Obstetrics and Gynecology Archives - Page 89 of 89 - Clinical Advisor

Obstetrics and Gynecology

Early insulin infusion vor VLBW infants may increase mortality and hypoglycemia

Level 2: Mid-level evidenceEarly continuous insulin infusion in very-low-birth-weight (VLBW) infants aged 1-7 days is associated with significantly increased mortality at 28 days and increased hypoglycemia, based on an open-label randomized trial involving 389 participants (N Engl J Med. 2008;359:1873-1884). In infants receiving insulin, mortality at 28 days was 11.9% (vs. 5.7% with standard care);…

Pap and high-risk HPV

Should a Pap smear be repeated if the first report reads “no endocervical cells found”? Also, what should I do if the Pap smear is normal, but high-risk human papillomavirus (HPV) is detected? What is the likelihood the HPV will resolve on its own over time?—Smita Kapoor, MD, Phoenix There is no medical reason to…

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