The prevalence of Staphylococcus aureus vaginal-rectal colonization among pregnant women is 17.1%, and community-associated, methicillin-resistant S. aureus in the vaginal-rectal areas was detected.
Because the polymerase chain reaction-based Group B Streptococcus assay is less sensitive than previously reported, it may be used in acute settings, but not for standard care.
In women with prior preterm deliveries, the use of 17 hydroxyprogesterone caproate results in cost-savings through preterm birth prevention.
Poor pregnancy outcomes vary with gestational age (highest postterm, lowest at 39 weeks) and onset of labor at or beyond term.
We report 12 patients fulfilling growing teratoma syndrome criteria out of about 103 patients affected by pure or mixed ovarian immature teratoma (incidence 12%).
Age greater than 40 years, parity and a personal history of breast cancer are associated with choosing prophylactic bilateral salpingo-oophorectomy in women with a BRCA mutation.
Overall survival rates of women with ovarian cancer improved during 14 years.
The close anatomical relation between the pudendal nerve and the levator ani nerve suggests that a "pudendal nerve blockade" blocks both nerves.
Under certain conditions, intermittent pneumatic compression is estimated to be a cost-effective intervention for the prevention of venous thromboembolism in women undergoing cesarean delivery.
Cesarean delivery is associated with an increased risk of postpartum maternal death compared with vaginal delivery, even when performed before labor.
Cesarean delivery in labor in the first delivery is associated with increased cumulative costs compared with other methods of delivery.
Elective cesarean delivery at term, 37 weeks of gestation or beyond, may improve perinatal outcome for the second twin.
Dietary calcium from dairy products during adolescent pregnancy resulted in higher maternal vitamin D and folate serum levels and higher newborn weight and bone mineralization.
Ultrasonography and magnetic resonance imaging are accurate for the diagnosis of placenta accreta.
Buccal or rectal misoprostol administration produces lower serum concentrations than vaginal administration; buccal produces equal uterine activity whereas rectal results in less activity than vaginal.
Amnioinfusion does not facilitate external cephalic version after initial failure.
Transferring one embryo per in vitro fertilization cycle is the least expensive strategy from a societal perspective, yet the most expensive option from a parental perspective.
After adjustment for work effort, provider characteristics, and practice characteristics, both black race and female gender are associated with substantially reduced annual incomes for obstetrician-gynecologists.
The difference in pregnancy loss rates after chorionic villus sampling and amniocentesis decreased across time, with no clinically or statistically significant difference between the two in the period from 1998 to 2003.
Eight milligram and 12 mg betamethasone phosphate and 12 mg acetate produce a clear dose-plasma concentration relationship in fetal sheep and induce similar blood pressure increases.
In pregnancies with diabetes, disparities in procedure use and lower infant birth weight are partially explained by differences in sociodemographic, hospital, and clinical factors.
Gestational weight gain above the Institute of Medicine guidelines is associated with adverse neonatal outcomes at term, whereas weight gain below the guidelines is not.
Rates of adverse neonatal outcomes in women with prepregnancy diabetes are 3-9 times greater than in nondiabetic women and have not improved during the past 15 years.
Pregnancies affected by homozygous {alpha}0-thalassemia are associated with increased maternal serum free {beta}-hCG at 11-14 weeks of gestation.
Intrapartum electronic fetal monitoring decreases the incidence of seizures and correlates with umbilical artery base excess but has no effect on perinatal morbidity or mortality.
Asthma is an increasingly common problem during pregnancy, and the management of asthma during pregnancy should be based upon objective assessment, trigger avoidance, patient education, and step-therapy.
A sojourn on the island nation of Madagascar is challenging, but also personally and professionally rewarding.
