A single anomalous fetus in a twin gestation significantly increases the risk of preterm delivery compared with nonanomalous twin gestations.
Ultrasound assessment of the origin of the inter-twin membrane for twin peak of lambda sign correctly determines chorionicity in twin pregnancy.
The abdominal diameter-biparietal diameter difference measured by ultrasound may identify borderline macrosomic infants of diabetic mothers who are at high risk for shoulder dystocia.
Infusion of the nitric oxide donor S-nitrosoglutathione to women with severe preeclampsia reduces maternal platelet activation, hypertension, and uterine artery resistance.
By emphasizing transvaginal ultrasound, the outpatient diagnosis and management of preterm prelabor may reduce the rate of spontaneous preterm birth and LBW.
Early second trimester AF or maternal serum interleukin-10 levels are not predictive of SGA neonates.
Routine early feeding of subjects undergoing cesarean delivery can be implemented without an increase in gastrointestinal symptoms or paralytic ileus.
Hemoglobin mass increases during unsupplemented pregnancies such that plasma volume, and not low hemoglobin, significantly relates to birth weight and placental weight.
Maternal cardiac output usually decreases during the third trimester, but in some women it increases.
Serum tryptophan decreases during uncomplicated pregnancy, and the decline is associated with signs of immune activation.
Rapid enzyme immunoassays for detection of group B strepococcal carriers, including the new Strep B OIA, are not sensitive or accurate enough for routine use in intrapartum screening.
Maternal serum dehydroepiandrosterone sulfate levels appear to influence the efficiency of labor at term.
Most maternal-fetal medicine specialists believe cesarean is indicated in 10-30 minutes in the presence of severe intrapartum FHR abnormalities, especially diminished beat-to-beat variability.
Women with vulvar vestibulitis tend to have situationally defined sexual dysfunction and psychologic traits of somatization and shyness, but their partners do not.
Rollerball endometrial ablation for menorrhagia is effective and has high patient acceptability.
Accurate presurgical microcolposcopic assessment of endocervical intraepithelial neoplasia may reduce the likelihood of unsuccessful excisional treatment.
Adenocarcinoma in situ of the cervix may not be treated adequately with cone biopsy alone, regardless of the status of cone margins.
Outpatient diagnostic hysteroscopy is highly feasible and acceptable in the majority of 2500 women.
The significant fertility predictors of intrauterine insemination with frozen donor sperm are patient age and number of motile sperm.
Repeatedly losing and gaining weight seems to be a risk factor for hysterectomy for benign diseases, independent of overweight and more important than psychologic factors.
The PI in cerebral arteries does not change during reproductive life, increases acutely with menopause, and then increases further after menopause.
Concentrated oxytocin plus low-dose PGE2 is as effective as vaginal PGE2 suppositories but is associated with significantly fewer maternal side effects.
Women who have a genetic amniocentesis at 11-14 weeks' gestation are more likely to have an immediate post-procedure complication or a fetal loss within 30 days than women who have the procedure performed at 16-19 weeks' gestation.
Postpartum tubal ligation may be considered after vaginal delivery of women with pregnancy-induced hypertension who do not have pulmonary edema, thrombocytopenia, or persistent oliguria.
For the treatment of the small unruptured ectopic pregnancy, initial treatment with methotrexate is a cost-effective alternative to laparoscopic salpingostomy.
Urine leakage with cough or Valsalva maneuver in women with a relatively empty bladder is diagnostic for genuine stress incontinence and can predict intrinsic urethral dysfunction.
An analysis of a data base from a directory of residency programs offers answers to applicant selection in obstetrics and gynecology.
Fetal transfusion results in excellent neonatal outcome and remains the best available therapeutic option in pregnancies with severe red blood cell alloimmunization remote from term.
The Yuzpe method of emergency contraception is equally effective when administered on the first, second, or third day after unprotected intercourse.
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