Postpartum hemorrhage is a significant cause of maternal morbidity and mortality. Most postpartum hemorrhages are caused by uterine atony and occur in the immediate postpartum period. Expectant or physiologic management of the third stage of labor has been compared with active management in several studies. Active management involves administration of uterotonic medication after the delivery of...

BACKGROUND The method of skin-to-skin contact (kangaroo care [KC]) has shown physiologic, cognitive, and emotional gains for preterm infants; however, KC has not been studied adequately in term newborns. AIMS To evaluate the effect of KC, used shortly after delivery, on the neurobehavioral responses of the healthy newborn. STUDY DESIGN A randomized, controlled trial using a table of random ...

Prior studies have demonstrated the effectiveness of noninvasive transdermal insulin delivery using a cymbal transducer array. In this study the physiologic response to ultrasound mediated transdermal insulin delivery is compared to that of subcutaneously administered insulin. Anesthetized rats (350-550 g) were divided into four groups of four animals; one group representing ultrasound mediated...

Supplemental oxygen is a marvelous “drug,” with several rather unique beneficial physiologic effects. It produces well-documented long-term benefits when administered to hypoxemic patients. A multi-billion-dollar industry has been established to provide supplemental oxygen to those for whom it is indicated. Nevertheless, research into the effectiveness (especially in the long term) of different...