ORIGINAL RESEARCH:

Uterine Bleeding in Postmenopausal Women on Continuous Therapy With Estradiol and Norethindrone Acetate

Norethindrone acetate reduces the incidence of uterine bleeding in a dose-dependent fashion in postmenopausal women in continuous combined hormone replacement therapy.

DAVID F. ARCHER, MAXINE H. DORIN, WAYNE HEINE, NAYAN NANAVATI, JOAN-CARLES ARCE
Obstet Gynecol 1999 94: 323-329. [Abstract] [Full Text] [PDF]  

A Randomized Controlled Trial of Four Doses of Transdermal Estradiol for Preventing Postmenopausal Bone Loss

Transdermal estradiol doses of 0.025, 0.05, 0.06, and 0.1 mg per day effectively prevent bone loss in postmenopausal women.

S. R. WEISS, H. ELLMAN, M. DOLKER
Obstet Gynecol 1999 94: 330-336. [Abstract] [Full Text] [PDF]  

Serum Androgen Levels and Muscle Mass in Women With Polycystic Ovary Syndrome

In women with polycystic ovary syndrome, muscle size correlates positively with serum androgen levels and upper body–fat distribution, independent of height.

TSUTOMU DOUCHI, SHINAKO YAMAMOTO, TOSHIMICHI OKI, KUNINORI MARUTA, RIKI KUWAHATA, YUKIHIRO NAGATA
Obstet Gynecol 1999 94: 337-340. [Abstract] [Full Text] [PDF]  

Hysteroscopic Myomectomy: Long-Term Effects on Menstrual Pattern and Fertility

Hysteroscopic myomectomy is safe, provides satisfactory menorrhagia control, and limits lesion recurrence but has little benefit for infertility.

PAOLO VERCELLINI, BARBARA ZÀlNA, LARA YAYLAYAN, ANNA PISACRETA, OLGA DE GIORGI, PIER GIORGIO CROSIGNANI
Obstet Gynecol 1999 94: 341-347. [Abstract] [Full Text] [PDF]  

Vaginal Removal of the Benign Nonprolapsed Uterus: Experience With 300 Consecutive Operations

Vaginal hysterectomy is a highly effective way to remove benign nonprolapsed uteri.

OCTACILIO FIGUEIREDO, EDUARDO G. FIGUEIREDO, PRISCILLA G. FIGUEIREDO, MARCO ANTONIO PELOSI, III, MARCO ANTONIO PELOSI
Obstet Gynecol 1999 94: 348-351. [Abstract] [Full Text] [PDF]  

Medical and Osteopathic Boards’ Positions on Chaperones During Gynecologic Examinations

Medical boards lack uniformity in providing guidance for physicians on chaperone use.

SUSAN J. STAGNO, HEIDI FORSTER, JEROME BELINSON
Obstet Gynecol 1999 94: 352-354. [Abstract] [Full Text] [PDF]  

Plasma Homocyst(e)ine Concentrations in Eclamptic and Preeclamptic African Women Postpartum

Postpartum plasma homocyst(e)ine concentrations were higher in eclamptic and preeclamptic African women than in normotensive African women.

ALEKSANDAR RAJKOVIC, KASSAM MAHOMED, M. RENE MALINOW, TANYA K. SORENSON, GODFREY B. WOELK, MICHELLE A. WILLIAMS
Obstet Gynecol 1999 94: 355-360. [Abstract] [Full Text] [PDF]  

Ophthalmic Artery Velocimetry in Normotensive and Preeclamptic Women With or Without Photophobia

Pulsatility index is lower and mean velocity of ophthalmic artery is higher in preeclamptic women compared with normal women.

YASUMASA OHNO, MICHIYASU KAWAI, YASUNORI WAKAHARA, TAKESHI KITAGAWA, MASAKI KAKIHARA, YOSHITARO ARII
Obstet Gynecol 1999 94: 361-363. [Abstract] [Full Text] [PDF]  

Reducing Unnecessary Coagulation Testing in Hypertensive Disorders of Pregnancy

If the platelet count and serum lactate dehydrogenase level are normal, and there is no evident bleeding when evaluating a woman for preeclampsia, measurement of prothrombin time, activated partial thromboplastin time, and fibrinogen is unnecessary.

WILLIAM M. BARRON, PAUL HECKERLING, JUDITH U. HIBBARD, SUSAN FISHER
Obstet Gynecol 1999 94: 364-370. [Abstract] [Full Text] [PDF]  

Predicting Compliance With Follow-up Recommendations After Colposcopy Among Indigent Urban Women

Among urban, indigent women, the nature of the management recommendations is the best predictor of compliance after colposcopy.

L. STEWART MASSAD, PETER M. MEYER
Obstet Gynecol 1999 94: 371-376. [Abstract] [Full Text] [PDF]  

See-and-Treat in the Management of High-Grade Squamous Intraepithelial Lesions of the Cervix: A Resource Utilization Analysis

See-and-treat offers significant resource savings over conventional methods of evaluation and treatment of women with high-grade squamous intraepithelial lesions found on cervical cytology.

