Most first episodes of genital herpes in pregnancy that appear to be primary infections based on severity of signs and symptoms prove serologically to be nonprimary.
Regardless of the type of delivery, flatus incontinence occurs frequently in many middle-aged women but is more bothersome in those with anal sphincter disruption.
Clinically diagnosed cephalopelvic disproportion can be confirmed with a comparison of fetal head volume measurement by sonography and maternal pelvic capacity determined by magnetic resonance imaging.
Intravaginal misoprostol is safe and effective for labor induction in gravidas with premature rupture of membranes at term.
Induction of labor at term for a diagnosis of macrosomia does not reduce the rate of cesarean delivery, instrumental delivery, or neonatal trauma.
The level of progesterone receptors, but not estrogen receptors and sex steroid hormones, is decreased in myometrial and decidual tissue in women with dysfunctional labor.
Domiciliary antenatal fetal monitoring in high-risk pregnancy is a clinically safe substitute for in-hospital monitoring and reduces antenatal costs without cost-shifting.
A structured program for early neonatal discharge after vaginal delivery is not associated with an increased risk of neonatal readmission.
Gravidas with embryonic heart rates outside the reference range for viable pregnancies at corresponding gestational ages may be at risk for eventual pregnancy loss.
Adverse pregnancy outcome is associated with abnormally elevated maternal serum alpha-fetoprotein and free -hCG and a false-positive screen for Down syndrome
The combination of nuchal fold thickening, pyelectasis, and short humerus is the most efficient ultrasound approach to detecting fetal trisomy 21.
Fetal heart echogenic foci, detected during routine ultrasonographic examination at midtrimester, are not associated with an increased risk of fetal trisomy 21 in a low-risk population.
Manual uterine fundal pressure assists early second-trimester transvaginal sonographic depiction of fetal anatomy.
Time from atrial contraction pressure peaks to velocity decreases in the venous circulation of the fetal lamb increases with distance from the right atrium, indicating that pressure waveform transmission is retrograde.
The increased cardiac output of normal pregnancy is mediated in part by enhanced myocardial contractility.
Maternal oxygen desaturation occurs frequently with magnesium therapy, especially with multiple gestations, but is not associated with decompensation in maternal or fetal status.
There is no evidence for a clinically significant effect of pregnancy on lymphocyte subsets in human immunodeficiency virus-infected women.
The presence of immunoglobulin M anti-2-glycoprotein I antibodies in women with antiphospholipid antibodies is associated with previous pregnancy losses.
A standardized breakfast test may determine which women with gestational diabetes do not need self-monitoring of blood glucose levels.
Postmenopausal hormone replacement therapy is associated with a decreased prevalence of calcific atherosclerotic lesions of the coronary arteries.
Natural killer cell numbers and T-lymphocyte mitogenic activity both increase in women with advanced endometriosis receiving GnRH agonist.
School performance, adequate support, belief that pregnancy is likely, desire for child spacing, clinic attendance, and prior abortion predict reliable contraceptive use among adolescent mothers.
Americans lack knowledge about the availability and use of emergency contraceptive pills, and the practice of prescribing them among obstetrician-gynecologists is limited.
Hormone replacement therapy does not increase the risk for developing epithelial ovarian cancer.
Mode of infiltration and grade are good pathologic predictors of prognosis in squamous cell carcinoma arising from mature cystic teratoma of the ovary.
Taxi vouchers improve compliance with the first prenatal appointment even if the vouchers are not used.
Additional research is needed before concluding that there is a relationship between thromboembolic disease and third-generation oral contraceptives.
A user-friendly statistics program running in Microsoft Windows 3.1 is useful for maintaining an on-line record of resident surgical experience.
Conservative management of premature rupture of membranes at term may result in more maternal infections than immediate induction with oxytocin or prostaglandins.
Amnioinfusion does not alter the duration of labor significantly.
Slips of the tongue are common and often amusing phonic errors that can occur in casual and obstetric presentations.
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