EDITORIALS:

Magnesium Sulfate for Mild Preeclampsia

James R. Scott
Obstet Gynecol 2003 101: 213. [Full Text] [PDF]  

PERSONAL REFLECTIONS:

Labor of Love

Richard L. Berkowitz
Obstet Gynecol 2003 101: 214-215. [Full Text] [PDF]  

CLASSIC ARTICLES:

Commentary on "Primigravid Labor: A Graphicostatistical Analysis"

Roy M. Pitkin
Obstet Gynecol 2003 101: 216. [Full Text] [PDF]  

ORIGINAL RESEARCH:

Magnesium Sulfate in Women With Mild Preeclampsia: A Randomized Controlled Trial

Compared to a placebo, intravenous magnesium sulfate does not have a major impact on disease progression in women with mild preeclampsia.

Jeffrey C. Livingston, Lisa W. Livingston, Risa Ramsey, Bill C. Mabie, Baha M. Sibai
Obstet Gynecol 2003 101: 217-220. [Abstract] [Full Text] [PDF]  

Seroprevalence of Antibodies to Chlamydia pneumoniae in Women With Preeclampsia

As compared with women with normal, term pregnancies, women with preeclampsia have an increased seroprevalence of immunoglobulin G to Chlamydia pneumoniae.

R. Phillip Heine, Roberta B. Ness, James M. Roberts
Obstet Gynecol 2003 101: 221-226. [Abstract] [Full Text] [PDF]  

Maternal Periodontal Disease Is Associated With an Increased Risk for Preeclampsia

Maternal periodontal disease is associated with an increased risk for the development of preeclampsia.

Kim A. Boggess, Susi Lieff, Amy P. Murtha, Kevin Moss, James Beck, Steven Offenbacher
Obstet Gynecol 2003 101: 227-231. [Abstract] [Full Text] [PDF]  

Inhibin-A and Superimposed Preeclampsia in Women With Chronic Hypertension

Maternal serum inhibin-A is increased before the onset of superimposed preeclampsia, but limited sensitivity precludes its clinical use.

Gerda G. Zeeman, James M. Alexander, Donald D. McIntire, William Byrd, Kenneth J. Leveno
Obstet Gynecol 2003 101: 232-236. [Abstract] [Full Text] [PDF]  

A Molecular Variant of Angiotensinogen Is Associated With Idiopathic Intrauterine Growth Restriction

Women with the angiotensinogen Thr235 mutation are at increased risk for intrauterine growth restriction and pregnancy-induced hypertension.

Xiu Quan Zhang, Michael Varner, Donna Dizon-Townson, Francis Song, Kenneth Ward
Obstet Gynecol 2003 101: 237-242. [Abstract] [Full Text] [PDF]  

Low-Dose Mifepristone for Uterine Leiomyomata

Mifepristone in daily 5- and 10-mg doses administered over 6 months shrinks uterine leiomyomata and ameliorates symptoms, with a low frequency of side effects.

Steven H. Eisinger, Sean Meldrum, Kevin Fiscella, Heleen D. le Roux, David S. Guzick
Obstet Gynecol 2003 101: 243-250. [Abstract] [Full Text] [PDF]  

Reproductive Function After Conservative Surgery and Chemotherapy for Malignant Germ Cell Tumors of the Ovary

Fertility-preserving surgery followed by chemotherapy for malignant germ cell tumors of the ovary is effective in conserving the reproductive function of women with this disease.

Jacob Tangir, Daniel Zelterman, Wenging Ma, Peter E. Schwartz
Obstet Gynecol 2003 101: 251-257. [Abstract] [Full Text] [PDF]  

Placental Pathology, Antiphospholipid Antibodies, and Pregnancy Outcome in Recurrent Miscarriage Patients

There are no specific histopathologic placental abnormalities characteristic of treated patients with antiphospholipid antibody syndrome and poor reproductive history, but complications of uteroplacental disease are more common.

N. J. Sebire, M. Backos, S. El Gaddal, R. D. Goldin, L. Regan
Obstet Gynecol 2003 101: 258-263. [Abstract] [Full Text] [PDF]  

Smoking, Body Mass, and Hot Flashes in Midlife Women

Potentially modifiable factors, such as current smoking and high body mass index, may predispose a woman to more severe or frequent hot flashes.