CHRISTINE H. HOLSCHNEIDER, KRIS GHOSH, F. J. MONTZ
Obstet Gynecol 1999 94: 377-385. [Abstract] [Full Text] [PDF]  

Early Cervical Adenocarcinoma: Selection Criteria for Radical Surgery

Radical surgery for clinical stage IB₁ cervical adenocarcinoma and primary radiotherapy for stage IB₂–IIA disease would avoid combined-modality therapy, thereby reducing treatment-related toxicity and cost.

JOHN O. SCHORGE, KENNETH R. LEE, SANDRA J. LEE, CYNTHIA E. FLYNN, ANNEKATHRYN GOODMAN, ELLEN E. SHEETS
Obstet Gynecol 1999 94: 386-390. [Abstract] [Full Text] [PDF]  

Distal External Iliac Lymph Nodes in Early Cervical Cancer

Lymph nodes are found distal to the deep circumflex iliac vein in most women with early cervical cancer, and some may be positive.

MITCHEL S. HOFFMAN, MICHAEL PARSONS, SIVASELVI GUNASEKARAN, DENIS CAVANAGH
Obstet Gynecol 1999 94: 391-394. [Abstract] [Full Text] [PDF]  

Diet and Uterine Myomas

Women with uterine myomas more frequently consume meat and ham and less frequently consume green vegetables, fruit, and fish than do controls.

FRANCESCA CHIAFFARINO, FABIO PARAZZINI, CARLO LA VECCHIA, LILIANE CHATENOUD, ELISABETTA DI CINTIO, SILVIA MARSICO
Obstet Gynecol 1999 94: 395-398. [Abstract] [Full Text] [PDF]  

Partner Notification of Sexually Transmitted Disease in an Obstetric and Gynecologic Setting

Educational efforts are needed to promote awareness among obstetrician-gynecologists of the importance of partner notification for women with sexually transmitted diseases.

DAVID E. SEUBERT, IAN M. THOMPSON, BERNARD GONIK
Obstet Gynecol 1999 94: 399-402. [Abstract] [Full Text] [PDF]  

Glyceryl Trinitrate and Ritodrine in Tocolysis: An International Multicenter Randomized Study

Transdermal glyceryl trinitrate and intravenous ritodrine are similar in prolonging gestation in preterm labor.

C. C. LEES, A. LOJACONO, C. THOMPSON, L. DANTI, R. S. BLACK, P. TANZI, I. R. WHITE, S. CAMPBELL
Obstet Gynecol 1999 94: 403-408. [Abstract] [Full Text] [PDF]  

Prognostic Markers in Twin Pregnancies With an Acardiac Fetus

In pregnancies with a normal fetus and an acardiac twin, hemodynamic criteria could help in choosing therapeutic options, expectant or interventional.

MYRIAM BRASSARD, JEAN-CLAUDE FOURON, LINE LEDUC, ANDRÉE GRIGNON, FRANCINE PROULX
Obstet Gynecol 1999 94: 409-414. [Abstract] [Full Text] [PDF]  

Meconium-Induced Umbilical Vascular Necrosis in Abortuses and Fetuses: A Histopathologic Study for Cytokines

In the second trimester and later, fetal mortality or morbidity might result from meconium, umbilical vascular necrosis, and access of cytokines to fetal circulation.

ANNA SIENKO, GEOFFREY ALTSHULER
Obstet Gynecol 1999 94: 415-420. [Abstract] [Full Text] [PDF]  

Knowledge and Clinical Practice Regarding Calcium Nutrition Among Obstetrician-Gynecologists

Among obstetrician-gynecologists, age, gender, and attitude toward nutrition influence knowledge of and clinical practice related to calcium nutrition.

MICHAEL L. POWER, GERALD B. HOLZMAN, JAY SCHULKIN
Obstet Gynecol 1999 94: 421-426. [Abstract] [Full Text] [PDF]  

A Randomized Controlled Trial of Vaginal Misoprostol for Cervical Priming Before Hysteroscopy

Vaginal misoprostol reduces the need to dilate the cervix before hysteroscopy.

SANGCHAI PREUTTHIPAN, YONGYOTH HERABUTYA
Obstet Gynecol 1999 94: 427-430. [Abstract] [Full Text] [PDF]  

Evacuation Interval After Vaginal Misoprostol for Preabortion Cervical Priming: A Randomized Trial

The interval from application of misoprostol to evacuation should be at least 3 hours for successful preabortion cervical priming.

KULDIP SINGH, Y. F. FONG, R. N. V. PRASAD, F. DONG
Obstet Gynecol 1999 94: 431-434. [Abstract] [Full Text] [PDF]  

Stromelysins in Placental Membranes and Amniotic Fluid With Premature Rupture of Membranes

Human amniochorion expresses stromelysin messenger RNA, and stromelysin 1 is elevated in amniotic fluid from women with preterm premature rupture of membranes and after lipopolysaccharide stimulation in culture.

