Vaginal breech delivery at term is a safe option with careful antepartum patient selection, coupled with strict guidelines for the management of labor.
A large population-based study found that because of labor and delivery complications, 9.45% of second twins were delivered via cesarean after vaginal delivery of the first twin.
Among users of 5 spermicides, pregnancy risk varies by amount of nonoxynol-9 per dose but not by product formulation, and all products are safe.
Hip fracture risk in postmenopausal women who recently discontinued hormone therapy is at least as high as in women who never used hormone therapy.
The origins and insertions of the uterosacral ligaments were quantified on sequential axial magnetic resonance images from 82 healthy women.
In nulliparous women undergoing labor induction, higher maternal weight is associated with cesarean delivery, longer labor, and slower cervical dilation rate.
Second-trimester endocervical canal dilatation of 2-4 mm, independent of cervical length, increases the risk of recurrent spontaneous preterm birth in women with prior preterm birth.
Gestational age and surfactant-to-albumin ratio assay are independent predictors of neonatal respiratory distress syndrome and should be used in combination in clinical decision making.
Delivery by elective cesarean, when compared with trial of labor, was not associated with better long-term motor function or ambulation status in infants with myelomeningocele.
Folic acid supplementation has dramatically reduced the incidence of high maternal serum alpha-fetoprotein values.
Laparoscopy-related subcutaneous tumor implantation is rare (0.97%) in women with malignant disease undergoing a transperitoneal laparoscopy.
Surveillance after loop excision of high-grade dysplasia can be abbreviated without causing clinical consequence in patients compliant with long-term follow-up.
Participation in obstetrics by obstetrician-gynecologists declined in the 1990s, and nonparticipants were more likely to be older, female, working in cities with medical schools, and infrequently on call.
After controlling for age, we found that female obstetrician-gynecologists work slightly fewer hours than men in Washington State.
Fetal bradycardia in the first and second stages is the only finding significantly increased in women with uterine rupture compared with successful vaginal birth after cesarean controls.
Forceps use causes more third- and fourth-degree perineal and vaginal lacerations whereas vacuum-assisted deliveries cause more periurethral lacerations.
Increased maternal plasma leptin in early pregnancy is associated with an increased risk of gestational diabetes mellitus independent of maternal adiposity.
The increase in gestational diabetes mellitus incidence is independent of changes in age and ethnicity of the population; this trend may reflect or contribute to increases in diabetes.
Several predictive factors are available that can help identify patients at greatest chance for a successful induction of labor after 1 prior cesarean.
Of pregnant women aged less than 35 years, 36% indicate a desire to undergo prenatal diagnosis; 73% are willing to pay for at least a portion of the associated cost.
Interleukin-6 demonstrates bidirectional transfer in the ex vivo isolated cotyledon human placental perfusion model.
The rates of cervical intraepithelial neoplasia are highest in the younger age groups, but the rates of invasive cancer increase with age.
Vaginal rupture and evisceration, although rare, are life threatening and should be considered in the differential diagnosis of women with acute vaginal bleeding and pelvic pain.
Striking deficiencies in the available literature prevent the drawing of valid conclusions about the relative safety of vaginal birth after cesarean versus repeat cesarean.
In vitro fertilization singletons have higher odds of perinatal mortality, preterm delivery, low and very low birth weight, small for gestational age, and other adverse outcomes than spontaneous conceptions.
Abstracts: ABSTRACTS Obstet Gynecol 2004 103: 577-580. [Full Text] [PDF]
Letters to the Editor: A Randomized Comparison of Total or Supracervical Hysterectomy: Surgical Complications and Clinical Outcomes Ben A. Esdaile, Raffi A. Chalian, Giuseppe Del Priore, J. Richard Smith, Lorenz Rieger, Johannes Dietl, Lee A. Learman Obstet Gynecol 2004 103: 581-583. [Full Text] [PDF] Iatrogenic Endometriosis Caused by Uterine Morcellation During a Supracervical Hysterectomy Ronald L. Brown, Joseph A. Decenzo Obstet Gynecol 2004 103: 583-584. [Full Text] [PDF] Cervical Cerclage for Prevention of Preterm Delivery: Meta-Analysis of Randomized Trials Honest Honest, Aravinthan Coomarasamy, Lucas M. Bachmann, Khalid S. Khan, Andrew J. Drakeley, Devender Roberts, Zarko Alfirevic Obstet Gynecol 2004 103: 584-586. [Full Text] [PDF] Management of Diabetes Mellitus Complicating Pregnancy Russel D. Jelsema, Cornelia R. Graves, Steven G. Gabbe Obstet Gynecol 2004 103: 586-587. [Full Text] [PDF]
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