EDITORIALS:

Reflection

James R. Scott
Obstet Gynecol 2002 100: 1145. [Full Text] [PDF]  

"What’s in a Name? That Which We Call a Rose, by Any Other Name . . ."

Frederick B. Stehman, Jeanne M. Schilder
Obstet Gynecol 2002 100: 1146-1147. [Full Text] [PDF]  

ORIGINAL RESEARCH:

Hormone Replacement Therapy Regimens and Breast Cancer Risk

Continuous combined hormone replacement therapy is associated with an increased risk of breast cancer among current and long-term users; risk dissipates once use is discontinued.

Linda K. Weiss, Ronald T. Burkman, Kara L. Cushing-Haugen, Lynda F. Voigt, Michael S. Simon, Janet R. Daling, Sandra A. Norman, Leslie Bernstein, Giske Ursin, Polly A. Marchbanks, Brian L. Strom, Jesse A. Berlin, Anita L. Weber, David R. Doody, Phyllis A. Wingo, Jill A. McDonald, Kathleen E. Malone, Suzanne G. Folger, Robert Spirtas
Obstet Gynecol 2002 100: 1148-1158. [Abstract] [Full Text] [PDF]  

Local Relapse in Patients Treated for Squamous Cell Vulvar Carcinoma: Incidence and Prognostic Value

Primary tumor site local relapse or skin bridge recurrence, but not local relapse at a distant site, is a strong predictor for cancer-related death.

Roman Rouzier, Bassam Haddad, Francoise Plantier, Philippe Dubois, Monique Pelisse, Bernard-Jean Paniel
Obstet Gynecol 2002 100: 1159-1167. [Abstract] [Full Text] [PDF]  

Combined Second-Trimester Biochemical and Ultrasound Screening for Down Syndrome

Nuchal fold, femur, and humerus measurements, treated as continuous variables, can substantially enhance the quad test in second-trimester screening for Down syndrome.

Peter A. Benn, Lillian M. Kaminsky, Jun Ying, Adam F. Borgida, James F. X. Egan
Obstet Gynecol 2002 100: 1168-1176. [Abstract] [Full Text] [PDF]  

Episiotomy Use in the United States, 1979–1997

Although the episiotomy rate declined from 1979 to 1997, the rate in 1997 of 39 per 100 vaginal deliveries is higher than scientific evidence supports.

Anne M. Weber, Leslie Meyn
Obstet Gynecol 2002 100: 1177-1182. [Abstract] [Full Text] [PDF]  

Fetal Deaths in the United States: Influence of High-Risk Conditions and Implications for Management

Pregnancies with high-risk conditions are at increased risk for fetal death, particularly during the third trimester.

John C. Smulian, Cande V. Ananth, Anthony M. Vintzileos, William E. Scorza, Robert A. Knuppel
Obstet Gynecol 2002 100: 1183-1189. [Abstract] [Full Text] [PDF]  

Clinical Evaluation of a "Hand Pump" Vacuum Delivery Device

A comparative prospective clinical evaluation of the Kiwi OmniCup vacuum delivery device.

Richard Hayman, Jeanette Gilby, Sabaratnam Arulkumaran
Obstet Gynecol 2002 100: 1190-1195. [Abstract] [Full Text] [PDF]  

The Recurrence Risk of Adverse Outcome in the Second Pregnancy in Women With Rheumatic Disease

Women with rheumatic disease have higher recurrence risks for adverse pregnancy outcome than women without rheumatic disease.

Johan F. Skomsvoll, Valborg Baste, Lorentz M. Irgens, Monika Østensen
Obstet Gynecol 2002 100: 1196-1202. [Abstract] [Full Text] [PDF]  

The Resistance Index in the Fetal Middle Cerebral Artery by Gestational Age and Ventricle Size in a Normal Population

Prenatal ultrasonographic measurements of cerebral ventricular width and middle cerebral artery flow in 430 fetuses identified no significant association between middle cerebral artery flow and increased ventricular diameter.

Yaron Zalel, Benny Almog, Daniel S. Seidman, Reuven Achiron, Arie Lidor, Ronni Gamzu
Obstet Gynecol 2002 100: 1203-1207. [Abstract] [Full Text] [PDF]  

Menopausal Symptoms in Older Women and the Effects of Treatment With Hormone Therapy

Symptoms typically attributed to menopause are common in elderly women. Postmenopausal hormone therapy improves menopausal symptoms but has side effects that should be discussed in pretreatment counseling.

Vanessa M. Barnabei, Deborah Grady, Dale W. Stovall, Jane A. Cauley, Feng Lin, Cynthia A. Stuenkel, Marcia L. Stefanick, James H. Pickar
Obstet Gynecol 2002 100: 1209-1218. [Abstract] [Full Text] [PDF]  

Efficacy of Intermittent, Luteal Phase Sertraline Treatment of Premenstrual Dysphoric Disorder

A double-blind, randomized, placebo-controlled study demonstrates the efficacy of intermittent, luteal dosing with sertraline for the treatment of premenstrual dysphoric disorder.