STEPHEN J. FORTUNATO, RAMKUMAR MENON, SALVATORE J. LOMBARDI
Obstet Gynecol 1999 94: 435-440. [Abstract] [Full Text] [PDF]  

Genes Upregulated in Human Fetal Membranes by Infection or Labor

Genes in the human fetal membranes that are upregulated by infection or labor can be identified by the method of suppression subtractive hybridization.

LILY S. TASHIMA, LYNNAE K. MILLAR, GILLIAN D. BRYANT-GREENWOOD
Obstet Gynecol 1999 94: 441-449. [Abstract] [Full Text] [PDF]  

Cervical Length at 23 Weeks in Twins in Predicting Spontaneous Preterm Delivery

Measurement of cervical length at 23 weeks' gestation in twin pregnancies helps predict risk of severe preterm delivery.

A. P. SOUKA, V. HEATH, S. FLINT, I. SEVASTOPOULOU, K. H. NICOLAIDES
Obstet Gynecol 1999 94: 450-454. [Abstract] [Full Text] [PDF]  

Randomized, Double-Masked Comparison of Oxytocin Dosage in Induction and Augmentation of Labor

When used in a double-masked fashion, high-dose oxytocin is associated with significantly shorter labors without any demonstrable adverse fetal or neonatal effects.

DAVID C. MERRILL, FRANK J. ZLATNIK
Obstet Gynecol 1999 94: 455-463. [Abstract] [Full Text] [PDF]  

Nucleated Red Blood Cells in Maternal Blood During Pregnancy

The number of nucleated red blood cells in maternal blood increases as gestation advances, regardless of maternal-fetal blood type compatibility or fetal gender.

PAO-LIN KUO, HOW-RAN GUO
Obstet Gynecol 1999 94: 464-468. [Abstract] [Full Text] [PDF]  

INSTRUMENTS & METHODS:

BLUNT-EDGED, NOTCHED SCALPEL FOR CESAREAN INCISION

A new blunt-edged, notched scalpel used to incise the uterus during cesarean delivery prevents fetal penetrating injuries.

Shiro Ishii, Masahiro Endo
Obstet Gynecol 1999 94: 469-470. [Abstract] [Full Text] [PDF]  

CLINICAL COMMENTARY:

BUNDLING A PREGNANCY TEST WITH THE YUZPE REGIMEN OF EMERGENCY CONTRACEPTION

Bundling a pregnancy test with emergency contraceptive pills is medically unnecessary and paradoxically may deter some women from using the pills.

David A. Grimes, Elizabeth G. Raymond
Obstet Gynecol 1999 94: 471-473. [Abstract] [Full Text] [PDF]  

GRADUATE EDUCATION:

A SIMPLE, INEXPENSIVE DEVICE FOR TEACHING THE LOOP ELECTROSURGICAL EXCISION PROCEDURE

A simple, inexpensive device for teaching the loop electrosurgical excision procedure uses a cardboard tube and sausage.

Keith O. Reeves, Amy E. Young, Raymond H. Kaufman
Obstet Gynecol 1999 94: 474-475. [Abstract] [Full Text] [PDF]  

PRACTICE MANAGEMENT IN OBSTETRICS AND GYNECOLOGY RESIDENCY CURRICULUM

Residency programs in obstetrics and gynecology should establish a formal curriculum in practice management using internal or external expertise.

Loyd E. Williford, Frank W. Ling, Robert L. Summitt, Jr, Thomas G. Stovall
Obstet Gynecol 1999 94: 476-479. [Abstract] [Full Text] [PDF]  

DEPARTMENTS:

Letters to the Editor:

FETAL AMINO ACID AND ENZYME LEVELS WITH MATERNAL SMOKING

Yen-Hong Kuo, Robert M. Hamer, Eric Jauniaux
Obstet Gynecol 1999 94: 480-481. [Full Text] [PDF]  

FAILURE TO OBTAIN FOLLOW-UP TESTING FOR GESTATIONAL DIABETES IN A RURAL POPULATION

Gordon Q. Jonas, Robert C. Kaufmann
Obstet Gynecol 1999 94: 481. [Full Text] [PDF]  

AMNIOTIC FLUID LAMELLAR BODY COUNT: COST-EFFECTIVE SCREENING FOR FETAL LUNG MATURITY

Ben W. J. Mol, Anjoke Huisjes, Arie Franx, Pamela Sue Lewis
Obstet Gynecol 1999 94: 481-a-482-a. [Full Text] [PDF]  

ASSOCIATED FACTORS IN 1611 CASES OF BRACHIAL PLEXUS INJURY

Robert H. Allen, William M. Gilbert
Obstet Gynecol 1999 94: 482-483. [Full Text] [PDF]  

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