Abstracts: Spontaneous Preterm Delivery in Primiparous Women at Low Risk In Denmark: Population Based Study Obstet Gynecol 2006 108: 688. [Full Text] [PDF] Vitamins C and E and the Risks of Preeclampsia and Perinatal Complications Obstet Gynecol 2006 108: 688-a. [Full Text] [PDF] A Prospective Study of Female Hormone Use and Breast Cancer Among Black Women Obstet Gynecol 2006 108: 688-b-689-b. [Full Text] [PDF] Venous Thrombosis and Conjugated Equine Estrogen in Women Without a Uterus Obstet Gynecol 2006 108: 689. [Full Text] [PDF] Does Utilization of Screening Mammography Explain Racial and Ethnic Differences in Breast Cancer? Obstet Gynecol 2006 108: 689-a-690-a. [Full Text] [PDF] Telephone Care Management to Improve Cancer Screening Among Low-Income Women: A Randomized, Controlled Trial Obstet Gynecol 2006 108: 690. [Full Text] [PDF] Sustained Efficacy up to 4.5 Years of a Bivalent L1 Virus-Like Particle Vaccine Against Human Papillomavirus Types 16 and 18: Follow-Up From a Randomized Control Trial Obstet Gynecol 2006 108: 690-a. [Full Text] [PDF] Abdominal Sacrocolpopexy With Burch Colposuspension to Reduce Urinary Stress Incontinence Obstet Gynecol 2006 108: 690-b. [Full Text] [PDF]
Letters to the Editor: Refusals by Pharmacists to Dispense Emerging Contraception: A Critique Shareen El-Ibiary, Jennifer Cocohoba Obstet Gynecol 2006 108: 692. [Full Text] [PDF] Refusals by Pharmacists to Dispense Emerging Contraception: A Critique L. Lewis Wall, Douglas L. Brown Obstet Gynecol 2006 108: 692-a-693-a. [Full Text] [PDF] Can a 29% Cesarean Delivery Rate Possibly be Justified? W. Benson Harer, Jr Obstet Gynecol 2006 108: 693. [Full Text] [PDF] Can a 29% Cesarean Delivery Rate Possibly be Justified? Robert Resnik Obstet Gynecol 2006 108: 693-a. [Full Text] [PDF] Placenta Previa, Placenta Accreta, and Vasa Previa R. Horgan Obstet Gynecol 2006 108: 693-b-694-b. [Full Text] [PDF] Placenta Previa, Placenta Accreta, and Vasa Previa Yinka Oyelese, John C. Smulian Obstet Gynecol 2006 108: 694. [Full Text] [PDF]
Errata: Erratum Obstet Gynecol 2006 108: 695. [Full Text] [PDF]
Patients encounter difficulties when they have chronic medical problems.
A patient experiences recurrent mesh erosion of a transobturator tape on the contralateral side of the bladder after suprapubically assisted cystoscopic resection.
The obturator approach for suburethral tape placement may be associated with vascular complications.
Complications may occur after laparoscopic Burch using hernia mesh and surgical tacks.
Obturator abscess is a complication of transobturator tapes.
Uterine rupture in a primigravida with no history of uterine surgery or scarring was associated with oxytocin augmentation of labor.
We report the case of a spontaneous, prelabor uterine rupture in a primigravid woman with no previous uterine surgery and no known risk factors.
Nocardiosis is a very uncommon skin infection that may mimic vulvar carcinoma.
A woman with a diagnosis of dysembryoplastic neuroepithelial tumor successfully completed her pregnancy without neurosurgical intervention.
A staged surgical procedure can lead to a satisfactory repair of a uterocutaneous fistula.
Treatment of menorrhagia with oral contraceptive pills in women with tuberous sclerosis complex requires diligent follow-up of kidney angiomyolipomas.
Adverse fetal consequences, including cervical neck trauma, may be associated with the use of the Zavanelli maneuver.
Development of a fetal inferior vena cava thrombosis appears temporally related to abrupt cessation of angiotensin receptor blocker use during pregnancy.
A reproductive-aged woman, seeking treatment for infertility, experienced night sweats and elevated follicle-stimulating hormone levels while taking 2 different selective serotonin reuptake inhibitors.
