The long-term probability of pregnancy after sterilization with bipolar electrocoagulation is low when the fallopian tube is coagulated adequately.
Hysteroscopic resection of polyps and myomas larger than 2 cm improves clinical pregnancy rates and live birth rates in infertile women.
The risk of death from spontaneous abortion is increased for women over 35 years of age, of nonwhite race, and in the second trimester of pregnancy.
Even when affordable care is available, many low-income women do not avail themselves of it.
Obstetrician experience with intrapartum complications and poor neonatal outcomes results in higher cesarean delivery rate.
Intrahepatic cholestasis increases the risk of preterm delivery and the need for neonatal care.
Women with polycystic ovary syndrome are at increased risk for glucose intolerance and preeclampsia during pregnancy.
In the absence of lesions clinically suspicious for invasive carcinoma, directed brush cytology is a safe, valuable adjunct to colposcopic evaluation of the pregnant cervix.
Assault victim history is associated with increased severity of self-reported depression in pregnant women, even after effects of other psychosocial stressors are controlled for.
Sonographic measurement of subcutaneous fat in the fetal abdomen might help predict fetal growth restriction irrespective of fetal weight.
Single or repeated courses of exogenous corticosteroids given to pregnant sheep delay fetal brain growth.
Climacteric symptoms are associated with subjective but not objective changes in sleep quality.
Transdermal progesterone cream is effective for controlling vasomotor symptoms but has no apparent effect on bone mineral density.
Phytoestrogen levels increase with soy supplementation in climacteric women but do not correlate with a decrease in the number of hot flushes.
Topical estrogen applied to the vulvar vestibule in postmenopausal women improves sensation in treated areas.
Right and left pelvic anatomy are not necessarily mirror images when seen through the laparoscope and might vary by body mass index.
The phosphoisoforms of insulin-like growth factor binding protein-1 in the cervical secretion, different from those in the amniotic fluid, reflect cervical ripeness at term.
Intracervical prostaglandin E2 gel is safe when given weekly to outpatients with previous cesareans but does not improve the likelihood of vaginal births.
Misoprostol administered orally in the third stage of labor reduces estimated postpartum blood loss.
Epidural analgesia indirectly is associated with increases in the rate of third- and fourth-degree obstetric lacerations because of the increased frequency of operative vaginal delivery and episiotomy.
Admission to the intensive care unit may be a useful marker of major maternal morbidity.
Despite higher rates of sepsis and low Apgar scores, no difference in developmental outcome at 7 months of corrected age is detected in very low birth weight infants delivered after exposure to chorioamnionitis.
The main short-term neonatal consequence of chorioamnionitis is infection; neurologic morbidity is related to labor complications and not chorioamnionitis per se.
Human T-lymphotropic virus type I infection induces apoptosis in the placenta.
Placental ischemia is a frequent cause of preterm labor, and patients presenting with ischemia or infection often have an adverse perinatal outcome.
Severely growth-restricted fetuses have abnormal liver function, low plasma glucose, and high triglyceride levels.
The urethral sphincter, imaged and measured reliably with three-dimensional ultrasound, is smaller in women with genuine stress incontinence than in continent women.
Review of interinstitutional pathologic material before the initiation of therapy revealed significant discrepancies influencing treatment planning and prognosis.
New technologies for cervical cancer screening have not received appropriate evaluation, and their impact on overall cervical cancer morbidity and mortality is likely small.
Our new criteria for diagnosing peripartum cardiomyopathy incorporate strict echocardiographic criteria and clinical characteristics with serial and stress echocardiography suggested for prognosis.
A 5-year residency curriculum in obstetrics and gynecology and family medicine is presented.
Letters to the Editor: THE PILL AND THE PRESS: REPORTING RISK Rudi Ansbacher, Morton A. Lebow Obstet Gynecol 1999 94: 321. [Full Text] [PDF] TRANSVAGINAL ENDOMETRIAL SONOGRAPHY IN POSTMENOPAUSAL WOMEN TAKING TAMOXIFEN Ann Steiner, Michael R. Tesoro Obstet Gynecol 1999 94: 321-a-322-a. [Full Text] [PDF]
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