Uriel Halbreich, Richard Bergeron, Kimberly A. Yonkers, Ellen Freeman, Anna L. Stout, Lee Cohen
Obstet Gynecol 2002 100: 1219-1229. [Abstract] [Full Text] [PDF]  

Urinary Incontinence Predictors and Life Impact in Ethnically Diverse Perimenopausal Women

Twenty-five percent of ethnically diverse perimenopausal women report moderate or severe urinary incontinence, predicted in part by mutable factors including body mass index and current smoking.

Carolyn M. Sampselle, Siobán D. Harlow, Joan Skurnick, Linda Brubaker, Irina Bondarenko
Obstet Gynecol 2002 100: 1230-1238. [Abstract] [Full Text] [PDF]  

Randomized Trial of Lidocaine Ointment Versus Placebo for the Treatment of Postpartum Perineal Pain

Lidocaine ointment does not lessen perineal pain or decrease oral pain medications used after an episiotomy or perineal laceration.

Vatche A. Minassian, Allahyar Jazayeri, Sam D. Prien, Rebecca L. Timmons, Keeli Stumbo
Obstet Gynecol 2002 100: 1239-1243. [Abstract] [Full Text] [PDF]  

Relationship Between Maternal Methadone Dosage and Neonatal Withdrawal

Maternal methadone dosage was significantly associated with treatment for narcotic withdrawal, neonatal abstinence score, and duration of neonatal hospitalization.

Jodi S. Dashe, Jeanne S. Sheffield, Debora A. Olscher, Sally J. Todd, Gregory L. Jackson, George D. Wendel, Jr
Obstet Gynecol 2002 100: 1244-1249. [Abstract] [Full Text] [PDF]  

Preterm Premature Rupture of Membranes: Nutritional and Socioeconomic Factors

Preterm premature rupture of membranes is associated with indicators of lower socioeconomic status and low maternal hemoglobin levels and is not associated with dietary intake or serum levels of folate, homocysteine, or vitamin B₁₂.

Sarah E. Ferguson, Graeme N. Smith, Mary Ellen Salenieks, Rory Windrim, Mark C. Walker
Obstet Gynecol 2002 100: 1250-1256. [Abstract] [Full Text] [PDF]  

Validation of the Quintero Staging System for Twin-Twin Transfusion Syndrome

Quintero staging at presentation did not predict prognosis, although a change in stage did.

M. J. O. Taylor, L. Govender, M. Jolly, L. Wee, N. M. Fisk
Obstet Gynecol 2002 100: 1257-1265. [Abstract] [Full Text] [PDF]  

Increased Plasma Adenosine Concentrations and the Severity of Preeclampsia

An elevation of plasma adenosine concentration correlates with the severity of preeclampsia, and may be an endogenous compensatory mechanism for preeclampsia.

Yoshio Yoneyama, Shunji Suzuki, Rintaro Sawa, Koichi Yoneyama, Gordon G. Power, Tsutomu Araki
Obstet Gynecol 2002 100: 1266-1270. [Abstract] [Full Text] [PDF]  

Hysterectomy for the Massive Leiomyomatous Uterus

Abdominal hysterectomy for the very large, myomatous uterus is associated with an increased complication rate relative to hysterectomy for the smaller uterus.

James B. Unger, Ricky Paul, Gloria Caldito
Obstet Gynecol 2002 100: 1271-1275. [Abstract] [Full Text] [PDF]  

A Stiff Bristled, Spiral-Shaped Ectocervical Brush: A Device for Transepithelial Tissue Biopsy

Transepithelial brush sampling is as reliable as a standard punch biopsy in detecting pathology of the cervix, with less pain and bleeding.

Bradley J. Monk, Michael Cogan, Juan C. Felix, Neal M. Lonky, Joel S. Bentz, C. Jay Marshall, Ramon M. Cestero, Leslie R. Rowe, Stewart A. Lonky
Obstet Gynecol 2002 100: 1276-1284. [Abstract] [Full Text] [PDF]  

The Factor V Leiden Mutation and the Risk of Venous Thromboembolism in Gynecologic Oncology Patients

The factor V Leiden mutation is not associated with an increased risk of venous thromboembolism in gynecologic oncology patients.

Amy J. Ravin, Robert P. Edwards, Marijane A. Krohn, Joseph R. Kelley, Wayne A. Christopherson, James M. Roberts
Obstet Gynecol 2002 100: 1285-1289. [Abstract] [Full Text] [PDF]  

E-Cadherin Expression in Endometrioid, Papillary Serous, and Clear Cell Carcinoma of the Endometrium

Papillary serous and clear cell carcinomas of the endometrium are less likely to express E-cadherin than endometrioid carcinoma.

Kevin Holcomb, Roberto Delatorre, Bader Pedemonte, Carla McLeod, Lisa Anderson, Joseph Chambers
Obstet Gynecol 2002 100: 1290-1295. [Abstract] [Full Text] [PDF]  

CURRENT COMMENTARY:

Thomas Eakins’ Agnew Clinic: A Study of Medicine Through Art

Thomas Eakins' 1889 masterpiece, The Agnew Clinic, beautifully depicts how late 19th-century medicine rapidly evolved and how society was uneasy in accepting this new world.

