Second-trimester serum screening, after disclosing results of first-trimester combined screening, detected 98% of trisomy 21 pregnancies, but 17% of patients were screen-positive.
Inadequacies in documentation could be illustrated by including note writing in simulation scenarios.
In a cohort of nondiabetic women, excessive weight gain was an independent risk factor for cesarean birth, even when birth weight was below 4,000 g.
Abdominally and vaginally delivered infants with gastroschisis seem to have equal likelihood of neonatal survival.
Midline plication of the rectovaginal fascia results in improved anatomic and functional outcomes in women with symptomatic rectoceles and obstructed defecation.
A high correlation between anal sphincter damage and anal incontinence has been found in women with pelvic organ prolapse and/or urinary incontinence.
Women with a narrow pubic arch are not good candidates for vaginal hysterectomy.
Women with pelvic pain, depression, or both have improved quality of life after hysterectomy but not to the same degree as women with neither.
For obese women, vaginal hysterectomy is superior to abdominal hysterectomy, with a lower incidence of postoperative fever, ileus, and shorter operative time and hospital stay.
A previous successful vaginal birth after cesarean delivery suggests future vaginal birth success.
In the decade, the increasing proportion of 37-weeks-or-more large for gestational age births can be explained by concurrent changes in maternal overweight and smoking.
A population-based Swedish register study shows that women giving birth at ages 40-44 years and at age 45 years or older have an increased risk of perinatal mortality and other adverse pregnancy outcomes.
Black mothers have a significantly higher risk of stillbirth among singletons and twins but comparable risk levels among triplets compared with white mothers.
In the United States the percentage of pregnant teens who electively terminate their pregnancy is positively correlated with population density.
The Fischer cone excisor and loop electrosurgical excision procedure performed similarly with respect to the number of final specimens, margin interpretability, and ease of use.
Approximately 90% of CIN1 occurring in HLA-DRB1*13 patients and associated with HPV sequences other than HPV16 or 18 show spontaneous short-term regression.
Vaginal douching less than once per week is not associated with bacterial vaginosis in African-American women.
Among predominantly young, African-American women who were followed longitudinally, we did not find an overall, independent effect of bacterial vaginosis on the development of PID.
A brief screening instrument for trauma and posttraumatic stress disorder in gynecology settings could meaningfully increase detection of the disorder among women receiving routine care.
Severe periodontal disease is associated with early spontaneous preterm birth but not upper genital tract infection or inflammation.
Abortus aneuploidy is not common in recurrent miscarriage patients and therefore may contribute to recurrent miscarriage in only a small number of patients.
Rate of tubal rupture is 6% within 48 hours of untreated symptoms, declines, and remains at about 2.5% per day without treatment.
Concomitant tension-free vaginal taping is an efficient prophylactic anti-incontinence procedure during pelvic organ prolapse repair for continent patients with positive pessary tests.
In the initial evaluation of functional ovarian reserve, right-sided and left-sided antral follicle counts and basal follicle-stimulating hormone levels do not differ significantly.
During 3.3 years of follow-up, raloxifene increased risk of venous thromboembolism, but did not increase risk of cataracts, gallbladder, or uterine disease.
Abdominal sacrocolpopexy effectively resolves apical prolapse. Further research will clarify the effect of this surgery on other support defects and on voiding, defecation, and sexual function.
Phytoestrogens, available as soy foods, soy extracts, and red clover extracts, do not improve hot flushes or other menopausal symptoms compared with placebo.
This review presents a comprehensive, practical description of what the clinician needs to know to diagnose and treat adverse premenstrual symptoms at all levels of severity.
Abstracts: Conjugated equine estrogens and global cognitive function in postmenopausal women: Women's Health Initiative Memory Study Obstet Gynecol 2004 104: 860. [Full Text] [PDF] Conjugated equine estrogens and incidence of probable dementia and mild cognitive impairment in postmenopausal women: Women's Health Initiative Memory Study Obstet Gynecol 2004 104: 860-a-861-a. [Full Text] [PDF] Cervical cancer screening among women without a cervix Obstet Gynecol 2004 104: 861. [Full Text] [PDF] Timing and magnitude of increases in levothyroxine requirements during pregnancy in women with hypothyroidism Obstet Gynecol 2004 104: 861-a. [Full Text] [PDF] Rapid HIV-1 testing during labor: a multicenter study Obstet Gynecol 2004 104: 861-b-862-b. [Full Text] [PDF] Efficacy and safety of statin therapy in children with familial hypercholesterolemia: a randomized controlled trial Obstet Gynecol 2004 104: 862. [Full Text] [PDF] Endoscopic laser surgery versus serial amnioreduction for severe twin-to-twin transfusion syndrome Obstet Gynecol 2004 104: 862-a-863-a. [Full Text] [PDF] Effect of soy protein containing isoflavones on cognitive function, bone mineral density, and plasma lipids in postmenopausal women: a randomized controlled trial Obstet Gynecol 2004 104: 863. [Full Text] [PDF] The cervical cancer epidemic that screening has prevented in the U.K. Obstet Gynecol 2004 104: 863-a. [Full Text] [PDF]
Letters to the Editor: Hysterectomy Versus Expanded Medical Treatment for Abnormal Uterine Bleeding: Clinical Outcomes in the Medicine or Surgery Trial Andrea S. Lukes, Peter A. Kouides Obstet Gynecol 2004 104: 864. [Full Text] [PDF] Hysterectomy Versus Expanded Medical Treatment for Abnormal Uterine Bleeding Lee A. Learman Obstet Gynecol 2004 104: 864-a-865-a. [Full Text] [PDF] Perinatal Outcome Among Singleton Infants Conceived Through Assisted Reproductive Technology in the United States Richard P. Dickey, Belinda M. Sartor, Roman Pyrzak Obstet Gynecol 2004 104: 865-866. [Full Text] [PDF] Perinatal Outcome Among Singleton Infants Conceived Through Assisted Reproductive Technology in the United States Laura A. Schieve, Cynthia Ferre, Herbert B. Peterson Obstet Gynecol 2004 104: 866. [Full Text] [PDF]
Errata: ERRATUM Obstet Gynecol 2004 104: 866-a. [Full Text] [PDF]
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