Thomas L. Archer
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View article: Cardiac output-guided maternal positioning may protect the fetal oxygen supply and thereby reduce pregnancy complications
Cardiac output-guided maternal positioning may protect the fetal oxygen supply and thereby reduce pregnancy complications Open
Chronic and recurrent obstruction of the inferior vena cava by the gravid uterus may be asymptomatic for the mother and yet contribute to preeclampsia, fetal growth restriction, preterm birth, dysfunctional labor and uterine atony. This pr…
View article: Cardiac output‐guided maternal position therapy for preterm labor—it’s time for a trial
Cardiac output‐guided maternal position therapy for preterm labor—it’s time for a trial Open
In a previous letter, I proposed that prevention of positional inferior vena cava (IVC) obstruction by the gravid uterus during gestation might prevent or alleviate a variety of pregnancy-related disorders.1 Obstruction of the IVC by the u…
View article: Position therapy in pregnancy: Can trending maternal cardiac output put it on a more objective foundation?
Position therapy in pregnancy: Can trending maternal cardiac output put it on a more objective foundation? Open
Avoiding the "supine hypotensive syndrome of pregnancy" has been a basic concept in patient management since at least the 1950s, and in 1983 Spinapolice et al1 showed that 4 hours of rest per day in the left lateral decubitus position decr…
View article: Economic Analysis of Perioperative Optimization
Economic Analysis of Perioperative Optimization Open
The goal of this chapter is to discuss the demand of taxpayers, employers, and employees that medicine deliver better value. Physicians need evidence-based medicine to establish which interventions are truly beneficial and modern managemen…
View article: Obstructed uterine venous return: a preventable cause of dysfunctional labor?
Obstructed uterine venous return: a preventable cause of dysfunctional labor? Open
Dysfunctional labor is a common cause of cesarean delivery and may be caused by myometrial hypoxia. Obstruction of uterine venous return due to compression of the inferior vena cava by the gravid uterus or the abdominal wall may be an auxi…
View article: Characteristics Associated with Increasing the Response Rates of Web-Based Surveys
Characteristics Associated with Increasing the Response Rates of Web-Based Surveys Open
Having a respectable response rate is critical to generalize the results for any survey, and web surveys present their own unique set of issues. This research identified web deployment and questionnaire characteristics that were significan…