Publications by authors named "Alex Horky"

Purpose: This study aims to investigate the sonographic features of the lower uterine segment (LUS) and their association with successful vaginal birth after a cesarean section (VBAC).

Methods: This is a prospective observational cohort study of women who underwent a first cesarean section (CS). Inclusion criteria were age over 18 years and open family planning.

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Purpose: The aim of this study is to compare and evaluate the obstetrical differences between three techniques, including the programmed intermittent epidural bolus (PIEB), the patient-controlled epidural analgesia (PCEA), and the continuous epidural analgesia (CEA).

Methods: This is a retrospective cohort study that investigates the obstetrical outcomes of 2240 patients who received EA during labor in a tertiary maternal unit over the course of 9 years (2011-2018). The only inclusion criterion was the use of epidural analgesia during childbirth and the only exclusion criteria were multiplets' gestation.

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Article Synopsis
  • This study investigates the relationship between ultrasound measurements of uterine scars after cesarean sections and the occurrence of dysmenorrhea (painful periods) and bleeding disorders in women.
  • A sample of 500 women with one prior cesarean section was analyzed, measuring various uterine parameters and using logistic regression for data analysis.
  • Results showed 36% of participants experienced bleeding disorders and 17% reported dysmenorrhea, with weak associations found between certain uterine measurements and these conditions, suggesting more research is needed on other factors influencing these outcomes.*
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