syndrome. STUDY DESIGN:This was a randomized controlled trial in which 120 women were assigned to (1) a newly developed...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章,随机对照试验


    authors: You WB,Wolf MS,Bailey SC,Grobman WA

    更新日期:2012-05-01 00:00:00

  • Relationship of fetal growth to duration of heat stress in an ovine model of placental insufficiency.

    abstract:OBJECTIVE:Intrauterine growth restriction in an ovine model occurs after exposure to environmental heat stress for 80 days beginning at 35 days' gestation. Our objective was to determine whether intrauterine growth restriction is reversible on removal of the heat stress after only 55 days of exposure; that is, does a b...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章


    authors: Galan HL,Hussey MJ,Barbera A,Ferrazzi E,Chung M,Hobbins JC,Battaglia FC

    更新日期:1999-05-01 00:00:00

  • Blood protein profiles of infants born before 28 weeks differ by pregnancy complication.

    abstract:OBJECTIVE:Disorders that lead to preterm delivery influence the fetal inflammatory response. STUDY DESIGN:We calculated odds ratios of elevated concentrations of 25 blood proteins on the first postnatal day in 798 infants born before the 28th week and classified by the pregnancy disorder that lead to preterm delivery....

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章


    authors: McElrath TF,Fichorova RN,Allred EN,Hecht JL,Ismail MA,Yuan H,Leviton A,ELGAN Study Investigators.

    更新日期:2011-05-01 00:00:00

  • Lymphokine production during term human pregnancy: differences between peripheral leukocytes and decidual cells.

    abstract::Although the fetus is considered to be an "allograft" there is little information concerning the role of lymphokines in human pregnancy. Lymphokines are polypeptides secreted by stimulated lymphocytes that direct the immune response by enabling immune effector cells to communicate with each other. To characterize lymp...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章


    authors: Dudley DJ,Mitchell MD,Creighton K,Branch DW

    更新日期:1990-12-01 00:00:00

  • Screening for trisomy 21 with ultrasonographic determination of biparietal diameter/femur length ratio.

    abstract::Ultrasonographic determination of biparietal diameter/femur length ratios performed at 16 or 17 weeks' gestation in fetuses with trisomy 21 were not statistically different from those of 155 normal fetuses. It appears that this test could not be used for screening for trisomy 21. ...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章


    authors: Marquette GP,Boucher M,Desrochers M,Dallaire L

    更新日期:1990-11-01 00:00:00

  • Methadone trough levels in pregnancy.

    abstract:OBJECTIVE:This study was undertaken to determine (1) the methadone serum trough level adequate to prevent withdrawal symptoms in heroin-addicted pregnant women and (2) whether the methadone serum trough level in symptomatic women with withdrawal symptoms differs from that of asymptomatic women. STUDY DESIGN:Pregnant w...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章


    authors: Drozdick J 3rd,Berghella V,Hill M,Kaltenbach K

    更新日期:2002-11-01 00:00:00

  • An evaluation of human papillomavirus testing for intermediate- and high-risk types as triage before colposcopy.

    abstract:OBJECTIVE:Our purpose was to evaluate the role of testing for intermediate- and high-risk human papillomavirus by use of a hybrid capture technique for predicting which patients with abnormal Papanicolaou smears are most likely to have squamous intraepithelial lesions or cancer. STUDY DESIGN:Cervical cytologic studies...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章


    authors: Hatch KD,Schneider A,Abdel-Nour MW

    更新日期:1995-04-01 00:00:00

  • Best practices in surgical abortion.

    abstract::Surgical abortion in the first trimester comprises the majority of voluntary pregnancy interruptions performed in the United States. The majority of these procedures are done in outpatient settings with the patient under local anesthesia. Appropriate volume of and deep injection of local anesthetic can reduce pain ass...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章,评审


    authors: Keder LM

    更新日期:2003-08-01 00:00:00

  • Evaluation of the fetal assessment score in pregnancies at risk for intrauterine hypoxia.

