Pregnant women with latent human papillomavirus infections have low potential of transmitting the virus to the oropharyngeal mucosae of their infants.
Serum hyaluronic acid levels are elevated significantly in labor, and hyaluronic acid could be associated with cervical ripening.
Inducting labor because of severe preeclampsia is not harmful to very low birth weight infants.
Plasma homocysteine levels in preeclamptic women are elevated and in an inverse relationship to insulin sensitivity.
Pulmonary vasodilator therapy can benefit women with pulmonary hypertension in pregnancy, and favorable response before conception can predict successful pregnancy.
Different patterns of umbilical artery Doppler flow velocity waveforms identify characteristic placental lesions that can explain different outcomes in growth-restricted fetuses.
Greater cervical dilatation and shorter length are associated with increased risk of spontaneous preterm delivery, particularly after preterm premature rupture of membranes.
Anatomic and technical pitfalls can lead to faulty interpretation of transvaginal ultrasonic cervical length measurements.
The combination of vaginal fetal fibronectin and risk score developed specifically for the Nova Scotia population predicts spontaneous preterm birth in asymptomatic women.
Abdominal circumference measurements of 35 cm or more identify half of shoulder dystocia cases.
Small for gestational age infants show changes in lipid metabolism that might distinguish growth-restricted subpopulations at risk for perinatal morbidity and mortality.
Infants with hypoplastic left heart and Turner syndromes have poor prognoses, with low survival rates after staged reconstructive cardiac surgery.
Because shoulder dystocia is reported in approximately half the cases of brachial plexus injury, other causes might be important.
Preterm births, congenital anomalies, respiratory distress syndrome, and anemia are independent neonatal complications of placenta previa.
Placenta previa, abnormally elevated second-trimester maternal serum alpha-fetoprotein and free -hCG levels, and maternal age 35 years and older relate strongly with placenta accreta.
Breakthrough bleeding during continuous combined hormone replacement therapy with estradiol and dydrogesterone is related to serum estradiol levels, not to serum dydrogesterone levels.
Raloxifene is associated with few adverse events in postmenopausal women, which differ from those reported with hormone replacement therapy.
An increase in plasma triglyceride levels in women with low plasma estrogen levels may cause a reduction in the size of low-density lipoprotein particles.
The abortifacient effect of misoprostol is not improved by vaginal administration every 6 hours compared with administration every 12 hours.
Personal beliefs associated with attitudes about abortion and competence in performing abortion influence physician willingness to practice abortion.
A survey indicates that North Carolina obstetrician-gynecologists are not yet prepared to comply with the National Institutes of Health Consensus Statement regarding carrier screening for cystic fibrosis.
Complex sonographic appearance and the size of adnexal masses in pregnancy are the best predictors of persistence of the mass.
After administration of systemic methotrexate for treatment of ectopic pregnancy, stable patients with separation pain frequently can be managed successfully without surgery.
Current clinical models do not have sufficient predictive power to determine if women with abnormal perimenopausal or postmenopausal bleeding should have diagnostic testing.
Local control of stage IC endometrial cancer treated with external pelvic radiation is excellent; vaginal brachytherapy does not seem to be necessary.
Laparoscopic lymphadenectomy is as effective for lymph node harvesting as open lymphadenectomy, although operating time and blood loss are increased.
The usefulness of routine screening ultrasound in low-risk pregnancies can be determined only if future investigations carefully define screening protocols and outcomes studied.
Lesbians are served optimally by physicians whose knowledge of lesbian health issues and clinical skills impart confidentiality, trust, and competence and whose behavior eschews heterosexism.
A physician compensation plan should be designed to reward behavior that is consistent with the academic mission.
Military residents and program directors believe 4th-year obstetric and gynecologic electives are helpful to students entering their residency programs.
A meta-analysis comprising 1.4 million pregnancies indicates that cigarette smoking during pregnancy is associated with a two-fold increase in the risk for placental abruption.
Letters to the Editor: SPINAL BONE DENSITY IN WOMEN USING DEPOT MEDROXYPROGESTERONE CONTRACEPTION Anne Szarewski, Diana Mansour, Tim Cundy, Ian Reid Obstet Gynecol 1999 93: 629-630. [Full Text] [PDF] RELATIONSHIP OF CESAREAN DELIVERY TO LOWER BIRTH WEIGHT–SPECIFIC NEONATAL MORTALITY IN SINGLETON BREECH INFANTS IN THE UNITED STATES Kellie Murphy, Mary Hannah, Kwang-sun Lee, Babak Khoshnood, Sudhir Sriram, Hui-Lung Hsieh, Jaideep K. Singh, Robert Mittendorf Obstet Gynecol 1999 93: 630-631. [Full Text] [PDF] THE JARISCH-HERXHEIMER REACTION AND FETAL MONITORING CHANGES IN PREGNANT WOMEN TREATED FOR SYPHILIS João Bernardes, Thomas D. Myles Obstet Gynecol 1999 93: 631-632. [Full Text] [PDF] SURVIVAL AND 2-YEAR OUTCOME WITH EXPECTANT MANAGEMENT OF SECOND-TRIMESTER RUPTURE OF MEMBRANES Heinz S. Scholz, Aijaz Farooqi Obstet Gynecol 1999 93: 632-633. [Full Text] [PDF] VULVAR INTRAEPITHELIAL NEOPLASIA III: OCCULT CANCER AND THE IMPACT OF MARGIN STATUS ON RECURRENCE Mark A. Rettenmaier, Susan C. Modesitt, Linda Van Le Obstet Gynecol 1999 93: 633-634. [Full Text] [PDF]
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