Development and validation of a nomogram to predict the risk of cesarean delivery in macrosomia.

Objective: To develop and validate a nomogram that predicts individual probability of cesarean delivery in cases of macrosomia (>4,000 g).

Methods: The nomogram was built based on the data from 246 patients who delivered macrosomic infants at Conception Hospital (Marseille, France), and was validated on an external population of 206 patients. Logistic regression was used to construct a model to predict the probability of cesarean section.

Comparison of ropivacaine and lidocaine for paracervical block during surgical abortion.

Background: The study was conducted to compare the effectiveness of ropivacaine and lidocaine as paracervical analgesia for elective abortion by vacuum aspiration.

Study Design: This single-center double-blinded randomized study tested two different agents for paracervical analgesia in elective abortions: lidocaine (n=57) or ropivacaine (n=57). We assessed intra- and postoperative pain according to both a visual analogical scale rated from 0 to 10 and postoperative analgesic requirements.

In situ methotrexate injection for treatment of recurrent endometriotic cysts.

Objective: Ovarian endometrioma recurrence is frequent. Conventional treatment of ovarian endometrioma is by surgical cystectomy. We proposed an alternative medical treatment for recurrent ovarian endometrioma: cyst aspiration followed by in situ methotrexate injection.

Value of laparoscopic assistance for vaginal hysterectomy with prophylactic bilateral oophorectomy.

Objective: This study was undertaken to compare morbidity for women undergoing laparoscopy-assisted vaginal hysterectomy with bilateral oophorectomy (LAVHO) and vaginal hysterectomy with bilateral oophorectomy without laparoscopic assistance (VHO).

Study Design: Between April 1, 2002, and February 1, 2004, a prospective randomized study at Marseille University Hospital (La Conception) included 48 patients who underwent a hysterectomy with prophylactic bilateral oophorectomy for benign uterine conditions. These patients were allocated to 2 groups (LAVHO vs VHO).

Maternal and neonatal morbidity after first vaginal delivery using Thierry's spatulas.

Objective: To analyse maternal and neonatal morbidity associated with instrumental delivery using Thierry's spatulas.

Methods: Between January 2001 and December 2003, 570 nulliparous women with term, singleton, cephalic pregnancies gave birth by either instrumental (n = 279) or spontaneous vaginal delivery (n = 291) and were studied in a retrospective case-control study. Maternal and neonatal morbidity were compared in the instrumental vs.