Obstetrician-gynecologists are aware of the need to screen for gestational diabetes mellitus and the importance of post-partum follow-up to detect the onset of type 2 diabetes mellitus.
Discussions about prenatal genetic testing between obstetric providers and pregnant women are limited, and guidelines for content are needed to ensure informed decision-making.
Telephone calls by registered nurses may reduce preterm or low birth weight births, at least among low-income black women.
Thrombotic microangiopathy complicating pregnancy usually responds to plasma exchange, but the majority of these women have long-term morbidity including relapses, chronic renal insufficiency, and hypertension.
Fetal erythroblast numbers are elevated in the peripheral blood of preeclamptic patients in comparison with normal.
Compared with those who delay estrogen replacement therapy, patients who begin estrogen replacement therapy immediately after total abdominal hysterectomy with bilateral salpingo-oophorectomy for pain due to endometriosis are at no greater risk of recurrent pain.
Oral medroxprogesterone acetate 2.5, 5, or 10 mg with 1.25 mg of estrone sulphate protects the endometrium and results in amenorrhea for 80% of postmenopausal women.
Activin A is localized in normal human endometrium throughout the menstrual cycle and in the decidua during early pregnancy.
Prolactin levels begin to rise within 3 days of beginning neuroleptic medications and then plateau; the levels never exceed 77 ng/mL irrespective of dose.
To calculate probabilities of singletons, twins, and triplets, the probabilities of first, second, and third implantations must each be estimated.
Most patients experience long-term pain reduction after laparoscopic presacral neurectomy.
The paper towel test is a simple and reliable standing stress test for measuring and visualizing up to 6 mL of cough-related urine loss.
Grade three posterior wall defects may affect urodynamic indices and mask potential stress urinary incontinence.
Based on anatomic findings, hypogastric artery ligation is futile for control of life-threatening hemorrhage during sacrospinous ligament fixation.
Routine gynecologic and Papanicolaou screening visits represent an important and underused clinical opportunity to intervene with young women smokers.
Very low birth weight infants are particularly vulnerable to neurologic damage when delivered after chorioamnionitis.
Reviewing gynecologic pathology diagnoses before definitive treatment demonstrates a notable rate of discrepancy, which leads to treatment alteration.
Ganciclovir-induced cytotoxicity and the "bystander effect" exist in thymidine kinase transfected uterine leiomyoma cells, supporting the feasibility of cytotoxic gene therapy.
Meconium-stained amniotic fluid is associated with significantly elevated rates of peripartum infection.
Most (62%) of persistent occiput posterior cases develop through malrotation during labor; only 38% remained occipitoposterior from the onset of labor until delivery.
Prenatal ultrasound appears to have no influence on neurologic development in childhood.
Disparate blood flow resistance patterns between two parallel umbilical arteries are greatest early in midpregnancy and gradually equalize as gestation advances.
Placental nitric oxide synthase and cyclic guanosine monophosphate levels correlate positively with umbilical artery impedance between 9 and 15 weeks' gestation.
Mortality rates post-delivery may be lower than those for women who have not delivered in the previous year.
The maternal serum dehydroepianrosterone sulfate level may be an important factor in successful labor induction.
Misoprostol and extra-amniotic saline infusion appear to be equally effective for cervical ripening and labor induction in women with unfavorable cervices.
Four easy questions to ascertain why patients do not follow our advice.
Molecular alterations involving tumor suppressor genes are related to the development of resistance to chemotherapy and represent possible targets for gene therapy in ovarian cancer.
Concealing the identity of manuscripts under review, while appealing in theory, does not seem to improve review quality.
Detailed Doppler velocimetry revealed paradoxical blood flow patterns in a pregnancy with abruption and allowed for the evaluation of pathophysiologic changes that helped in the management of this complication of pregnancy.
Prenatal ultrasonography at 23 weeks' gestation revealed subcortical nodular heterotopia that presented as an isoechoic intracranial mass displacing midline structures.
Small bowel torsion can be detected by prenatal ultrasound examination.
Aplastic anemia and immune-mediated thrombocytopenia, uncommon complications of pregnancy, together present a formidable clinical challenge to the obstetrician.
Triplet gestations should be monitored closely for early evidence of acute fatty liver of pregnancy.
Maternal bowel infarction may be masked by the signs and symptoms of labor.
Hypoperfusion of the occipital cortex during obstetric hemorrhage may result in transient cortical blindness and visual anosognosis.
Factor V Leiden and protein S deficiency may predispose women to early onset preeclampsia and postpartum deep venous thrombosis.
Complete disruption of the dividing membrane in diamniotic twin gestations can complicate therapeutic amniocentesis in twin-twin transfusion syndrome.
Adenovirus may be present in the amniotic fluid of one twin in utero.
Acardiac twinning is treated successfully by interruption of the umbilical blood flow by endoscopic laser coagulation.
Transabdominal fluid exchange prevents intestinal thickening encountered in gastroschisis.
Fetal tissue typing allows time to search for a compatible heart and reduces the mortality associated with prolonged postnatal waiting for transplant.
Operative management of fetal obstructive uropathy is beneficial despite complications associated with placement of a vesicoamniotic shunt.
When used for cervical ripening and labor induction in women with previous cesareans, misoprostol may be associated with disruption of the prior uterine incision.
Common peroneal neuropathy can be caused by prolonged squatting during childbirth.
A case of fetal cervical spinal cord injury after an atraumatic delivery is presented with a review of the literature.
Pyoderma gangrenosum may cause nonhealing of cesarean delivery wound lesions not responsive to antibiotics and wound care.
An ectopic gestation can implant on the diaphragm and lead to hemothorax.
A gestation can implant in a cesarean scar.
High-frequency vaginal ultrasound may be helpful in the diagnosis of pelvic echinococcal cysts.
Gallstones can present as a pelvic mass.
Advanced squamous cell carcinoma of the ovary treated with cytoreductive surgery, paclitaxel, and cisplatin can result in long-term survival.
A woman with advanced stage small-cell carcinoma of the ovary treated with cytoreductive surgery and chemotherapy survived for 2 years free of disease.
Immunosuppression caused by human immunodeficiency virus infection may cause especially rapid progression of cervical intraepithelial dysplasia to invasive cancer.
Ovulation induction response and pregnancy outcome seem to be normal after lymphocytic hypophysitis, and there is no evidence of pregnancy-related risk of disease relapse.
Several medications can produce stress urinary incontinence through different pathophysiologic effects on urethral sphincter function.
Laparoscopic placement of a transabdominal cerclage may be used to treat cervical incompetence.
Intrinsic ureteral endometriosis can be diagnosed at ureteroscopy and managed without ureteral resection.
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