Prompt treatment with multiagent chemotherapy should be considered for pregnant patients with Burkitt's lymphoma.
Arterial thrombus occurred during iliac artery catheterization at time of cesarean hysterectomy.
Nonbacterial thrombotic endocarditis, or marantic endocarditis, may develop in patients with gynecologic malignancies.
Gonadotropin-releasing hormone agonist therapy may be useful for the treatment of uterine arteriovenous malformations because it appears to reduce the size of arteriovenous malformations.
Adenosarcoma arising in inguinal endometriosis should be included in the differential diagnosis for a patient with a history of endometriosis and chronic unopposed estrogen therapy who presents with a groin mass.
Posterior axillary traction will deliver the posterior arm when it is not accessible by the usual technique.
Recombinant factor VIIa can be considered as a treatment for intractable puerperal hemorrhage associated with disseminated intravascular coagulation, but caution is warranted.
Although further reports are needed to confirm it, tamoxifen therapy may induce the rapid growth of lymphangioleiomyoma.
An enteroovarian fistula caused ascites, moderately elevated CA 125, and a large adnexal mass in an HIV-positive woman.
Fetal magnetocardiography is a noninvasive method for monitoring the cardiac rhythm and electrical conduction time intervals of the mother and fetus during therapeutic intervention for fetal supraventricular tachycardia.
Morcellation of the uterus after laparoscopic supracervical hysterectomy may lead to symptomatic pelvic leiomyomata and endometriosis requiring further surgery.
A woman with uterus didelphys is successfully fitted with two intrauterine devices; intrauterine contraception may be considered for women with uterine anomalies.
In rare cases, ectopic decidualization can cause massive spontaneous intraperitoneal hemorrhage in pregnant women.
Inflammatory pseudotumor is a rare cause of pelvic lymphadenopathy and may mimic a malignant process.
Wireless video esophageal capsule endoscopy and magnetic resonance angiography are useful for evaluating and managing the gravida with cavernous transformation of the portal vein.
Abuse of over-the-counter antacid medications can lead to the rare milk-alkali syndrome, potentially causing serious complications including renal insufficiency.
Subchorionic hematoma is a potentially serious complication associated with the use of enoxaparin in pregnancy.
In a pregnant patient at 28 weeks of gestation with severe hypercalcemia associated with metastatic breast cancer, pamidronate dramatically reduced both calcium levels and uterine contractions.
Extracorporeal membrane oxygenation therapy may be life saving when initiated early in pregnant patients who have severe acute respiratory insufficiency unresponsive to conventional mechanical ventilation.
The practicing obstetrician-gynecologist should recognize pneumocephalus, a rare complication of epidural placement, which can lead to acute neurologic sequela.
Disseminated Neisseria gonorrhoeae may present in the third trimester of pregnancy with meningitis and skin lesions in the absence of arthritis.
Endoscopic third ventriculostomy may be preferred to ventricular shunt placement mode of treatment for obstructive (noncommunicating) hydrocephalus during pregnancy.
Gastric injury secondary to trocar and/or Veress needle placement for the initial phase of laparoscopy is a rare complication that can be avoided.
Vasospasm of the nipple should be considered in the differential diagnosis of breast pain and can be treated successfully with nifedipine.
Chronic subdural hematoma should be considered in postpartum patients with peridural anesthesia in cases of persistent headache or neurological deficit.
Traumatic neuromas in the vagina may be a cause of significant pain.
Radical trachelectomy for cervical cancer can preserve future fertility and the concurrent pregnancy.
Intrinsic cardiac disease as lymphocytic myocarditis with secondary hepatic insufficiency is a rare cause of nausea and vomiting early in pregnancy.
A case of thrombotic thrombocytopenic purpura, interpreted to represent HELLP syndrome, is presented with insight into the difficulties differentiating these two closely related diseases.
Uterine torsion should be considered as a possible serious complication of external cephalic version.
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