Maura K. Whiteman, Catherine A. Staropoli, Patricia W. Langenberg, Robert J. McCarter, Kristen H. Kjerulff, Jodi A. Flaws
Obstet Gynecol 2003 101: 264-272. [Abstract] [Full Text] [PDF]  

Learning Curve in Ultrasonographic Screening for Selected Fetal Structural Anomalies in Early Pregnancy

The detection rate of selected major fetal malformations by early ultrasonography improved from 22% to 79% over 6 years.

Pekka Taipale, Martti Ämmälä, Riitta Salonen, Vilho Hiilesmaa
Obstet Gynecol 2003 101: 273-278. [Abstract] [Full Text] [PDF]  

Incidence of Postpartum Lumbosacral Spine and Lower Extremity Nerve Injuries

The incidence of postpartum lower extremity nerve injury in a prospective study of 6057 deliveries was 1%, and the median duration of symptoms was 2 months.

Cynthia A. Wong, Barbara M. Scavone, Sheila Dugan, Joanne C. Smith, Heidi Prather, Jeanne N. Ganchiff, Robert J. McCarthy
Obstet Gynecol 2003 101: 279-288. [Abstract] [Full Text] [PDF]  

Pregnancy-Related Mortality in the United States, 1991–1997

Better ascertainment has led to an increase in the reported pregnancy-related mortality ratio, whereas black and older women continue to have an excess risk of death.

Cynthia J. Berg, Jeani Chang, William M. Callaghan, Sara J. Whitehead
Obstet Gynecol 2003 101: 289-296. [Abstract] [Full Text] [PDF]  

Application of Electric Field Stimulation for Investigations of Human Placental Blood Vessels

Electric field stimulation is a new experimental possibility for investigations of the direct placental vascular effects of different pharmacologic agents given during pregnancy and delivery.

Béla Endre Resch, Róbert Gáspár, George Falkay
Obstet Gynecol 2003 101: 297-304. [Abstract] [Full Text] [PDF]  

Does Cesarean Delivery Prevent Anal Incontinence?

Previously healthy primiparas can have severe anal incontinence after elective or prelabor cesarean delivery.

Mira Lal, Christopher H. Mann, Roger Callender, Simon Radley
Obstet Gynecol 2003 101: 305-312. [Abstract] [Full Text] [PDF]  

Pelvic Floor Muscle Training During Pregnancy to Prevent Urinary Incontinence: A Single-Blind Randomized Controlled Trial

Intensive pelvic floor muscle training during pregnancy prevents urinary incontinence during pregnancy and after delivery.

Siv Mørkved, Kari Bø, Berit Schei, Kjell Åsmund Salvesen
Obstet Gynecol 2003 101: 313-319. [Abstract] [Full Text] [PDF]  

Evaluation of the Fascial Technique for Surgical Repair of Isolated Posterior Vaginal Wall Prolapse

Rectovaginal septum reconstruction is effective in the symptomatic cure of the posterior vaginal wall prolapse.

K. Singh, E. Cortes, W. M. N. Reid
Obstet Gynecol 2003 101: 320-324. [Abstract] [Full Text] [PDF]  

Selecting Suspension Points and Excising the Vagina During Michigan Four-Wall Sacrospinous Suspension

The apex created at the Michigan modification sacrospinous suspension is often not at the hysterectomy scar.

R. Kearney, J. O. L. DeLancey
Obstet Gynecol 2003 101: 325-330. [Abstract] [Full Text] [PDF]  

Characterization of the Relationship Between Joint Laxity and Maternal Hormones in Pregnancy

Peripheral joint laxity increases during pregnancy but does not correlate well with changes in maternal levels of estradiol, progesterone, or relaxin.

Mary L. Marnach, Kirk D. Ramin, Patrick S. Ramsey, Seak-Whan Song, Jacqueline J. Stensland, Kai-Nan An
Obstet Gynecol 2003 101: 331-335. [Abstract] [Full Text] [PDF]  

Gabapentin’s Effects on Hot Flashes in Postmenopausal Women: A Randomized Controlled Trial

Gabapentin is effective in reducing hot flash frequency and severity in postmenopausal women.

