Vaginal birth, particularly vaginal operative delivery,significantly increases pelvic organ mobility as measured by ultrasound.
Pregnant hypothyroid women require close monitoring of thyroid function and supplementation therapy throughout pregnancy. Maternal hypothyroidism, when inappropriately treated, may affect fetal growth and the pituitary–thyroid axis.
Laparoscopic management of adnexal masses thought to be benign preoperatively is associated with good clinical outcomes.
Low-dose oral contraceptive use has little or no effect on functional ovarian cyst likelihood, whereas tubal sterilization is associated with substantially increased risk.
The American College of Obstetricians and Gynecologists Fellows currently practice cytology screening and evaluation of abnormal results in accordance with guidelines in place before 2002.
Physician sampling for cervical cytology and human papillomavirus has better performance characteristics than self-collection for the detection of cervical cancer and its precursors.
Cesarean delivery and lack of prenatal care are associated with asignificantly increased risk for pregnancy-related death, which persists after controlling for covariates.
Unrestrained pregnant women in motor vehicle crashes are at greater risk for adverse pregnancy events than restrained pregnant women.
Labor induction, gestational age over 40 weeks, nulliparity, and maternal age over 35 years are associated with increased risk for cesarean delivery in low-risk women.
Anticardiolipin and anti–b2-glycoprotein-I antibodies are not elevated in women with mild preeclampsia; severe preeclampsia; or hemolysis, elevated liver enzymes, low platelets syndrome compared with normotensive controls.
Most gynecologists prefer total abdominal to subtotal hysterectomy, and few counsel women regarding these options or offer achoice between the two.
Mesh complications are rare in abdominal sacral colpopexy with concurrent hysterectomy.
Postoperative lorazepam does not decrease urinary retention after outpatient gynecologic surgery.
Our findings cast doubt on the concept of anovulatory cycles in eumenorrheic women.
The plasma level of adrenomedull in in women with recurrent pregnancy loss is significantly higher than that in control women.
Sexual activities and attitudes of women with vulvar dysesthesia were compared with those of women without vulvar pain, with differences and similarities identified.
Analysis of fetal heart rate patterns in women assigned to epidural or meperidine analgesia demonstrates that meperidine analgesia has greater effects on fetal heart rate.
The umbilical artery pH decreases by gestational age, which should be considered when cord pH is used as a measure of obstetric carequality.
Pregnant women reported reduced consumption of fish after dissemination of a federal advisory about the potential risks from mercury in seafood.
An incomplete course of antenatal corticosteroids is associated with reduction in the need for vasopressors, the rate of intraventricular hemorrhage, and neonatal death in preterm neonates.
Women delivering infants with malformations and/or dysplasias are at increased risk for recurrence during their next pregnancy.
We report a case of West Nile virus meningoencephalitis complicating pregnancy.
Recollections of practicing obstetricians consistently over estimated the actual use of antenatal corticosteroids at every 5-year interval between 1985 and 2000.
Simulations in obstetrics and gynecology may improve education, training, and evaluation and ensure competency.
As overwhelming as the dismay, anger, and resignation are, is there really no meaningful difference individual physician leadership can make for patients, health care, society, and doctors themselves?
Prenatal bladder drainage in fetuses with ultrasonic evidence of lower urinary tract obstruction may improve perinatal survival, but high quality evidence to inform practice is lacking.
The distribution of sciatic nerve endometriosis appears asymmetric, as in a systematic review two thirds of patients had right-side lesions.
The diagnosis of endometriosis can be made most of the time asaccurately by clinical evaluation as by surgical intervention, and management, in most cases, should commence with medical rather than surgical therapy.
Abstracts: ABSTRACTS Obstet Gynecol 2003 102: 409-412. [Full Text] [PDF]
Letters to the Editor: Incorporation of Inhibin-A in Second-Trimester Screening for Down Syndrome Terrence W. Hallahan, David A. Krantz, James N. Macri, Peter Benn, M. Fang, J. F. X. Egan Obstet Gynecol 2003 102: 413-414. [Full Text] [PDF] Prevention of Early-Onset Group B Streptococcal Disease in Newborns Mark Pearlman, ACOG Committee on Obstetric Practice Obstet Gynecol 2003 102: 414-415. [Full Text] [PDF]
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