Obstetrician-gynecologists may need to fill gaps in adolescent knowledge about sexuality due to deficits in content and teacher training in sex education.
Women interested in a nondaily method of contraception are more likely to continue using the contraceptive ring than the patch with fewer adverse effects.
There is no decrease in thrombosis risk and a modest increase in risk in using a transdermal contraceptive compared with an equivalent oral contraceptive.
Trial of labor success increases while complications, including uterine rupture and dehiscence, decrease with increasing number of vaginal births after cesarean delivery.
Maternal cardiac output in the first trimester is increased in women who develop preeclampsia and decreased in women who deliver small for gestational age infants.
The risk of stillbirth is higher for monochorionic-diamniotic gestations compared with dichorionic-diamniotic twins at all gestational ages after 24 weeks, even among apparently uncomplicated twins.
Hispanic woman have four times the risk of a preterm birth if they are more acculturated (ie, proficient in English).
Higher basal rates of urinary incontinence may predispose to urinary tract infection, whereas infection may, in turn, result in an acute increase in the rate of incontinence.
Urinary incontinence is a common health condition, and it varies substantially by type and case definition.
In an animal model, there is major effect on external anal sphincter function in vitro 3 weeks after laceration with repair.
Diagnoses of amphetamine abuse among pregnant hospitalized women have increased; therefore, clinicians must familiarize themselves with the adverse consequences of amphetamine abuse during pregnancy.
Pregnant and postpartum smokers are more reluctant to use smoking cessation medications than clinical practice guidelines recommend.
The management of group B streptococci-positive, penicillin-allergic patients must be improved to adhere to the 2002 Centers for Disease Control and Prevention guidelines.
The health outcomes of very preterm infants admitted to neonatal intensive care units do not differ significantly between singleton and multiple births.
Specific timing for colposcopy does not improve the visibility of the transformation zone and should not, therefore, be recommended.
Mullerian anomalies have a strong familial aggregation and follow a polygenic and multifactorial inheritance.
Polycystic ovary syndrome is a condition associated with an increased vascular risk.
Women who undergo fetal magnetic resonance imaging experience considerable distress, especially those with poor fetal prognoses.
Proteomic analysis of amniotic fluid provides an opportunity for early recognition of histologic chorioamnionitis to identify pregnancies that can benefit from antenatal interventions to limit fetal damage in the context of intraamniotic infection and inflammation.
Logistic regression is commonly used in the obstetrics and gynecology literature, but its reporting is often inadequate.
Clinical Expert Series articles in Obstetrics & Gynecology cite only 21% of relevant Cochrane reviews.
Odds ratios are difficult to understand and are often inappropriately used as proxies for relative risks when describing research results.
Postpartum ovarian vein thrombosis is uncommon, usually presents with fever with or without abdominal pain, and requires treatment with antibiotics and anticoagulation.
The diagnosis and management of endometrial cancer are reviewed.
Abstracts: Abstracts Obstet Gynecol 2008 111: 448-451. [PDF]
Letters to the Editor: Ultrasound Evaluation of the Uterine Scar After Cesarean Delivery: A Randomized Controlled Trial of One- and Two-Layer Closure Oronzo Ceci, Marco Scioscia, Stefano Bettocchi, Clementina Cantatore, Claudia Nardelli, Annafranca Laera, Antonella Vimercati Obstet Gynecol 2008 111: 452. [Full Text] [PDF] Low-Weight Polypropylene Mesh for Anterior Vaginal Wall Prolapse: A Randomized Controlled Trial Harris E. Phillip Obstet Gynecol 2008 111: 452-a-453-a. [Full Text] [PDF] Ultrasound Evaluation of the Uterine Scar After Cesarean Delivery: A Randomized Controlled Trial of One- and Two-Layer Closure Benjamin Hamar, Irina A. Buhimschi, Catalin S. Buhimschi Obstet Gynecol 2008 111: 452-b. [Full Text] [PDF] Low-Weight Polypropylene Mesh for Anterior Vaginal Wall Prolapse: A Randomized Controlled Trial Kari Nieminen, Reijo Hiltunen, Teuvo Takala, Eila Heiskanen, Mauri Merikari, Kirsti Niemi, Pentti K. Heinonen Obstet Gynecol 2008 111: 453. [Full Text] [PDF]
When taken during pregnancy, mycophenolate mofetil may cause orofacial clefts or contribute to the severity of a mandibulofacial dysostosis and facial clefting in a preexisting syndrome.
