Although a mother-to-daughter predisposition to operative delivery exists, it accounts for only 3.5% of the intergenerational increase in cesarean delivery.
A "hold clot" order, rather than a type and screen, is a safe and less costly pre-caesarian blood banking order for patients at low risk of requiring a transfusion.
Maternal morbidity increases somewhat with advancing age, but neonatal outcome is favorable.
Oral misoprostol is effective for cervical priming and labor induction in patients presenting with pre-labor rupture of membranes at term.
Stripping of membranes is a safe method to reduce the incidence of prolonged pregnancies and the length of term gestations.
To maximize cost-effectiveness and cost-benefit, management of the presumed susceptible varicella-exposed gravida should be predicted on the results of immune testing.
In normal pregnancies, the transplacental glucose gradient increases with gestation; in FGR pregnancies, the gradient is further increased according to clinical severity.
Maternal serum screening for Down syndrome using alpha-fetoprotein and free Beta-hCG in combination with maternal age is feasible in Asians.
Second-trimester genetic sonogram of fetuses at increased risk can detect most genetic abnormalities.
Second-trimester fetal long-bone biometry, including femur, humerus, tibia, and fibula length, has a sensitivity of 63.6% and specificity of 78.5% for detecting trisomy 21.
Fetal therapy for congenital diaphragmatic hernia would rarely improve neonatal outcome.
Multifetal reduction to twins is beneficial and increases gestational duration.
The computer indices of duration of low variation, and short- and long-term variation predict umbilical artery acidemia at birth.
The specificity of fetal physiology and the changes that occur with gestation can be elucidated by fetal blood sampling.
Prenatal cerebral vasodilatation is a sensitive but nonspecific marker for growth restriction.
Once-daily gentamicin dosing is as effective as an 8-hour dosing schedule in the treatment of postpartum endometritis.
Episiotomy use increases when the patient is white, insured, and cared for by an obstetrician.
Consuming a high-protein, low-residue pudding immediately after cesarean results in more rapid return to regular diet, with no increase in gastrointestinal morbidity.
Laparoscope-assisted transvaginal ovarian cystectomy is a useful approach to treating dermoid cysts, allowing the removal of large masses with less spillage and savings in operative time and equipment compared with conventional laparoscopic cystectomy.
Vasopressin is more effective than tourniquet use in reducing blood loss during myomectomy.
The intratumoral PI value in uterine myoma is negatively correlated with tumor size and volume, but not associated with proliferating cell nuclear antigen index or microvessel density.
Paracervical vasopressin administration significantly reduces systemic absorption of glycine during operative hysteroscopy.
Neither HIV infection nor immunosuppression has a clinically relevant effect on menstruation or other vaginal bleeding.
Zinc excretion in postmenopausal women may be a biochemical marker for osteoporosis.
Surgical staging and high dose rate brachytherapy for stage I-IIIA endometrial cancer without external radiotherapy gives excellent survival with minimal morbidity.
Thirty percent nitrous oxide causes a significant decrease in the central vascular resistance of the mother and fetus; the uterine and umbilical artery PI remain unaffected.
The shock-absorbing capacity of the lower extremities may be related to urinary continence in the active woman.
Some modification to the 1985 staging system for cervical cancer could be made.
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