Thomas Guttuso, Jr, Roger Kurlan, Michael P. McDermott, Karl Kieburtz
Obstet Gynecol 2003 101: 337-345. [Abstract] [Full Text] [PDF]  

Effect of Raloxifene on the Response to Conjugated Estrogen Vaginal Cream or Nonhormonal Moisturizers in Postmenopausal Vaginal Atrophy

Raloxifene (60 mg per day) does not affect the vaginal response to low-dose conjugated estrogen cream or nonhormonal moisturizer in postmenopausal women with signs of vaginal atrophy.

Anna Parsons, Diane Merritt, Amy Rosen, Hunter Heath, III, Suresh Siddhanti, Leo Plouffe, Jr
Obstet Gynecol 2003 101: 346-352. [Abstract] [Full Text] [PDF]  

Effect of Raloxifene on Sexual Function in Older Postmenopausal Women With Osteoporosis

Compared with placebo, raloxifene does not affect sexual function in older postmenopausal women undergoing therapy for the treatment of osteoporosis.

Francesmary Modugno, Roberta B. Ness, Susan Ewing, Jane A. Cauley
Obstet Gynecol 2003 101: 353-361. [Abstract] [Full Text] [PDF]  

Effects of Phenobarbital and Multiple-Dose Corticosteroids on Developmental Outcome at Age 7 Years

Antenatal phenobarbital and repeated corticosteroid therapy was not associated with intelligence, achievement, behavior, or head circumference at age 7 years.

James A. Thorp, Mary O’Connor, Brian Belden, Janice Etzenhouser, Edward L. Hoffman, Philip G. Jones
Obstet Gynecol 2003 101: 363-373. [Abstract] [Full Text] [PDF]  

Pregnancy-Related Substance Use in the United States During 1996–1998

Nearly all illicit drug-using pregnant women abstain from drug use by the third trimester, but three-fourths of them relapse postpartum.

Shahul H. Ebrahim, Joseph Gfroerer
Obstet Gynecol 2003 101: 374-379. [Abstract] [Full Text] [PDF]  

REVIEWS:

Screening for Gestational Diabetes: A Summary of the Evidence for the U.S. Preventive Services Task Force

Current evidence is insufficient to establish whether screening for gestational diabetes mellitus significantly improves maternal or neonatal health outcomes.

Seth C. Brody, Russell Harris, Kathleen Lohr
Obstet Gynecol 2003 101: 380-392. [Abstract] [Full Text] [PDF]  

CURRENT COMMENTARY:

Screening for Gestational Diabetes Mellitus: Recommendations and Rationale

The U.S. Preventive Services Task Force concludes that the evidence is insufficient to recommend for or against routine screening for gestational diabetes.

U.S. Preventive Services Task Force
Obstet Gynecol 2003 101: 393-395. [Full Text] [PDF]  

A Darwinian View of Obstructed Labor

There may be an evolutionary explanation for the existence of dystocia.

Robert P. Roy
Obstet Gynecol 2003 101: 397-401. [Abstract] [Full Text] [PDF]  

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

Prediction and Early Detection of Preterm Labor

Fetal fibronectin and cervical ultrasound improve the diagnostic accuracy for preterm labor but are insensitive as screening tests for preterm birth.

Jay D. Iams
Obstet Gynecol 2003 101: 402-412. [Abstract] [Full Text] [PDF]  

DEPARTMENTS:

Abstracts:

ABSTRACTS

Obstet Gynecol 2003 101: 413-415. [Full Text] [PDF]  

Letters to the Editor:

Vaginal Uterine Artery Ligation Avoids High Blood Loss and Puerperal Hysterectomy in Postpartum Hemorrhage

J. M. Palacios Jaraquemada, Michael S. Baggish, Gundula Hebisch, Albert Huch
Obstet Gynecol 2003 101: 416-418. [Full Text] [PDF]  

Benefits of Term Delivery in Infants With Antenatally Diagnosed Gastroschisis

Roger Lenke, Francois I. Luks, Stephen Carr
Obstet Gynecol 2003 101: 418-419. [Full Text] [PDF]  

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