Air embolism from air insufflation of the vagina can result in troponin elevation and should be considered in the differential diagnosis in pregnant patients with a history of orogenital sex.
Using a birth-training device is associated with air embolism, emergency cesarean delivery, and acute respiratory distress syndrome in a young primigravida.
Minimally invasive surgery using a transobturator approach for cystocele repair can be complicated by serious hemorrhage.
The diagnosis of adrenal insufficiency should be entertained in any patient with a history of thrombophilias presenting with general abdominal complaints.
Spontaneous ovarian hyperstimulation syndrome can occur in pregnant women with severe hypothyroidism or extremely elevated human chorionic gonadotropin and present with enlarged adnexal masses and acute abdominal pain.
In abdominal pregnancy secondary to uterine rupture, a viable fetus was delivered.
Two patients who had cervical pregnancy in the first trimester were successfully treated with dilatation and curettage after uterine artery embolization.
A pregnancy occurred after microinsert sterilization; however, microinsert devices continue to be a viable option for sterilization.
Hysteroscopic sterilization with microinserts can lead to intractable pelvic pain requiring removal of microinserts for relief.
Hysteroscopic tubal occlusion offers an alternate method of permanent sterilization in patients when an abdominal or laparoscopic approach has failed.
Contraceptive failure after female sterilization remains a medical issue.
Serious temporary fetal heart rate abnormalities, as observed in pregnancies complicated by thrombotic thrombocytopenic purpura, are most likely due to reversible microthrombi in the placenta.
A pregnant woman treated for glutaric aciduria type II and narcolepsy with cataplexy can have a successful pregnancy outcome.
Resolution of hydrops secondary to congenital cytomegalovirus was temporally related to the intravenous administration of maternal and fetal hyperimmune globulin.
Medical treatment with gonadotropin-releasing hormone agonists should be considered an alternative to surgery for treatment of uterocutaneous fistulae.
An increased immunoglobulin G level in maternal red blood cells throughout pregnancy is suggestive of an immunological mechanism for pregnancy-induced hemolytic anemia.
A high index of suspicion for uterine rupture is warranted for gravid women involved in motor vehicle collisions.
Group A Streptococcus can be associated with potentially life-threatening puerperal sepsis necessitating rapid surgical intervention.
In the case of acute and persistent abdominal pain in postpartum, contrast-enhanced, an abdominal computed tomography scan may be necessary to diagnose an acute bowel ischemia due to a superior mesenteric thrombus.
Human seminal plasma hypersensitivity often imitates chronic vaginitis.
Puncturing of the dura should be considered when acute strabismus is diagnosed after epidural anesthesia.
Early ultrasound diagnosis of cesarean scar ectopic pregnancy leads to appropriate treatment.
A spinal cord stimulator was successful in relieving vulvodynia and deep pelvic pain.
Although there is a need for uterine-sparing treatment for atypical endometrial hyperplasia and early adenocarcinoma, especially in the setting of desired fertility, caution should be exercised.
A high index of suspicion for extrapulmonary tuberculosis is warranted in pregnant women presenting with unexplained symptoms of lethargy, fever, and abdominal pain.
Repair of symptomatic pelvic organ prolapse reveals underlying chylous ascites and lymphoma.
Malignancies, even those as uncommon as primary synovial sarcoma, should be considered in the differential diagnosis of pneumothorax during pregnancy.
Symptoms of appendicitis may be associated with peritoneal endometriosis.
Fatal subgaleal hemorrhage occurred after attempted vacuum delivery of an infant with undiagnosed luckenschadel, a fetal cranial ossification disorder associated with neural tube defects.
May-Thurner Syndrome is a congenital anomaly that predisposes patients to proximal deep vein thrombosis and may present during or after pregnancy and be refractory to anticoagulation therapy.
Dural sinus malformations are congenital abnormalities that can lead to fetal intracranial thrombosis.
For patients with bleeding disorders, life-threatening pelvic hemorrhage unresponsive to traditional approaches may conservatively be managed with selective transcatheter uterine artery embolization.
Untreated abetalipoproteinemia can be a source of significant complications in the puerperium.
Magnetic resonance imaging aids in planning and performing an antepartum myomectomy, culminating in a term vaginal delivery and healthy newborn.
Radiation therapy effectively induces menopause and relieves refractory pain from endometriosis.
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