    abstract:OBJECTIVE:Our purpose was to define the diagnostic value of a new fetal assessment score that is based on each of the components of the Apgar score. STUDY DESIGN:A fetal assessment score was established to study the main fetal vital functions: (1) cardiovascular (heart rate, color of the skin in the Apgar score), now ...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章


    authors: Arabin B,Snyjders R,Mohnhaupt A,Ragosch V,Nicolaides K

    更新日期:1993-09-01 00:00:00

  • Placental colonization with periodontal pathogens: the potential missing link.

    abstract::Observational studies demonstrate that women with severe periodontitis have a higher risk of adverse pregnancy outcomes like preterm birth and low birthweight. Standard treatment for periodontitis in the form of scaling and root planing during the second trimester failed to reduce the risk of preterm or low birthweigh...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章,评审


    authors: Fischer LA,Demerath E,Bittner-Eddy P,Costalonga M

    更新日期:2019-11-01 00:00:00

  • Does the brachial artery Doppler flow velocity waveform reflect changes in downstream impedance?

    abstract::Brachial artery Doppler flow velocity waveforms were recorded from 10 nonpregnant women and 19 women with uncomplicated pregnancies. The pregnant group showed higher peak systolic frequencies (3.24 compared with 2.26, p = 0.01), higher maximum end-diastolic frequencies (0.62 compared with 0.25, p = 0.01), and lower pu...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章


    authors: Fairlie FM,Walker JJ

    更新日期:1991-12-01 00:00:00

  • Percutaneous ultrasound-guided fetal blood sampling in the management of nonimmune hydrops fetalis.

    abstract::Nonimmune hydrops fetalis can be caused by fetal chromosomal, hematologic, cardiac, or infectious conditions. A fetal blood sample obtained from percutaneous ultrasound-guided fetal blood sampling can offer vital information about the underlying cause of nonimmune hydrops fetalis, and perinatal management can be plann...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章


    authors: Hsieh FJ,Chang FM,Ko TM,Chen HY

    更新日期:1987-07-01 00:00:00

  • Perinatal outcome in very preterm births with twin-twin transfusion syndrome.

    abstract::We retrospectively studied 48 pairs of twin gestations delivered between 24 and 28 weeks' gestation from 1975 to 1986 at Vanderbilt University Medical Center. The incidence of fetofetal transfusion syndrome was 20%, more than double the incidence previously reported in large series of twin deliveries that encompassed ...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章


    authors: Shah DM,Chaffin D

    更新日期:1989-11-01 00:00:00

  • Reduced uterine blood flow and fetal hypoxemia with acute maternal stress: experimental observation in the pregnant baboon.

    abstract::The effects of maternal hyperexcitability on the fetus were studied in 17 baboons. In the period of agitation, induced by stressful stimulus such as exposure to bright light or by clamping of the toe, the mother exhibited an increase in arterial blood pressure and, in some instances, arrhythmia. These changes were acc...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章


    authors: Morishima HO,Yeh MN,James LS

    更新日期:1979-06-01 00:00:00

  • Diagnostic accuracy of fetal choroid plexus length to head biometry ratio at 11 to 13 weeks for open spina bifida.

    abstract:BACKGROUND:Open spina bifida is a major congenital anomaly with an estimated incidence of <1 in 1000. The diagnosis of open spina bifida is usually made during the second trimester, but first-trimester detection rate of spina bifida is increasingly reported. Recently, the mean choroid plexus length to occipitofrontal d...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章


    authors: Kalafat E,Ting L,Thilaganathan B,Papageorghiou AT,Khalil A

    更新日期:2020-08-22 00:00:00

  • Physical activity and obesity in endometrial cancer survivors: associations with pain, fatigue, and physical functioning.

