Advance supply of emergency contraception increases use and knowledge but does not adversely affect usual contraceptive practices.
Nearly all women used emergency contraceptive pills appropriately and correctly when the pills were provided in a simulate dover-the-counter manner.
The levonorgestrel two-rod implant system is an effective, long-acting contraceptive with minimal side effects.
Despite increasing use of methamphetamine among women of childbearing age in Utah, a decrease in prevalence of drug-exposed newborns was found over a 10-year period.
Prophylactic use of the McRoberts maneuver and suprapubic pressure did not speed head-to-body delivery time in patients expected to deliver a large infant.
Induced labor is associated with an increased risk of early postpartum hemorrhage, cesarean delivery, and neonatal admission to intensive care unit, but there is no statistically significant difference in rupture rates.
The advantage of the logistic regression method of risk adjustment is that it determines, for all hospitals, if differences in risk-adjusted cesarean delivery rates are statistically significant.
A prolonged second stage of labor is associated with a high rate of vaginal delivery, but a high rate of maternal, though not neonatal, morbidity was observed.
A phase III trial demonstrates that hysteroscopic interval tubal sterilization with microinserts is well tolerated and results in rapid recovery, high patient satisfaction, and effective permanent contraception.
In doses used to control climacteric symptoms, unopposed estrogen therapy leads to a marginal decrease of nocturnal breathing abnormalities in postmenopausal women.
For women presenting with predominant stress incontinence, the major determinant of concurrent urge symptoms is incontinence severity and not the pathophysiologic condition(s) causing the incontinence.
Nightly topical 5% lidocaine therapy may be useful in treating vulvar vestibulitis.
Although the intrapartum passage of meconium is associated with worse neonatal outcomes, most encephalopathic or acidotic infants never pass meconium in labor.
An intrauterine hematoma diagnosed via first-trimester ultrasonography may be a marker for adverse pregnancy outcomes including preeclampsia, fetal growth restriction, preterm birth, and placental abnormalities.
Long, but not short, interpregnancy intervals appear to be associated with increased risk of perinatal mortality.
In nulliparas with continuous low-concentration epidural analgesia, waiting for a strong urge to push does not shorten pushing duration in the second stage of labor.
Nonsmoking, well-educated women of high weight, height, and parity with low caffeine in take, high gestational age, and a male fetus have an increased risk of delivering heavy infants.
Pregnancy planned at least 2 years after liver transplantation when allograft function is stable can have excellent maternal and neonatal outcomes.
Nerve stimulation therapy reduces nausea and vomiting and increases weight gain in symptomatic pregnant women.
Vessel-sealing technology improves hemostasis and shortens operative times in vaginal hysterectomies.
Infertility patients and their partners often do not align in the strength of their desire for twin gestations.
Younger women with stages III and IV invasive epithelial ovarian cancer have significantly improved survival rates relative to older patients.
Genetic predisposition toward increased tumor necrosis factor–a production is associated with a more than three-fold increased risk of clinical chorioamnionitis.
Gravidas with low serum unconjugated estriol levels had more undetected intrauterine fetal deaths or infants with steroid sulfatase deficiency than those with Smith–Lemli–Opitz syndrome (1:60,000prevalence).
Neonatal radial fracture can be associated with shoulder dystocia.
There are many ethical and medicolegal issues involved in optimizing the care of a pregnant Jehovah's Witness.
Management of gestational hypertension and preeclampsia depends on gestational age at onset, severity of the maternal condition, and fetalstatus at time of diagnosis; expectant management improves perinatal outcome in a select group of severely preeclamptic women remote from term.
Abstracts: ABSTRACTS Obstet Gynecol 2003 102: 193-195. [Full Text] [PDF]
Letters to the Editor: The Preterm Labor Index and Fetal Fibronectin for Prediction of Preterm Delivery With Intact Membranes Luis Sanchez-Ramos, Shigeru Saito Obstet Gynecol 2003 102: 196. [Full Text] [PDF] Postpartum Seizure Prophylaxis: Using Maternal Clinical Parameters to Guide Therapy William W. Hurd, Gary Ventolini, Adrienne Stolfi, Moshe D. Fejgin, Shmuel B. Goldberger, Christy M. Isler Obstet Gynecol 2003 102: 196-a-198-a. [Full Text] [PDF] Seroprevalence of Antibodies to Chlamydia pneumoniae in Women With Preeclampsia Enrique Teran, Carlos Escudero, Andres Calle, Roberta B. Ness, James M. Roberts, Phillip R. Heine Obstet Gynecol 2003 102: 198-199. [Full Text] [PDF] Screening Interval and Risk of Invasive Squamous Cell Cervical Cancer Ralph Insinga, Marie Grisham Miller Obstet Gynecol 2003 102: 199-200. [Full Text] [PDF]
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