Women 30 years and younger at the time of sterilization have an increased probability of regretting the procedure within 14 years.
The contraceptive effectiveness of nonoxynol-9 film was similar to that of foaming tablets, and both products were associated with fairly high probability of pregnancy.
Methotrexate, but not mercaptopurine, is an effective single-agent abortifacient in gestations less than 6 weeks from the last menstrual period.
Although genetic counseling traditionally has expressed risks as proportions (eg, one in 384), patients understand rates (eg, 2.6 per 1000) better than they do proportions.
Quality-of-life indices before hysterectomy differ significantly as a function of presurgical gynecologic condition.
Membership in a managed care organization is associated with a delay in receiving definitive surgical care for benign gynecologic but not gynecologic oncologic diseases.
Febrile morbidity has poor sensitivity and positive predictive value for detecting infections after vaginal surgery.
The external urethral barrier is a safe and effective treatment option for women with mild to moderate stress urinary incontinence.
A bladder-neck support prosthesis effectively treats stress and mixed urinary incontinence.
Compared with non-Hispanic white infants, Mexican American infants have higher weights for gestational age at 30–37 weeks but lower weights at term.
The different patterns of atrioventricular blood flow in fetuses of women with pregestational diabetes compared with those of nondiabetic women do not necessarily result from changes in cardiac compliance.
Prenatal maintenance therapy with corticosteroids for anti-Ro/SSA-positive mothers starting early in pregnancy might reduce the risk of congenital heart block developing in the offspring.
Nitric oxide metabolites are higher in the uteroplacental, fetoplacental, and peripheral circulation of women with preeclampsia than in those with normotensive pregnancies.
Adrenomedullin concentrations in amniotic fluid are higher in women with preterm labor, no response to tocolysis, or premature rupture of membranes than in women with normal pregnancy.
Although fetal cells are not eliminated by intraoperative blood-salvage processing, the product is compatible by crossmatching and does not react immunologically with maternal serum.
Amniotic fluid embolism is not associated with high maternal and neonatal mortality rates previously reported.
Women with gestational diabetes can be treated with dietary therapy for up to 2 weeks to assess its efficacy before they are prescribed insulin.
The efficacy of hepatitis B vaccination in pregnant women is affected adversely by obesity, smoking history, and advancing age.
Nitric oxide synthase is present in human myometrial tissue, and nitric oxide–donating substances inhibit spontaneous contractility of myometrial strips.
Women with early epidurals have shorter labors than women with late epidurals, and actively managed women have shorter labors than controls, regardless of the timing of epidural placement.
Racial differences in hormone replacement therapy prescriptions are not explained by type or sex of provider, region, source of payment, or rate of medical care.
Endometrial thickness exceeding 9 mm is an independent predictor of endometrial histologic abnormalities in asymptomatic breast cancer patients receiving tamoxifen.
Estrone sulfate in combination with varying doses of medroxyprogesterone acetate for 24 months maintains bone density of lumbar spine and hip.
The reporting of multivariable logistic regression analyses in obstetrics and gynecology literature is of poor quality.
More than one fifth of women with a history of severe perineal laceration will have another in their subsequent vaginal delivery if midline episiotomy and instrumentation are used.
Risk adjusting of primary cesarean delivery rates by using a state birth certificate database can be done readily and substantially changes how hospital performance is judged.
Strong predictors of cesarean delivery in women with prelabor rupture of membranes at term are country of birth, nulliparity, long labor, previous cesarean delivery, and epidural anesthesia.
The duration of fetal arterial oxyhemoglobin saturation below 30%, measured by continuous fetal pulse oximetry, might identify fetal compromise.
Fluoroscopy enables the hysteroscopist to identify hidden pockets of endometrium in severe Asherman syndrome.
Resident physician training in breast evaluation and management is maximized in a department of obstetrics and gynecology breast clinic.
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