Elective cesarean delivery of HIV-infected women on zidovudine therapy is one management strategy for prevention of perinatal HIV transmission and can be cost saving.
Cesarean delivery could be a marker for serious preexisting morbidities associated with increased mortality risk rather than a risk factor for death per se.
Interdelivery intervals of up to 18 months are associated with increased risk of symptomatic uterine rupture during trial of labor after prior cesarean delivery.
Although black women have higher rates of intrapartum hemorrhage, this higher frequency is attributable to a disproportionately higher burden of other risk factors.
Acupuncture was as effective as sham procedure for treating nausea of pregnancy.
The most accurate method of estimating day of delivery at 8–16 weeks is ultrasonic measurement of fetal crown-rump length of 15–60 mm and biparietal diameter (at least 21 mm) thereafter.
Thirty-three percent of multiple births were attributable to assisted conception, and advanced maternal age was not an independent risk factor for multiple birth.
Individual oocyte donors undergoing multiple sequential in vitro fertilization cycles maintain high delivered pregnancy rates in recipients.
The long-term probability of pregnancy after silicone rubber band and spring clip application is low but varies by clinical and demographic characteristics.
Among women in preterm labor, high vaginal concentrations of interleukin-8, vaginal neutrophils, bacterial vaginosis, and abnormal vaginal flora are associated with amniotic fluid infection.
Elevated plasma concentrations of interleukin-6 in umbilical venous cord blood were a significant predictor of funisitis, a known correlate of adverse infant outcomes.
In women with symptoms of preterm labor, elevated vaginal fetal fibronectin concentration was associated with increased risk of subsequent spontaneous preterm birth.
Granulocyte colony-stimulating factor is present in amniotic fluid throughout pregnancy, and concentrations are significantly higher during intra-amniotic infection diagnosed clinically.
Expression of cell adhesion molecules increases in the human uterine cervix and myometrium during pregnancy and parturition.
Drainage of the retroperitoneum following para-aortic lymphadenectomy for gynecologic malignancies provides no benefits and increases morbidity.
In the United States, women with cervical tumors 4 cm or less are more likely to be treated surgically than by radiotherapy, with a possible survival advantage for those women.
Volitionally contracting the pelvic floor muscles in preparation for a cough decreases vesical neck mobility in both young continent and older incontinent women.
Common definitions of hypertension in pregnancy have very poor predictive values for severe adverse maternal and perinatal outcomes.
Waist circumference at the first antenatal visit predicts risk of preeclampsia and pregnancy-induced hypertension.
Low whole blood ratios of free and oxidized thiol levels for cysteine, homocysteine, and cysteinylglycine in preeclampsia reflect oxidative stress.
Pregnant women with extreme serum alpha-fetoprotein values in the second trimester have an increased risk of fetal and infant deaths.
Sexual intercourse and orgasm during late pregnancy were not associated with an increased risk of preterm delivery.
Provider encouragement significantly increases breast-feeding initiation among American women of all social and ethnic backgrounds.
Sensitivity of prenatal diagnosis of congenital toxoplasmosis by polymerase chain reaction applied to amniotic fluid varied according to gestational age at maternal infection.
Birth weight and head circumference are not affected by single or repeated courses of antenatal betamethasone.
Lamellar body counts are preferable to traditional phospholipid analysis as a primary assay for assessing fetal lung maturity.
Severe twin birth weight discordance is associated with small placental mass and umbilical cord abnormalities and is more frequent and has greater morbidity and mortality in monochorionic than in dichorionic twins.
More than one course of antenatal corticosteroids might harm fetuses.
The lamellar body count can be simplified by omitting centrifugation.
Clay modeling is an effective way to teach female pelvic anatomy.
Letters to the Editor: RETHINKING MATERNAL-FETAL CONFLICT: GENDER AND EQUALITY IN PERINATAL ETHICS James Honig, Lisa H. Harris Obstet Gynecol 2001 97: 325. [Full Text] [PDF] OUTPATIENT CERVICAL RIPENING WITH INTRAVAGINAL MISOPROSTOL Luis Sanchez-Ramos, Andrew M. Kaunitz, Michael L. Stitely, Joseph Browning, Robert B. Gherman Obstet Gynecol 2001 97: 325-a-326-a. [Full Text] [PDF]
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