In situ and early invasive adenocarcinoma of the cervix may be treated with a cone biopsy if the margins are negative and the inherent risks are accepted.
An analysis of 2795 tension-free vaginal tape operations shows an increased risk of bladder perforation in patients with previous surgery; however, severe complications are rare.
This study compares venlafaxine, a medication with combined serotonergic/noradrenergic activity, with a placebo to determine efficacy and safety for treatment of premenstrual dysphoric disorder (PMDD).
The preoperative administration of 5 g of 0.75% intravaginal metronidazole gel appears to reduce the incidence of postcesarean endometritis.
The Foley bulb is as efficacious in the outpatient setting as the inpatient setting for cervical ripening.
C-reactive protein, a marker of systemic inflammation, was elevated in the first trimester of pregnancy in women with subsequent preeclampsia.
The use of labor epidural analgesia is associated with a clinically significant increase in the incidence of intrapartum fever.
Extension of a monophasic oral contraceptive regimen from 28-day to 49-day cycles significantly decreases bleeding and hygiene product use without increased spotting.
Cone biopsy findings significantly correlate with the depth of residual invasion in the subsequent radical hysterectomy specimen.
Transperitoneal laparoscopic Burch colposuspension performed using sutures was more effective than the mesh technique.
Vulvar venous malformations are rare congenital lesions that, when symptomatic, can be successfully treated with sclerotherapy.
Gynecologic surgical "fascia" consists of moderately dense connective tissue with smooth muscle similar to the deeper aspects of the vaginal wall.
The weekly transdermal contraceptive patch provides excellent contraceptive efficacy, cycle control, compliance, safety, and tolerability as shown in this open-label, international study.
Total menstrual fluid volume is easy to measure and provides an accurate estimate of actual blood loss.
Estrone sulfatase could be one of the enzymes that supplies estrogen for the growth of adenomyosis.
Therapy for fear of childbirth reduced unnecessary cesareans and resulted in shorter labor and, with more intensive therapy, pregnancy- and birth-related anxiety and concerns could be reduced.
Preeclamptic women had reduced cerebral vasodilatory response compared with normotensive pregnant women.
Human papillomavirus testing in the first follow-up smear can predict the outcome of treatment of cervical intraepithelial neoplasia with greater certainty than cytology and excision margin status.
Transabdominal sonography has an 85% sensitivity and a 99.7% specificity in detecting a two-vessel umbilical cord.
Patients with histories incongruent with serum b-hCG findings should have urine b-hCG analysis to rule out false-positive serum results.
Finding group A streptococcus on prenatal screening culture may signify serious postpartum infection.
The authors' analysis of human papillomavirus testing for atypical squamous cells of undetermined significance cytologic abnormalities (ALTS trial) indicates such testing is investigational and not currently warranted in clinical practice.
Some women using oral contraceptives may be at risk of contraceptive failure when they are treated concomitantly with oral antibiotics.
Uterine artery Doppler assessment identifies high-risk women in whom aspirin therapy results in a statistically significant reduction in preeclampsia.
There is no evidence to support improved neonatal outcomes for infants with abdominal wall defects who had a cesarean delivery compared with those who had a vaginal delivery.
Letters to the Editor: Another Case of Excessive Caffeine and Hypokalemia in Pregnancy Stephen L. Young, Marvin L. Hage, Jinxing Li Obstet Gynecol 2001 98: 874. [Full Text] [PDF] Outcomes After Rollerball Endometrial Ablation for Menorrhagia Vance Merrill McCausland, Arthur Merrill McCausland, Caryn Dutton Obstet Gynecol 2001 98: 874-a-875-a. [Full Text] [PDF] Safety and Efficacy of Misoprostol Orally and Vaginally: A Randomized Trial Joan M. Crane, David Young, Kimberly Butt, Martina Delaney, Donna Hutchens, S. J. Carlan Obstet Gynecol 2001 98: 875-876. [Full Text] [PDF] Risk of Fetal Loss in Twin Pregnancies Undergoing Second Trimester Amniocentesis Lewis H. Nelson, III, Simcha Yagel Obstet Gynecol 2001 98: 876-877. [Full Text] [PDF]
A pregnant patient with primary pulmonary hypertension was treated successfully in the peripartum period using elective intubation, mechanical ventilation, and inhaled nitric oxide.
