Most women with arrest in the active phase of labor and no progress after 2 hours of oxytocin augmentation will deliver vaginally if oxytocin is continued for at least 2 more hours.
Eighty-six percent of nulliparas with unengaged fetal heads at onset of active labor delivered vaginally.
Maternal and fetal risks are elevated in deliveries with a maternal history of cesarean, although a high rate of vaginal births can be achieved.
Cesarean delivery alone is not a risk factor for low Apgar score.
Epidural analgesia is not associated with intrapartum fever unless there is concomitant placental inflammation.
Spinal anesthesia does not increase the success rate of external cephalic version in singleton breech presentations after 36 weeks' gestation.
The anesthetic effect of dorsal penile nerve block with plain lidocaine 1% for circumcision is not improved by buffering the lidocaine.
Adding cervicography to cervical cytology does not improve detection of premalignant cervical lesions, although cervicography seems capable of detecting papillomavirus-positive premalignant lesions not identified by cytology.
There is a high regression rate of cervical intraepithelial neoplasia II and III lesions following delivery.
Transvaginal sonography is a viable, noninvasive method of diagnosing endometrial disease in postmenopausal women who are taking adjuvant tamoxifen therapy for breast carcinoma.
High intratumor microvessel count is associated with poor overall survival of patients with endometrial cancer.
Use of talcum powder does not increase the risk of developing epithelial ovarian cancer.
Umbilical cord pseudocysts are associated strongly with aneuploidy and structural defects, regardless of their prenatal sonographic appearance.
The measurement of the jaw index allows an accurate and objective diagnosis of micrognathia in the fetus.
The use of lamellar body counts in a cascade testing scheme can eliminate the need for the majority of lecithin/sphingomyelin ratios and phosphatidylglycerol assays.
Infants (n = 2014) whose mothers had used an inhaled glucocorticoid, budesonide, for asthma in early pregnancy showed the expected rate of congenital malformations.
Maternal magnesium sulfate exposure does not alter the incidence or severity of periventricular leucomalacia and intraventricular hemorrhage in preterm neonates.
Fetal exposure to maternal smoking results in increased nucleated red blood cells at birth in term, appropriate for gestational age infants.
Treatment with a vaginal device significantly decreases leakage and improves quality of life in women with symptoms of urinary stress incontinence.
Urethral dilation occurs in incontinent and parous continent, but not in nulliparous continent, women.
Helical computed tomography is highly accurate and useful in clinical management of women suspected of having either appendicitis or acute gynecologic conditions.
Labor support from a doula significantly reduces epidural use and improves perceptions of childbirth but does not reduce need for operative deliveries.
Maternal ferritin concentrations at 28–30 weeks' gestation correlate best with hemoglobin levels and identify pregnant women who need iron therapy.
Cervical dilation of 2 cm or more and bleeding on admission predict likelihood of delivery within 48 hours in women receiving magnesium sulfate.
In pregnancies complicated by the antiphospholipid syndrome, maternal and fetal outcomes appear improved with the use of intravenous immunoglobulin.
Elevated plasma levels and normal renal clearance of nitrite and nitrate indicate that nitric oxide production is increased in preeclampsia.
Vecchietti's laparoscopic operation is facilitated by sonographic observation of the bladder and the needle passage through the vesicorectal space.
The risk-of-malignancy index—based on menopausal status, ultrasound features, and serum CA 125—is a simple method of detecting patients with advanced ovarian cancer for referral to centralized primary surgery.
Press coverage of health effects of oral contraceptives is biased toward adverse effects and away from benefits.
Screening for cystic fibrosis in reproductive health care is not the current standard of practice, but recent recommendations and evolving policy discussion regarding such screening are reviewed.
Fluorescence spectroscopy performs better than colposcopy and other techniques for diagnosis of squamous intraepithelial lesions of the cervix.
Letters to the Editor: CRITERIA THAT INDICATE ENDOMETRIOSIS IS THE CAUSE OF CHRONIC PELVIC PAIN C. Paul Perry, William W. Hurd Obstet Gynecol 1999 93: 473. [Full Text] [PDF] FERTILITY OPTIONS FOR PATIENTS WITH STAGES IA2 AND IB CERVICAL CANCER: PRESENTATION OF TWO CASES AND DISCUSSION OF TECHNICAL AND ETHICAL ISSUES Bruce Patsner, Linda R. Duska, Tom Toth, Annekathyrn Goodman Obstet Gynecol 1999 93: 474. [Full Text] [PDF]
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