Michael M. Frumovitz
Obstet Gynecol 2002 100: 1296-1300. [Abstract] [Full Text] [PDF]  

Fitsari ’Dan Duniya: An African (Hausa) Praise Song About Vesicovaginal Fistulas

Nigerian women with vesicovaginal fistulas from obstructed labor use "praise songs" about their condition as a way of creating group solidarity in a "sisterhood of suffering."

L. Lewis Wall
Obstet Gynecol 2002 100: 1328-1332. [Abstract] [Full Text] [PDF]  

Timing Intercourse to Achieve Pregnancy: Current Evidence

Prospective methods of identifying fertile days to time intercourse to achieve pregnancy are likely to be more effective than calendar calculations or basal body temperature.

Joseph B. Stanford, George L. White, Jr, Harry Hatasaka
Obstet Gynecol 2002 100: 1333-1341. [Abstract] [Full Text] [PDF]  

Is There a Sea Change Ahead for Obstetrics and Gynecology?

The senior leaders of our specialty must recognize factors that impact our discipline to assess their effects and respond appropriately.

F. D. Frigoletto, Jr, M. F. Greene
Obstet Gynecol 2002 100: 1342-1343. [Abstract] [Full Text] [PDF]  

Perspectives on the Women’s Health Initiative Trial of Hormone Replacement Therapy

Although effective for treating menopausal symptoms and preventing osteoporosis and colorectal cancer, hormone replacement therapy should not be used for prevention of coronary artery disease in asymptomatic postmenopausal women.

David A. Grimes, Rogerio A. Lobo
Obstet Gynecol 2002 100: 1344-1353. [Abstract] [Full Text] [PDF]  

REVIEWS:

Systematic Review of Randomized Controlled Trials of Misoprostol to Prevent Postpartum Hemorrhage

Conventional injectable uterotonics are more effective than misoprostol in the active management of the third stage of labor.

J. Villar, A. M. Gülmezoglu, G. Justus Hofmeyr, F. Forna
Obstet Gynecol 2002 100: 1301-1312. [Abstract] [Full Text] [PDF]  

HIGH-RISK PREGNANCY SERIES: AN EXPERT'S VIEW:

Cerclage and Cervical Insufficiency: An Evidence-Based Analysis

Although randomized studies of cervical cerclage have not demonstrated a beneficial effect, recent changes in diagnostic methods require new appraisal.

James H. Harger
Obstet Gynecol 2002 100: 1313-1327. [Abstract] [Full Text] [PDF]  

DEPARTMENTS:

Letters to the Editor:

Antiphospholipid Syndrome in Pregnancy: A Randomized, Controlled Trial of Treatment

Raj Rai, Lesley Regan, William H. Kutteh, Roy G. Farquharson, Siobhan M. Quenby, Michael Greaves
Obstet Gynecol 2002 100: 1354-1356. [Full Text] [PDF]  

Smallpox Vaccine and Pregnancy

Marvin S. Amstey, Stanley A. Gall, V. R. Suarez, Gary D. V. Hankins
Obstet Gynecol 2002 100: 1356. [Full Text] [PDF]  

Uterine Necrosis After Uterine Artery Embolization for Leiomyoma

Bruce McLucas, Stuart Sostrin
Obstet Gynecol 2002 100: 1357-1358. [Full Text] [PDF]  

Chronic Hypertension In Pregnancy

Dana P. Damron, Baha M. Sibai
Obstet Gynecol 2002 100: 1358-1359. [Full Text] [PDF]  

What’s a Smart Woman Like You Doing at Home?

Lauren A. Plante
Obstet Gynecol 2002 100: 1359. [Full Text] [PDF]  

Secondary Cytoreduction Surgery for Recurrent Epithelial Ovarian Cancer

Samir A. Farghaly, Eng-Hseon Tay, Peter T. Grant, Val Gebski, Neville F. Hacker
Obstet Gynecol 2002 100: 1359-a-1360-a. [Full Text] [PDF]  

ERRATA:

ERRATUM

Obstet Gynecol 2002 100: 1361. [Full Text] [PDF]  

ACOG PUBLICATIONS:

Clinical Management Guidelines for Obstetrician—Gynecologists. Number 41, December 2002: Polycystic Ovary Syndrome

Obstet Gynecol 2002 100: 1389-1402. [PDF]  

ACOG Committee Opinion. Number 279, December 2002: Prevention of Early-Onset Group B Streptococcal Disease in Newborns

Obstet Gynecol 2002 100: 1405-1412. [PDF]  

ACOG Committee Opinion. Number 280, December 2002: The Role of the Generalist Obstetrician-Gynecologist in the Early Detection of Ovarian Cancer

Obstet Gynecol 2002 100: 1413-1416. [PDF]  

ACOG Committee Opinion. Number 281, December 2002: Rubella Vaccination

Obstet Gynecol 2002 100: 1417. [PDF]  

Technology Assessment in Obstetrics and Gynecology. Number 2, December 2002: Cervical Cytology Screening

Obstet Gynecol 2002 100: 1423-1427. [PDF]  

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