With adenocarcinoma in situ, a negative endocervical curettage and uninvolved cone margin are not reassuring of the absence of endocervical glandular disease in subsequent surgical specimens.
High-risk human papillomavirus types are rarely found in postmenopausal women with or without hormone therapy.
Baseline lean mass predicts bone mineral loss induced by anticancer agents used to treat ovarian cancer.
Breast and cervical cancer screening varies with sociodemographic factors, health status, and health beliefs.
Estrogen replacement in postmenopausal women reduces the plasma concentration of low-density lipoprotein particles, and estrogen-induced hypertriglyceridemia appears to reduce the size of low-density lipoprotein particles.
Accurate diagnosis after menarche followed by excision and marsupialization of the blind hemivagina offers complete relief of symptoms and preserves reproductive potential.
Young women undergoing surgery for genital prolapse have lower parity and less severe prolapse and may be more likely to have predisposing medical conditions, compared with older women.
The prevalence of hydronephrosis in patients with prolapse is low, increases with increasing severity of prolapse, and is higher with uterine prolapse versus vaginal vault prolapse.
Vaginal hysterectomy is associated with a shorter hospital stay and lower charges than abdominal hysterectomy when performed in conjunction with Burch colposuspension.
Tubal rupture is encountered more often in women with no history of ectopic pregnancy, and serum hCG levels do not predict rupture and may occur at very low levels.
Women with chronic vaginitis often use over-the-counter and alternative medicines for symptom relief without an accurate diagnosis.
The low sensitivity of endovaginal ultrasonography limits its clinical utility as a diagnostic tool for upper genital tract infection.
The volume of pelvic fluid 3-5 days after hysterectomy does not predict febrile morbidity, prolonged fever, or the need for drainage.
An increased risk for preterm delivery exists for women who themselves were born before 37 weeks' gestation.
Reducing prenatal office visits for low-risk women does not increase the use of other services within a group-model health maintenance organization.
Women who delay the initiation of prenatal care in their first pregnancy frequently delay the initiation of prenatal care in their second pregnancy.
The officially reported maternal mortality rate in The Netherlands (1983-1992) is underreported by 26%, increasing incidence from 7.1 to 9.7 per 100,000 live births.
Ranitidine, 150 mg twice daily, is more effective than a placebo or ranitidine taken once daily for relieving symptoms of gastroesophageal reflux during pregnancy.
Intravaginal misoprostol has greater bioavailability than oral misoprostol.
Children with the antenatal diagnosis of mild isolated ventriculomegaly perform significantly lower on the Bayley Scales of Infant Development than do matched comparison subjects.
Singleton pregnancies conceived by in vitro fertilization have a serum screen-positive rate approximately double that of pregnancies conceived naturally.
Uterine electromyographic activity can be recorded noninvasively from the abdominal surface of pregnant patients to measure the readiness for and progress of labor.
Placental cavities are found significantly more often in heavy and thick placentas associated with male fetuses, with villus laceration occurring during placental separation.
We report evidence of trophoblastic apoptosis in mice with preterm delivery and its suppression by treatment with urinary trypsin inhibitor.
Risk factors for acidemia at birth include labor with breech presentation, oxytocin administration, meperidine administration, cord entanglement, male gender, and chorioamnionitis.
Regional anesthesia results in a higher rate of fetal acidemia after elective cesarean delivery compared with general anesthesia.
Use of labor epidural anesthesia on patient request does not affect the rate of operative delivery, nor does it significantly increase maternal or neonatal morbidity.
Women who use cocaine during pregnancy have different psychosocial characteristics than demographically similar women who do not.
The interactive voice response system, a feasible and timely method of providing feedback to residents, is an acceptable evaluative tool that addresses the shortcomings of traditional in-training evaluation methods.
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