Cryotherapy, laser vaporization, and loop electrosurgical excision are equally effective for treating squamous intraepithelial neoplasia of the cervix.
The screening program follow-up results emphasize the duality of cervical neoplasia—cervical intraepithelial neoplasia in younger women and invasive cancer in older women.
Perineal powder use is associated with douching, alcohol drinking, and body mass index.
An algorithm to diagnose vulvovaginal candidiasis uses symptoms, signs, wet mount, and culture for women with signs or multiple symptoms.
Nerve fibers commonly are found in intra-abdominal adhesions, and endometriosis-related adhesions contain more inflammatory cells and tissue edema than do other types of adhesions.
For breech presentation in all birth weight groups, neonatal mortality is lower when delivery is by cesarean than when it is vaginal.
Increased perinatal mortality was observed in sibships with a sporadic breech delivery but not in those with recurring breech presentation, without respect to delivery method.
In a retrospective cohort study, small size at birth was associated with an increased risk of being coded diabetic in subsequent pregnancy.
Obstetrician-gynecologists know the prevalence of and adverse health consequences associated with intimate partner abuse, and slightly less than half routinely screen their patients for this problem.
Current attitudes about levonorgestrel implants are less positive and barriers to its use are greater than those observed immediately following its introduction to the United States market.
A dose of 400 g is optimal for misoprostol preabortion cervical priming in first-trimester nulliparas.
Even with strictly defined cephalopelvic disproportion, two-thirds of women delivered vaginally in subsequent pregnancies.
Ripening of the unfavorable cervix at term is significantly more likely to result from 200 mg mifepristone than from placebo.
Oral and vaginal administration of misoprostol appear to be equally efficacious, but oral administration is associated with more uterine hyperstimulation.
After controlling for parental, infant, and community factors, most of the increased risk of low birth weight infants associated with black parental race was explained.
Amniotic fluid index is a poor screening test for small-for-gestational-age or macrosomic fetuses, though these growth abnormalities are more frequent in the presence of oligohydramnios and hydramnios, respectively.
Fetal splenic enlargement predicts severe anemia in Rh-alloimmunized pregnancies.
Mild fetal pyelectasis detected in early pregnancy by transvaginal sonography can be transient and does not indicate abnormal fetal karyotype.
Review of one state's Medicaid records demonstrated good compliance with National Institutes of Health guidelines for antenatal steroids in premature deliveries occurring within 4 hours of hospital arrival.
Women think they are inadequately prepared for the health consequences of pregnancy and childbirth and mention dyspareunia, fatigue, pain, incontinence, and depression as common problems.
Detection rate and concentrations of granulocyte-macrophage colony stimulating factor levels are decreased significantly in serum from women with preeclampsia at the moment of diagnosis.
Selected gravidas can undergo antepartum opioid detoxification safely.
The treatment of syphilis with penicillin after 24 weeks' gestation can result in the Jarisch-Herxheimer reaction, uterine contractions, or variable decelerations in a substantial proportion of cases.
Umbilical venous pH and partial pressure of carbon dioxide at birth are statistically significantly related to umbilical cord length and coiling.
A method to facilitate laparoscopic entry in the morbidly obese patient is described.
A statistical description of residency applications in obstetrics and gynecology is derived from data obtained by the Electronic Residency Application Service.
The obstetrics and gynecology rotation provides 3rd-year medical students an opportunity to learn critical appraisal and reproductive medicine.
The routine use of magnesium sulfate seizure prophylaxis in women with mild preeclampsia should be reassessed.
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