Asthma was not associated with a significant increase in morbidity or mortality except for an increased incidence of cesarean delivery and diagnosis of neonatal sepsis.
Intracervical placement of a sustained-release dinoprostone insert decreases the time to delivery when compared with placement in the posterior fornix.
Labor induction using transcervical Foley catheter was not associated with an increased risk of uterine rupture in patients with previous cesarean delivery.
Cases of anti-c isoimmunization in pregnancy have antibody titers and amniotic fluid {Delta}OD450 values that correspond with disease severity.
The medial pubococcygeus muscle is the portion of the levator ani muscle that lengthens most during vaginal birth and is at risk for stretch injury.
Assessment of vaginal vault (apex) descent and prolapse of other vaginal compartments using dynamic magnetic resonance imaging shows poor correlation when compared with clinical findings.
Rupture of interstitial pregnancy occurs relatively early in pregnancy, and laparoscopic cornual excision is a viable treatment option in selected patients.
Most couples with unexplained infertility prior to age 40 will conceive if they try for an additional year, and few are sterile.
Rates of meconium, macrosomia, chorioamnionitis, endomyometritis, and intrauterine fetal death all increase before 42 weeks of gestation.
The increased perinatal mortality in second-born over first-born twins is probably an artifact of mortality comparisons.
Discordance places twins at increased risk for some adverse perinatal outcomes whether or not they are appropriate or small for gestational age.
Attempts at second-trimester asynchronous delivery result in poor perinatal outcome.
Elevated platelet count is a fair predictor of disease progression and positive second look laparotomy in patients with advanced epithelial carcinoma of the ovary.
Abdominal surgical approach and increased estimated blood loss are associated with an increase in postoperative febrile morbidity in patients undergoing hysterectomy.
An integrated cytology colposcopy service aids colposcopy practice performance.
Manual vacuum aspiration and electric suction curettage have similar complication rates when used for elective abortion at up to 10 weeks of gestation.
Ampicillin directly inhibits amniotic interleukin-6 and prostaglandin E2 release, an effect of value in the management of complications mediated by cytokine-prostanoid interaction.
At our institution, attendance of a private practitioner at the time of vaginal delivery was associated with a 7-fold increased risk of episiotomy.
Labor and delivery complications are more likely in the presence of a short umbilical cord.
High cesarean delivery rates in Taiwan (32.3%), with very high propensity at clinics, call for policy introspection and research on health impacts of cesarean deliveries.
In goats, fetal magnesium sulfate administration affected fetal heart rate reactivity and fetal breathing movements continuously but electrocortical activity only temporarily.
The recent board-imposed changes on Maternal-Fetal Medicine Fellowships appear to have improved fellow experience. This may serve as a model for other fellowship programs.
Pregnant patients with a false-positive glucose challenge test are at increased risk for adverse perinatal outcomes.
Fetal sex determination and rhesus-D genotyping by analysis of cell-free fetal DNA from maternal plasma were validated for clinical use.
In a nationally representative sample of U.S. childbearing-aged women, 59 were aware of treatments to prevent mother-to-child human immunodeficiency virus transmission.
In postmenopausal smokers, transdermal estrogen is associated with greater reductions in stress-induced total peripheral resistance and plasma norepinephrine and greater increases in vascular {beta}2-adrenoceptor responsivity compared with oral estrogen.
Polycystic ovary syndrome has both short-term implications involving fertility, irregular bleeding, and hirsutism and long-term implications involving diabetes and cardiovascular risk. Evaluation and treatment are reviewed.
Abstracts: ABSTRACTS Obstet Gynecol 2004 103: 194-196. [Full Text] [PDF]
Letters to the Editor: Springtime for Obstetrics and Gynecology: Will the Specialty Continue to Blossom? Nancy Pariser, Bob Speth, Scott J. Farrell, Edward G. Koch, Marjorie Meyer, Bob Speth, John M. Gibbons, Jr Obstet Gynecol 2004 103: 197-200. [Full Text] [PDF]
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