ACOG's great strides in women's health continue into the new millennium.
Colposcopy is perceived as painful, but oral ibuprofen and topical benzocaine, alone or together, offer no appreciable analgesia.
Medical abortion with methotrexate and misoprostol is safe and effective when used in community outpatient centers.
Posttraumatic stress disorder was associated with pregnancy complications, including ectopic pregnancy, miscarriage, hyperemesis, preterm contractions, and excessive fetal growth.
Maternal hypertension and fetal acidemia during labor stimulate human fetal atrial natriuretic peptide production, which is highest in fetuses with severe placental insufficiency and congestive heart failure.
Antiphospholipid antibodies were not a risk factor for preeclampsia among women who have never had preeclampsia.
Women with placenta previa and increased maternal serum alpha-fetoprotein are at increased risk of early third-trimester bleeding and preterm birth.
Obesity and excessive pregnancy weight gain increase the likelihood of cesarean delivery in low-risk women.
Women with severe preeclampsia, abruptio placentae, fetal growth restriction, and stillbirth have increased incidence of hypofibrinolytic 4G/4G mutation of plasminogen activator inhibitor-1 gene, which was frequently associated with the thrombophilic factor V Leiden mutation, predisposing them to thrombosis.
Half of or fewer infants born at 23 weeks' gestation survive to be discharged from neonatal intensive care, but few if any survive free of substantial short-term morbidity.
Sonographic prediction of intertwin birth weight discordance of 25% or greater within 16 days of delivery appears to be a valid and reliable method for clinical use.
Chronic maternal smoking is associated with a decrease in the level of nine amino acids and alkaline phosphatase activity in cord blood at term.
The higher maternal serum uric acid levels observed in third-trimester nonpreeclamptic twin gestations result in part from increased uric acid production.
Cesarean delivery of fetuses with osteogenesis imperfecta did not diminish the fractures compared with vaginal birth.
Most new mothers accept routine prenatal testing for human immunodeficiency virus despite limited knowledge of perinatal transmission and its prevention and their mistrust of government and scientists.
Women with postpartum "blues" have low serum levels of allopregnanolone, a neuroactive steroid.
Funtional cine magnetic resonance imaging is useful for assessing postoperative anatomy and function in women after abdominal sacrocolpopexy.
Preoperative pressure flow voiding studies do not independently predict women at risk of postoperative voiding dysfunction after incontinence surgery.
Ultrasonography, urinary LH surge detection, and serum progesterone assessment seem to be the most effective methods for predicting and confirming ovulation.
Persistence with estrogen therapy, athough poor overall, is favorably influenced by younger age, low dosage, continuous progestin combination, prescription by gynecologists, and coronary heart disease.
Estrone sulfate alone or with medroxyprogesterone acetate significantly decreases serum levels of total and low-density lipoprotein cholesterol.
Intakes of soy products are associated with bone mass in postmenopausal women and somewhat useful for alleviating deleterious hypoestrogenic effects of menopause.
In postmenopausal women with urinary incontinence, daily estrogen and progestin therapy does not improve, and may worsen, incontinence.
Obtaining contraceptive supplies over the Internet can be expedient, but it is expensive and it bypasses medical supervision.
Aerobic working capacity is preserved in late gestation, but carbohydrate utilization and anaerobic energy production might be blunted above the point of respiratory compensation.
Antenatal steroid treatment was associated with a greater than 50% reduction in risk of neonatal periventricular leukomalacia.
Although antenatal corticosteroids are used widely by obstetrician-gynecologists, educational efforts are still needed to maximize their appropriate use and to update clinicians about potential side effects.
Preoperative vaginal preparation with povidone iodine did not decrease postcesarean infectious morbidity.
Noninvasive uterine papillary serous carcinoma often is associated with metastatic disease; we therefore recommend complete surgical staging.
Letters to the Editor: DIFFERENCES IN UMBILICAL VENOUS AND ARTERIAL LEPTIN LEVELS BY MODE OF DELIVERY G. M. Morley, Nobuyuki Yoshimitsu, Tsutomu Douchi Obstet Gynecol 2001 97: 158-159. [Full Text] [PDF]
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