Resident work-hour restrictions show little evidence of improvement in quality of care.
For women aged 30 years or more, screening at 2- or 3-year intervals using either human papillomavirus DNA testing in combination with cytology or liquid-based cytology with reflex human papillomavirus DNA testing reserved for the management of atypical squamous cells of undetermined significance is more effective and less costly than annual conventional cytology.
Atypical squamous cells of undetermined significance cytology in adolescents is associated with a risk of high-grade squamous intraepithelial lesion and cervical intraepithelial neoplasia that is similar to that of adults.
For women looking for relief from their pregnancy sickness, the use of ginger in early pregnancy will reduce their symptoms to an equivalent extent as pyridoxine hydrochloride (vitamin B6).
Placental abnormalities increase the risk of sudden infant death syndrome.
Spontaneous birth most commonly occurs in the early afternoon and during the fall months.
Cervical fluid nitric oxide metabolite levels are reduced in women going beyond term.
Pregnancy rates among human immunodeficiency virus-infected women significantly increased during the era of highly active antiretroviral therapy, underscoring the need for comprehensive health care services among this population.
Mediolateral episiotomy is associated with a worse pelvic floor function than spontaneous perineal lacerations 3 months after vaginal delivery and does not protect against incontinence and prolapse.
Complication rates for total laparoscopic hysterectomy are similar for obese and nonobese patients.
A randomized trial of laparoscopic access systems showed equivalence between wounds from 8-mm pyramidal devices and those from 12-mm-diameter blunt conical systems.
The population-based ectopic pregnancy incidence rate is estimated at 0.79% (0.72%, 0.88%) in Yaounde, the capital of Cameroon (Central Africa).
The prevalence of posttraumatic stress disorder in pregnancy and low treatment rate supports the importance of screening for this disorder in clinical practice.
A significant myometrial lactic acidosis occurs selectively in only those women having a cesarean delivery for dysfunctional labor.
Extra amniotic saline infusion increases the risk of chorioamnionitis compared with other methods of cervical ripening or labor induction.
Abortion-related mortality risk increases exponentially with increasing gestational age, and 87% of deaths could be prevented if all procedures were performed at or before 8 weeks.
Daily folic acid supplement use among a sample of women receiving routine gynecologic care is lower than that reported nationally for other populations of women.
Immunoblotting and enzyme-linked immunosorbent assay are sensitive tools to detect and monitor serum levels of autoantibodies to bullous pemphigoid antigen 180 in pemphigoid gestationis.
The longitudinal variation in uterine artery blood flow pattern correlates with birth weight, likely reflecting the timing and degree of trophoblastic invasion of the maternal vessels.
An explicit chronic pelvic pain definition is not used for research purposes, which reduces the ability to investigate causation and improve treatment.
Rates of depression, especially during the second and third trimesters of pregnancy, are substantial.
This systematic review demonstrates that proteinuria (> 300 mg/24 h) cannot be detected reliably with visual dipstick urinalysis at the 1+ (30 mg/dL) threshold.
Ovarian cancer incidence is not increased in treated infertile patients and incidences may be lower than untreated infertile controls.
For most women routine follow-up visits after aspiration or medical abortion are neither necessary nor useful.
When emerging infectious diseases such as monkeypox are reported in the United States, obstetrician-gynecologists may be called upon to respond rapidly.
The authors offer 12 suggestions for practice based on the data presented in the 2003 The American College of Obstetricians and Gynecologists/American Academy of Pediatrics publication on neonatal encephalopathy and cerebral palsy.
Neonatal Encephalopathy and Cerebral Palsy: Defining the Pathogenesis and Pathophysiology provides an overview of events that may contribute to fetal and neonatal neurologic injury.
Microscopic examination of vaginal secretions, an integral part of the accurate diagnosis of vulvovaginitis, is infrequently done, and when performed is too often inaccurate.
Abstracts: The eVALuate study: two parallel randomised trials, one comparing laparoscopic with abdominal hysterectomy, the other comparing laparoscopic with vaginal hysterectomy Obstet Gynecol 2004 103: 795. [Full Text] [PDF] Cost effectiveness analysis of laparoscopic hysterectomy compared with standard hysterectomy: results from a randomised trial Obstet Gynecol 2004 103: 795-a. [Full Text] [PDF] Autoantibodies against folate receptors in women with a pregnancy complicated by a neural-tube defect Obstet Gynecol 2004 103: 796. [Full Text] [PDF] National use of postmenopausal hormone therapy: annual trends and response to recent evidence Obstet Gynecol 2004 103: 796-a. [Full Text] [PDF] Enthusiasm for cancer screening in the United States Obstet Gynecol 2004 103: 796-b-797-b. [Full Text] [PDF] Once-daily valacyclovir to reduce the risk of transmission of genital herpes Obstet Gynecol 2004 103: 797. [Full Text] [PDF] Randomised controlled trial of support from volunteer counsellors for mothers considering breastfeeding Obstet Gynecol 2004 103: 797-a. [Full Text] [PDF] Management of women who test positive for high-risk types of human papillomavirus: the HART study Obstet Gynecol 2004 103: 797-b-798-b. [Full Text] [PDF] Coffee consumption and risk for type 2 diabetes mellitus Obstet Gynecol 2004 103: 798. [Full Text] [PDF]
Errata: Errata Obstet Gynecol 2004 103: 799. [Full Text] [PDF] Errata Obstet Gynecol 2004 103: 799-a. [Full Text] [PDF] Errata Obstet Gynecol 2004 103: 799-b. [Full Text] [PDF] Errata Obstet Gynecol 2004 103: 799-c. [Full Text] [PDF]
To see an article, click its [Full Text] or [PDF] link. To review many abstracts, check the boxes to the left of the titles you want, and click the 'Get All Checked Abstract(s)' button. To see one abstract at a time, click its [Abstract] link.
