A physician-designed outcomes management program in gynecologic oncology decreases the cost of care successfully while maintaining quality.
The best predictors of pelvic malignancy are ultrasonographic tumor size and appearance in premenopausal women and ultrasonographic tumor appearance and CA 125 level in postmenopausal women.
Women have an 11.1% lifetime risk of surgical treatment for pelvic organ prolapse or urinary incontinence by age 80; reoperation is common.
Intracervical injection of dilute vasopressin solution (0.05 U/mL) significantly reduces the linear force needed to mechanically dilate the cervix of a nonpregnant woman.
A history of one or more induced abortions does not increase the risk of ectopic pregnancy.
Obstetric performance in oocyte recipients of advanced maternal age may be related to increased incidence of multiple gestation.
No detectable human teratogenic risk of doxycycline was found.
Discordant growth in twin pairs is not identified reliably by differences in sonographic measurements of abdominal circumference or estimates of fetal weight.
Even though cerebellar size is significantly smaller in Down syndrome fetuses, it is not a clinically useful marker for screening.
Polyhydramnios and increasing fetal growth beginning between 25 and 36 weeks' gestation with or without omphalocele should alert the physician to the possibility of Beckwith-Wiedemann syndrome.
In post-term births the primary risk factor for perinatal death is small fetal size for gestational age.
Antiphospholipid antibodies other than lupus anticoagulant and anticardiolipin antibodies are not associated independently with recurrent pregnancy loss.
Ligase chain reaction assay of cervical or urine specimens detects more Chlamydia trachomatis infections in pregnant women than does cervical tissue culture.
Women with eclampsia and severe preeclampsia experience no change in cerebral blood flow between acute and 4-5 weeks postpartum studies.
Risk factors for recurrence of placental hemorrhagic endovasculitis or subsequent pregnancy loss include coexistent chronic villitis, placental alterations reflecting maternal hypertension, and clinical hypertensive disease.
A 2-second sampling interval may be appropriate for the measurement of variability in a computerized fetal heart rate system.
Misoprostol is more effective than dinoprostone for cervical ripening and labor induction but is associated with an increased incidence of cesarean sections because of non reassuring fetal heart rate monitoring secondary to uterine hyperstimulation.
Sweeping membranes a single time at term does not appear to be effective in stimulating labor within 7 days.
A cesarean delivery for failure to descend in the active phase of labor significantly decreases the chance of a subsequent successful trial of labor.
Pregnant women with subfertility are more prone to preterm delivery even in the absence of infertility treatment.
Preeclamptic women exhibit a significantly higher risk for failed induction and cesarean delivery compared with nonpreeclamptic women.
A computer model based on action potentials and calcium waves for intercellular communication generates a contraction similar to a real uterine contraction.
Most women in all subgroups examined, including women with gynecologic disorders before tubal sterilization, did not undergo hysterectomy during the 14 years following sterilization.
Norgestimate-ethinyl estradiol is a safe and effective treatment for moderate acne vulgaris in women with no known contraindication to oral contraceptive therapy.
The initial success of the pubic bone stabilization sling for the long-term cure of recurrent urinary incontinence merits further study as primary surgical therapy.
Meta-analysis is a method of systematically reviewing the medical literature to summarize the extant evidence on treatment effects and risks.
Intravaginal misoprostol is a safe and effective agent for cervical ripening and labor induction.
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