Vaginal hysterectomy is associated with improved medical outcomes when the indication for hysterectomy is confined to the uterus and uterine weight is less than 280 g.
Injury to the urinary tract during anti-incontinence surgery is infrequent.
Nerve density in the ventral striated urogenital sphincter declines with age, and fewer nerves correlated with fewer striated muscle cells while exhibiting a sevenfold variation in the number of nerves within the specimen sample.
Endocervical curettage might be unnecessary in selected patients with a satisfactory and normal colposcopic examination.
Hormone replacement therapy decreases the oxidative stress and the number of episodes of hot flushes in postmenopausal women.
Danazol and leuprolide acetate depot given for 6 months to women with endometriosis suppress levels of soluble CD23.
Clear cell adenocarcinoma among women exposed in utero to diethylstilbestrol is not associated with pregnancy, oral contraceptive use, or season of birth.
Combined repeat cytology and papillomavirus testing improves detection of cervical intraepithelial neoplasia in women with atypical squamous cells of undetermined significance, but at the expense of specificity.
Age over 40 years, glandular involvement, and satellite lesions are related to the reappearance of cervical intraepithelial neoplasia after loop excision and clear margins.
Women diagnosed with cervical cancer postpartum have worse survival than those diagnosed during pregnancy.
The diagnosis of borderline tumor by frozen section is generally accurate, but less so for mucinous tumors than serous tumors.
Malnutrition commonly found in gynecologic oncology patients correlates positively with length of hospital stay.
Routine postoperative measurement of hematocrit in asymptomatic women after elective gynecologic surgery is unnecessary.
Joints of low tensile strength in human fetal membranes correspond to locations with enhanced matrix metalloproteinase-9 production relative to tissue inhibitor of metalloproteinase-1.
Ultrasonic estimation of singleton fetal weight at term using the Aoki, Shepard, Campbell, and Hadlock formulas is valid.
Contraception requirements for clinical trials are overused, leading to ethical problems as well as continued deficits in women's health research.
Unreliable last menstrual period is associated with increased risk of adverse pregnancy outcomes.
A large statewide representative California survey, designed to overcome methodologic limitations of prior studies, identified important barriers to prenatal care apart from insurance.
Congenital cytomegalovirus infection is best diagnosed prenatally with polymerase chain reaction analysis of amniotic fluid after 21 weeks' gestation.
Urine hyperglycosylated hCG combined with nuchal thickness and humeral length is highly sensitive and specific for Down syndrome prediction in the second trimester in a population at elevated risk.
Physicians are knowledgeable about folate and neural tube defects, but are less so about other aspects of folate metabolism and its relation to health.
Multiple gestation is associated with increased risk of adverse maternal outcomes.
Oral misoprostol (100 g) and vaginal misoprostol (25 g) are similarly effective for cervical ripening and labor induction, but the former produces more uterine contractile abnormalities.
Chorioamnionitis is statistically significantly associated with increased risk of labor abnormalities, labor prolongation, cesarean delivery, and hemorrhage, suggesting a deleterious effect on uterine function.
Risk of cesarean and length of labor for women undergoing a trial of labor after cesarean are related to the prior cesarean indication.
Elective induction as currently practiced increases the risk of cesarean delivery for nulliparas and increases costs.
The thickness of subcutaneous tissue is a significant risk factor for abdominal wound infection after cesarean delivery.
Pregnancies associated with rapid weight loss after surgery for obesity can have normal fetal outcomes.
Where are identifiable trends in pessary use for pelvic organ prolapse, but no clear consensus on the indications for pessary choice or appropriate patients.
We introduce two-turn throw incomplete loop ligature as a useful and convenient technique for hemostasis in three-port pelviscopy.
Warfarin sodium can be appropriately prescribed for breast-feeding mothers requiring anticoagulation.
Erb's palsy is probably caused by propulsive forces that result in disproportionate descent of the fetal head compared with descent of the shoulder.
Empirically based assessment tools might help obstetrician-gynecologists detect eating disorders in pregnant women.
Letters to the Editor: LAPAROSCOPIC VAGINAL DELIVERY: REPORT OF A CASE, LITERATURE REVIEW, AND DISCUSSION Barry S. Schifrin, Mack Barham, Roy M. Pitkin Obstet Gynecol 2000 95: 947-948. [Full Text] [PDF]
Pelvic retroperitoneal liposarcoma can occur in women under 30 years old.
Myxoid leiomyosarcoma of the uterus has a poor prognosis and must be distinguished from a uterine myoma with myxomatous change.
Colpectomy after vaginoplasty in male transsexuals is rare but might be indicated in condylomata acuminata overgrowth or diversion colitis in the rectosigmoid transplant used for neovagina.
Luteinizing hormone receptors identified in leiomyomatosis peritonealis disseminata might be involved in its pathogenesis in postmenopausal women.
Reversed end-diastolic umbilical artery blood flow potentially predicts chromosomal fetal abnormalities or cardiac defects in the first trimester.
Serial antenatal ultrasound might help diagnose cloacal anomalies and their changing features.
Ultrafast magnetic resonance imaging can clarify neuroanatomy in antenatal diagnosis of conjoined twins.
Neuroimaging studies in severe postpartum preeclampsia show that reversible cortical blindness results from vasogenic (hydrostatic) cerebral edema and not cerebral vasospasm.
The B-Lynch suture is technically simple and might be a valuable addition to the surgical treatment of postpartum hemorrhage.
Hemophagocytic syndrome during pregnancy can cause rapid deterioration and death.
Current evidence in the medical literature supports the conclusion that hysterectomy does not adversely affect sexuality.
When meconium-stained fluid is present, intrapartum amnioinfusion improves neonatal outcome and does not increase the frequency of either cesasean delivery or postpartum endometritis.
Results from available literature suggest that elevated amniotic fluid interleukin-6 is a better predictor of preterm delivery than microbiologically detectable intra-amniotic infection.
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