We describe a case of spontaneous coronary artery dissection in a peripartum woman requiring extracorporeal membrane oxygenation and intracoronary stent placement.
Multiple sclerosis must be considered as an etiology for acute puerperal lactation-associated blindness without clear anatomic or infectious cause.
Spontaneous pneumomediastinum may present as jaw pain during second stage of labor.
Neuroleptic malignant syndrome can be a serious complication of drug treatment during pregnancy.
Pregnant women infected with human immunodeficiency virus can develop hepatotoxicity after initiation of antiretroviral therapy.
A case of pregnancy-related osteonecrosis is described, which includes the management and outcome of a subsequent gestation.
Ruptured hepatocellular carcinoma presents as acute abdomen in a pregnant woman.
An adrenocortical oncocytoma can present during pregnancy.
Recurrent second trimester group B streptococcus chorioamnionitis culminating in multiple pregnancy losses can be treated with intermittent prophylactic ampicillin, leading to successful pregnancy outcome.
Active Crohn disease with maternal vitamin K deficiency might cause fetal subdural hematoma.
In a triplet pregnancy, fetal supraventricular tachycardia might be treated successfully with digoxin.
Because of persistent hypercalcemia, magnesium sulfate might not be a viable treatment option for hyperparathyroidism during pregnancy.
Fatal hydrops fetalis was associated with hypertrophic cardiomyopathy in the fetus of a woman with diabetes.
Spontaneous rupture of a non-scarred uterus in the second trimester of pregnancy due to placenta percreta is a very rare and potential life-threatening event.
Uterine irradiation might predispose women to abnormal placentation and uterine rupture in a subsequent pregnancy.
Full-term vaginal delivery without nephrectomy is possible when a renal angiomyolipoma has ruptured during pregnancy.
Doppler studies of fetal cardiac function might be useful in making the diagnosis of endocardial fibroelastosis at an early stage of pregnancy.
An otherwise healthy woman with a 4.5-cm thoracic aortic aneurysm underwent an uncomplicated labor and vaginal delivery.
A conjoined twin involved a parasitic body containing an incomplete lower limb attached to the sacrococcygeal region.
Severe thrombosis in mesenchymal stem villous hyperplasia of the placenta was associated with fetal growth restriction and subamniotic hemorrhage.
Juxtaglomerular cell tumors are a rare cause of malignant hypertension during pregnancy.
Preclinical phase of polycythemia vera is a cause of severe but preventable complications in pregnancy.
A young woman developed type I endometrial cancer after having taken phytoestrogen supplements in large quantities for years.
Uterine artery embolism for treatment of leiomyoma can result in diffuse uterine necrosis.
A patient with endometrial cancer developing heparin-induced thrombocytopenia was successfully treated with argatroban.
Fulminant hepatic failure due to herpes simplex presented after operative laparoscopy and hysteroscopy in a healthy woman.
Vascular injury with retropubic hematoma can occur after tension-free vaginal tape procedure.
Laminaria used for cervical dilation might be associated with toxic shock syndrome.
Rupture of a degenerated uterine leiomyoma presenting as peritonitis was correctly diagnosed on computed tomography and magnetic resonance imaging.
A malignant tumor should be in the differential diagnosis for a rapidly enlarging mass in the setting of vaginal endometriosis.
A woman with systemic amyloidosis presented with postmenopausal bleeding.
Osseous metaplasia of the cervix can follow loop electrosurgical excision.
Retroperitoneal endometriosis causing hip pain can be identified by computed tomography-directed percutaneous needle biopsy.
Introital stenosis from childhood irradiation presents an unusual combination of both bony restriction and soft tissue contraction, requiring a new approach for its repair.
Hyponatremia may occur as part of the symptom complex associated with unrecognized ureteral injuries.
A woman with two previous cesarean sections ruptured her uterus in the second trimester after misoprostol was used for cervical ripening.
Presence of a vaginal stone indicates the possibility of a urinary-vaginal fistula, an ectopic vaginal ureter, or a neurogenic bladder with urinary incontinence.
Meigs' syndrome with an elevated CA 125 must be differentiated from epithelial ovarian cancer before treatment.
A nulligravida presents with an unusual müllerian anomaly, which is elucidated by magnetic resonance imaging and magnetic resonance-based three-dimensional reconstruction, and supports an alternative müllerian development theory.
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