A new system of medicinal justice is urgently needed to promote better care, not undermine it.
There are no statistically significant differences in surgical complications and clinical outcomes 2 years after randomization to total or supracervical hysterectomy.
According to data from 1997 and 1999 surveys, nearly one fourth of obstetrician–gynecologists were dissatisfied with their careers, and many had concerns about providing quality care.
The biophysical profile score is inversely related to cesarean delivery rate and could be used as an adjunct to intrapartum fetal monitoring in labor.
The increased maternal morbidity in elective cesarean delivery compared with spontaneous onset of labor at term is limited to puerperal febrile morbidity.
Threatened miscarriage is associated with an increased relative risk of adverse pregnancy outcome independent of the presence or absence of an intrauterine hematoma.
Prematurity, whether examined by gestational age or birth weight, is associated with significant hospital costs and morbidities until 36 weeks' gestation and 2500 g birth weight.
Centralized surgery of ovarian cancer improves survival in atients with advanced disease.
The estrogen receptor a variant is associated with a decreased risk of endometrial cancer.
Most cases of postoperative vaginal constriction can be successfully treated by simple vaginal procedures.
Treatments for bacterial vaginosis in pregnancy with oral or vaginal metronidazole were equally efficacious, and cervical levels of interleukin-1b, -6, and -8 significantly decreased after treatmentand cure.
Umbilical cord blood leptin concentrations are lower and maternal serum leptin levels are higher in pregnancies with growth restricted fetuses than in those with normal fetuses.
Transient and permanent brachial plexus palsies were not associated with significant differences for most antepartum and intrapartum characteristics.
Intimate partner violence during pregnancy is associated with anincreased risk of adverse birth outcomes, including low birth weight, preterm birth, and neonatal death.
The incidence of smoking-associated cancers is decreased inhormone replacement therapy users.
Hormonal contraceptive use is associated with increased epithelial thickness, and the frequency of intraepithelial immune cells is increased in depot-medroxyprogesterone acetate and levonorgestrel implant users.
Intravaginal isosorbide mononitrate is less effective than misoprostol in cervical ripening before suction termination offirst-trimester pregnancy.
In postmenopausal women, persistent unilocular ovarian cysts can be managed conservatively provided the diameter and serum CA 125 levels remain within the normal range.
Eighteen percent of 15,106 postmenopausal women undergoing serial transvaginal ultrasound screening developed a unilocular cystic ovarian tumor; the majority resolved spontaneously with no ovarian malignancies.
Treatment with extended-release tolterodine 4 mg once daily reduces urinary urgency and produces improvements in the symptoms of overactive bladder as perceived by patients.
Histopathologic findings within the parametria are a valuable independent predictor of recurrence in patients with surgically treatedearly-stage cervical cancer.
A case of amniotic fluid embolism at 28 weeks' gestation in the absence of labor is presented.
Transesophageal echocardiogram in a patient with circulatory collapse caused by amniotic fluid embolism revealed catastrophic pulmonary vasoconstriction and led to successful resuscitation using cardiopulmonary bypass.
Endometrial polyps were associated with nonpuerperal uterine inversion in a postmenopausal woman.
Post-hysterectomy vaginal vault prolapse can be associated with small bowel obstruction, requiring prompt surgical management.
A case of placenta previa cervicoisthmica increta in the 38th week of gestation treated with cesarean delivery and hysterectomy is described.
A technique is described to deliver the infant at cesarean without transecting the placenta.
Argon beam coagulation helps manage a potentially lethal placenta percreta with bladder invasion.
Histologic evaluation of uterine leiomyomata after embolization with microsphere particles reveals ischemic and hyalinizing necrosisand residual visible microspheres within tissues.
We describe one of the earliest reported term pregnancies after abilateral uterine artery embolization procedure for postpartum hemorrhage.
The effectiveness of prophylactic cerclage to prevent preterm delivery in women at low or medium risk for midtrimster pregnancy loss is unproven.
Intrapartum hypoxic—ischemia encephalopathy is only a small subset of the broader category of neonatal encephalopathy and yet an even smaller contributor to cerebral palsy.
Abstracts: ABSTRACTS Obstet Gynecol 2003 102: 637-640. [Full Text] [PDF]
Letters to the Editor: The "Tamponade Test" in the Management of Massive Postpartum Hemorrhage Singeetaa M. Sinha, Nikita Aggarwal, S. Arulkumaran, G. Condous Obstet Gynecol 2003 102: 641-642. [Full Text] [PDF] Human Chorionic Gonadotropin Follow-up in Patients With Molar Pregnancy: A Time for Reevaluation Patrick Petignat, Michel Boulvain, Pierre Vassilakos, Colleen M. Feltmate, Josef Bartorsi, Vilmos Fulop, Donald P. Goldstein, Ross S. Berkowitz Obstet Gynecol 2003 102: 642-643. [Full Text] [PDF] Weighted Speculum Buttock Burn During Gynecologic Surgery S. Scott Sudduth, George A. Vilos Obstet Gynecol 2003 102: 643-644. [Full Text] [PDF] Chronic Pelvic Pain James G. M. Weyand, Fred M. Howard Obstet Gynecol 2003 102: 644-645. [Full Text] [PDF] Erosive Lichen Planus of the Vulva and Vagina Marvin S. Amstey, Helen E. Lotery, Rudolph P. Galask Obstet Gynecol 2003 102: 645. [Full Text] [PDF]
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