    abstract:OBJECTIVE:This study aims to determine the prevalence of physical activity and obesity and their relationship to physical functioning (PF), fatigue, and pain in endometrial cancer survivors. STUDY DESIGN:Surveys were mailed to 200 survivors of endometrial cancer diagnosed within the last 5 years; 61% were returned. Su...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章


    authors: Basen-Engquist K,Scruggs S,Jhingran A,Bodurka DC,Lu K,Ramondetta L,Hughes D,Carmack Taylor C

    更新日期:2009-03-01 00:00:00

  • Analysis of 500 obstetric and gynecologic malpractice claims: causes and prevention.

    abstract::Five hundred obstetric and gynecologic malpractice litigation claims were analyzed to determine the incidence of claims that could not be defended because of breach of standards of care, problems with documentation, or both. Of the 500 claims, 294 were obstetric and 206 were gynecologic. Of the obstetric claims, 79 (2...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章


    authors: Ward CJ

    更新日期:1991-08-01 00:00:00

  • Uterine artery embolization for the treatment of uterine fibroids: an outpatient procedure.

    abstract:OBJECTIVE:Our objectives were to establish an outpatient program for uterine artery embolization of fibroids and to monitor the following: percentage of patients who required immediate hospitalization or admission within 2 weeks, outcomes in terms of the degree of ultrasound regression of the fibroids, patient satisfac...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章


    authors: Klein A,Schwartz ML

    更新日期:2001-06-01 00:00:00

  • The effect of low-dose aspirin on pregnancies complicated by elevated human chorionic gonadotropin levels.

    abstract:OBJECTIVE:Our purpose was to determine whether elevated second-trimester human chorionic gonadotropin levels identify women likely to benefit from low-dose aspirin therapy. STUDY DESIGN:We evaluated second-trimester human chorionic gonadotropin levels obtained from healthy nulliparous women before screening for partic...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Wenstrom KD,Hauth JC,Goldenberg RL,DuBard MB,Lea C

    更新日期:1995-10-01 00:00:00

  • Eclampsia. VI. Maternal-perinatal outcome in 254 consecutive cases.

    abstract::During a 12-year period, 254 cases of eclampsia were managed at this center. Eighty patients (32%) did not have edema, 58 (23%) had "relative hypertension," and 49 (19%) did not have proteinuria at the time of convulsions. Eclampsia developed at less than or equal to 20 weeks in 6 patients and beyond 48 hours post par...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章


    authors: Sibai BM

    更新日期:1990-09-01 00:00:00

  • Intrapartum fetal heart rate monitoring. V. Fetal heart rate patterns in the second stage of labor.

    abstract::A total of 1,755 fetal heart rate (FHR) tracings of the second stage of labor was analyzed. The FHR patterns were classified according to the behavior of the baseline FHR and are listed in decreasing order of benignity: normocardia, transitory bradycardia, tachycardia, persistent bradycardia, and progressive bradycard...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章


    authors: Krebs HB,Petres RE,Dunn LJ

    更新日期:1981-06-15 00:00:00

  • Risks and consequences of puerperal uterine inversion in the United States, 2004 through 2013.

    abstract:BACKGROUND:Puerperal uterine inversion is a rare, potentially life-threatening obstetrical emergency. The current literature consists of small case series and a single nationwide study from Europe with only 15 cases. OBJECTIVE:We aimed to define the incidence, temporal trends, and outcomes in women with uterine invers...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章


    authors: Coad SL,Dahlgren LS,Hutcheon JA

    更新日期:2017-09-01 00:00:00

  • Paternal race is a risk factor for preterm birth.

    abstract:OBJECTIVE:The purpose of this study was to test the hypothesis that paternal race influences the risk for preterm birth. STUDY DESIGN:We conducted a population-based cohort study to examine the association of paternal race with preterm birth using the Missouri Department of Health's birth registry from 1989-1997. Birt...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章


    authors: Palomar L,DeFranco EA,Lee KA,Allsworth JE,Muglia LJ

    更新日期:2007-08-01 00:00:00

  • Fetal subcutaneous scalp PO2 and abnormal heart rate during labor.

