Hysterectomy relieves symptoms associated with nonmalignant gynecologic disorders and improves psychologic function and quality of life.
Periurethral collagen injections have equal efficacy in women with and without urethral hypermobility.
Women with advanced uterovaginal prolapse have less lumbar lordosis and a pelvic inlet that is oriented less vertically than women without prolapse.
Immediate open reconstruction, rather than internal stenting, is recommended for laparoscopically induced ureteral injuries diagnosed late.
The diagnostic yield of colposcopy is improved in women with negative Papanicolaou smears and positive speculoscopy results by deferring colposcopy for 6 months.
Intrauterine lidocaine is a simple and effective technique for decreasing pain associated with endometrial biopsy.
Development and standardization of a technique for laparoscopic pelvic and para-aortic lymphadenectomy require about 100 operations.
Preeclampsia is associated with increased levels of amniotic fluid–soluble vascular endothelial growth factor receptor-1 that are independent of erythropoietin.
Delaying delivery with tocolysis to allow antenatal steroid use and other obstetric interventions is possible in women with advanced preterm labor.
The concentration of intercellular adhesion molecule-1 in the lower uterine segment increases during parturition at term.
Host susceptibility and existing infections are the most important predictors of surgical site infection after cesarean delivery.
Intrahepatic cholestasis of pregnancy is associated with decreased maternal plasma levels of estrogens and the estrogen precursor dehydroepiandrosterone sulfate.
Publication of consensus guidelines in 1996 and their adoption by obstetrics programs have led to decreased occurrence of early-onset group B streptococcal disease.
Women with interpregnancy intervals less than 18 months and more than 59 months have the highest risk of very premature and moderately premature infants.
Women with mastocytosis who become pregnant might experience increased disease severity, but complications of delivery or adverse fetal outcomes do not seem to be more likely.
Estimated annual direct medical costs of pelvic inflammatory disease and average cost per patient in 1998 were substantially lower than previous estimates.
The controlled and sustained release of progesterone gel given vaginally results in higher ratios of endometrial to serum progesterone concentrations than intramuscular administration.
Treatment with methotrexate is a cost-saving alternative to laparoscopy for ectopic pregnancy.
In asymptomatic women with a history of recurrent vulvovaginal candidiasis, Candida was detected more frequently by polymerase chain reaction than by culture or wet mount/Gram stain.
An extraurethral device has extremely poor compliance and low efficacy and cannot be recommended for management of stress incontinence.
Gynecologists' knowledge of genetics is mixed; training appears to improve knowledge, but a minority receive formal training.
There are transient differences in neuromotor development between breech- and cephalic-presenting infants; whether they are caused by or result from breech presentation remains unclear.
Persistent right intrahepatic umbilical vein is a normal anatomic variant, usually associated with good outcome.
After prenatal diagnosis of isolated clubfoot, fetal karyotyping is not indicated unless there are other indications for invasive prenatal diagnosis.
Immunologic studies should be considered in all cases of severe neonatal thrombocytopenia to enable careful monitoring and prevent potentially severe complications in subsequent pregnancies.
High maternal serum ferritin level is associated with asymmetric fetal growth restriction and a low level with symmetric fetal growth restriction.
Bacterial inoculation of the kidney results in renal abscess and preterm delivery in the pregnant mouse.
Proton magnetic resonance spectroscopy detects lecithin and has the potential to be a quick, comfortable test for fetal lung maturity.
Videoteleconferencing to complete student evaluations in a multisite undergraduate core clerkship provides centralized administrative support, grading consistency, and timely feedback to coordinators and students.
Perineal trauma is decreased by avoiding episiotomy, using spontaneous or vacuum-assisted rather than forceps birth, and, in nulliparous women, by performing prenatal perineal massage.
Letters to the Editor: RANDOMIZED, DOUBLE-MASKED COMPARISON OF OXYTOCIN DOSAGE IN INDUCTION AND AUGMENTATION OF LABOR Lester Voutsos, David Cantor, Ramey D. Littell, David C. Merrill, Frank J. Zlatnik Obstet Gynecol 2000 95: 472-473. [Full Text] [PDF] THE GREAT DOUCHING DEBATE: TO DOUCHE, OR NOT TO DOUCHE Donna Day Baird, Gilles R. G. Monif Obstet Gynecol 2000 95: 473-474. [Full Text] [PDF] CERVICAL RIPENING AND LABOR INDUCTION WITH A CONTROLLED-RELEASE DINOPROSTONE VAGINAL INSERT: A META-ANALYSIS N. G. Mussalli, Luis Sanchez-Ramos Obstet Gynecol 2000 95: 474-475. [Full Text] [PDF] DIAGNOSTIC ACCURACY OF ULTRASOUND ABOVE AND BELOW THE BETA-hCG DISCRIMINATORY ZONE Michael A. Kohn, Kurt T. Barnhart Obstet Gynecol 2000 95: 475-476. [Full Text] [PDF]
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