Women choosing 1 mg of unopposed estradiol with ultrasound monitoring for up to 3 years should anticipate uterine bleeding and the possibility of endometrial biopsy.
A new transdermal gel delivers a low dose of estradiol for treatment of vasomotor symptoms and vulvovaginal atrophy in postmenopausal women.
Combined oral contraceptive pills, especially those with low-potency estrogen and progestin components, are effective at reducing the risk of epithelial ovarian carcinoma.
There is no difference in neonatal or maternal outcome if postterm pregnancies are induced immediately at 41 weeks or monitored expectantly.
Fewer than 10 of sonographic occipito-posterior head positions before induction persist at delivery, and this finding is not associated with increased cesarean delivery.
Severe neonatal complications associated with vacuum extraction are uncommon; therefore, skull X-ray and transfontanellar ultrasound examination as routine screening tools for neonatal complications are not recommended.
Measurement of placental alpha-microglobulin-1 in cervicovaginal secretions was found to be superior to conventional clinical assessment in the diagnosis of rupture of membranes.
In patients with advanced epithelial ovarian cancer, supracervical hysterectomy results in complications, local recurrence, and survival outcomes similar to those after total abdominal hysterectomy.
Modifiable risk factors for benign serous and mucinous epithelial ovarian tumors may include smoking and obesity.
Younger women have an overall survival advantage compared with older women independent of other clinico-pathologic prognosticators.
The risk of sexual dysfunction is greater with a history of sexual abuse or sexual assault as an adult.
A comparison of planned vaginal (which includes unplanned cesareans) with planned primary cesareans finds significantly higher rehospitalization rates and costs associated with planned cesareans.
Women with unwanted pregnancies or those who reported ambivalence about their pregnancies are at an increased risk of some poor infant and maternal outcomes.
Hyperthermia after epidural analgesia is not due to uniform perturbations of thermoregulation; rather, it is an abnormal response confined to a minority subset.
The lower uterine segment retains its overall visco-elastic properties even though there are significant structural differences between the upper and lower edge of a hysterotomy incision.
The inside-out approach for transobturator tape placement was closer to the obturator canal and its neurovascular structures than the outside-in approach.
The high rates of urinary tract infections, prolapse, and outlet obstruction after sling surgery suggest the need for quality improvement in the management of women with stress incontinence.
Although maximal urethral closure pressure decreases significantly with age in nulliparas, measures of pelvic organ support, urethral support, and levator function do not change.
In a prospective study of older women, moderate physical activity is associated with a decreased risk of developing urinary incontinence, particularly stress urinary incontinence.
Longer duration of lactation is associated with more favorable changes in metabolic risk factors, from preconception to several months postweaning.
Microbiologic and histologic studies of the placenta correlate poorly with amniotic fluid infection and inflammation.
The reasons and process associated with the transfer of routine newborn male circumcision from Obstetrics and Gynecology to Pediatric Hospitalists are described.
Abstracts: Factors Influencing Adverse Perinatal Outcomes in Pregnancies Achieved Through Use of In Vitro Fertilization Obstet Gynecol 2007 109: 756. [Full Text] [PDF] A Randomized Trial of Vitamin E Supplementation and Cognitive Function in Women Obstet Gynecol 2007 109: 756-a. [Full Text] [PDF] Effects of Continuing or Stopping Alendronate After 5 Years of Treatment: The Fracture Intervention Trial Long-Term Extension (FLEX): A Randomized Trial Obstet Gynecol 2007 109: 756-b-757-b. [Full Text] [PDF] New Parents and Mental Disorders: A Population-Based Register Study Obstet Gynecol 2007 109: 757. [Full Text] [PDF] Treatment of Vasomotor Symptoms of Menopause With Black Cohosh, Multibotanicals, Soy, Hormone Therapy, or Placebo: A Randomized Trial Obstet Gynecol 2007 109: 757-a-758-a. [Full Text] [PDF] Massage Therapy for Osteoarthritis of the Knee: A Randomized Controlled Trial Obstet Gynecol 2007 109: 758. [Full Text] [PDF] A Prospective Study of Infertility Due to Ovulatory Disorders, Ovulation Induction, and Incidence of Breast Cancer Obstet Gynecol 2007 109: 758-a. [Full Text] [PDF] Bone Mineral Density Response to Caloric Restriction–Induced Weight Loss or Exercise-Induced Weight Loss: A Randomized Controlled Trial Obstet Gynecol 2007 109: 758-b-759-b. [Full Text] [PDF] Rates of Complication in First-Trimester Manual Vacuum Aspiration Abortion Done by Doctors and Mid-Level Providers in South Africa and Vietnam: A Randomized Controlled Equivalence Trial Obstet Gynecol 2007 109: 759. [Full Text] [PDF] Strength of Evidence for Perioperative Use of Statins to Reduce Cardiovascular Risk: Systematic Review of Controlled Studies Obstet Gynecol 2007 109: 759-a. [Full Text] [PDF]
Venous thromboembolism is a significant source of morbidity and mortality, with techniques for prevention, diagnosis, and treatment evolving to manage that risk.