    abstract::Intrapartum fetal heart rate and subcutaneous scalp PO2 were continuously measured with a combined electrocardiogram-PO2 needle electrode in 34 patients. The incidence of fetal heart rate abnormalities increased significantly with decreasing subcutaneous PO2, from 0.8% of the 10-minute periods in which subcutaneous PO...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章


    authors: Aarnoudse JG,Huisjes HJ,Gordon H,Oeseburg B,Zijlstra WG

    更新日期:1985-11-01 00:00:00

  • CA 125 antigen in human amniotic fluid and fetal membranes.

    abstract::The cancer antigen CA 125 is manifest by serous cystadenocarcinoma of the ovary and to a lesser extent by other gynecologic and nongynecologic tumors. Its presence was screened for in normal human fetal tissues and fluids. Appreciable quantities of CA 125 were discovered in amniotic fluid by both a dot blot assay and ...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章


    authors: O'Brien TJ,Hardin JW,Bannon GA,Norris JS,Quirk JG Jr

    更新日期:1986-07-01 00:00:00

  • Prenatal diagnosis of 47,XXX.

    abstract::We report 2 cases of 47,XXX that were diagnosed prenatally and were screened positive for trisomy 21 by biochemical and ultrasound markers. These cases underline the importance of discussing the sex chromosome abnormalities during the genetic counseling after an abnormal triple screen test or ultrasound examination. ...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章


    authors: Khoury-Collado F,Wehbeh AN,Fisher AJ,Bombard AT,Weiner Z

    更新日期:2005-05-01 00:00:00

  • Immunoreactive endorphin peptides and prolactin in umbilical vein and maternal blood.

    abstract::Immunoreactive endorphin peptides (ir EP) and prolactin (PRL) were measured by radioimmunoassay in venous blood from the umbilical cord of 86 neonates, 23 postpartum mothers, and 40 randomly selected blood bank donor control subjects. We also assayed these hormones in serosanguineous placental tissue fluid following d...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章


    authors: Kimball CD,Chang CM,Huang SM,Houck JC

    更新日期:1981-05-15 00:00:00

  • Rapid HIV testing and prevention of perinatal HIV transmission in high-risk maternity hospitals in St. Petersburg, Russia.

    abstract:OBJECTIVE:The purpose of this study was to evaluate the effectiveness of a human immunodeficiency virus (HIV) rapid testing (RT) program. STUDY DESIGN:From April 13, 2004, to April 13, 2005, pregnant women at 2 high-risk maternity hospitals with no or incomplete HIV testing results (negative tests at <34 weeks, none t...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章,多中心研究


    authors: Kissin DM,Akatova N,Rakhmanova AG,Vinogradova EN,Voronin EE,Jamieson DJ,Glynn MK,Yakovlev A,Robinson J,Miller WC,Hillis S

    更新日期:2008-02-01 00:00:00

  • Effects of clonidine on breathing movements and electrocortical activity in the fetal lamb.

    abstract::Clonidine is a recommended antihypertensive for use during pregnancy, although little is known of its fetal effects. This study examines the effects of clonidine on breathing and sleep-state cycling in fetal lambs. Clonidine was infused into a fetal lateral ventricle for up to 24 hours at 128 to 135 days' gestation. C...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章


    authors: Bamford OS,Hawkins RL,Blanco CE

    更新日期:1990-08-01 00:00:00

  • Inferior vena cava compression in the pregnant dog.

    abstract::Attempts were made to produce inferior vena cava (IVC) compression in 14 pregnant and 12 nonpregnant bitches. Ligation of the iliac veins, the IVC below the renal veins, or the left renal vein separately produced minimal hemodynamic disturbances. Only ligation of the two renal veins or of the IVC above the renal veins...

    journal_title:American journal of obstetrics and gynecology

    pub_type: 杂志文章


    authors: Abitbol MM

    更新日期:1978-01-15 00:00:00