Letters to the Editor: Magnesium Sulfate Tocolysis: Time to Quit Gene Burkett, Jerry M. Gilles, Elvire Jacques Obstet Gynecol 2007 109: 778. [Full Text] [PDF] Magnesium Sulfate Tocolysis: Time to Quit Richard P. Perkins Obstet Gynecol 2007 109: 778-a-779-a. [Full Text] [PDF] Magnesium Sulfate Tocolysis: Time to Quit David A. Grimes, Kavita Nanda Obstet Gynecol 2007 109: 779. [Full Text] [PDF] Pregnancy Loss Rates After Midtrimester Amniocentesis Ronald J. Wapner, Mark I. Evans, Lawrence D. Platt Obstet Gynecol 2007 109: 780. [Full Text] [PDF] Pregnancy Loss Rates After Midtrimester Amniocentesis Kypros Nicolaides Obstet Gynecol 2007 109: 780-a. [Full Text] [PDF] Pregnancy Loss Rates After Midtrimester Amniocentesis Fergal D. Malone, Keith A. Eddleman Obstet Gynecol 2007 109: 780-b-781-b. [Full Text] [PDF] Comparison of Serum Markers in First-Trimester Down Syndrome Screening Mark I. Evans, Robert S. Galen Obstet Gynecol 2007 109: 782. [Full Text] [PDF] Comparison of Serum Markers in First-Trimester Down Syndrome Screening Jacob A. Canick, Glenn E. Palomaki, Geralyn M. Lambert-Messerlian, Fergal D. Malone, Mary E. D'Alton Obstet Gynecol 2007 109: 783. [Full Text] [PDF] Fetal Injury Associated With Cesarean Delivery Jason K. Baxter, Krystene Boyle, Louis Weinstein Obstet Gynecol 2007 109: 783-a. [Full Text] [PDF] Fetal Injury Associated With Cesarean Delivery James M. Alexander Obstet Gynecol 2007 109: 784. [Full Text] [PDF] Trends in Maternal Request Cesarean Delivery From 1991 to 2004 Peter S. Bernstein Obstet Gynecol 2007 109: 784-a. [Full Text] [PDF] Trends in Maternal Request Cesarean Delivery From 1991 to 2004 Ginger L. Gossman, Jutta M. Joesch, Koray Tanfer Obstet Gynecol 2007 109: 784-b-785-b. [Full Text] [PDF] A Prospective Blinded Evaluation of the Accuracy of Frozen Section for the Surgical Management of Endometrial Cancer Enrique Hernandez Obstet Gynecol 2007 109: 785. [Full Text] [PDF] A Prospective Blinded Evaluation of the Accuracy of Frozen Section for the Surgical Management of Endometrial Cancer Ashley S. Case, J. Michael Straughn, Rodney Rocconi, Warner Huh Obstet Gynecol 2007 109: 785-a-786-a. [Full Text] [PDF] Medical Education: What's Relevant, What's Irrelevant, and What's Missing John D. Buek Obstet Gynecol 2007 109: 786. [Full Text] [PDF] Medical Education: What's Relevant, What's Irrelevant, and What's Missing Douglas W. Laube Obstet Gynecol 2007 109: 786-a-787-a. [Full Text] [PDF]
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