Treatment with metronidazole plus erythromycin of asymptomatic women with a positive cervical or vaginal fetal fibronectin test late in the second trimester does not decrease spontaneous preterm delivery.
Amnio–polymerase chain reaction can be an alternative to conventional cytogenetic study for women with positive biochemical screening for fetal Down syndrome and no demonstrable fetal structural abnormality.
Elevated vaginal fluid neutrophil defensins at 24–29 weeks' gestation is associated with birth before 32 weeks but not with preterm birth later in gestation.
Younger age at delivery, forceps delivery, increased body mass index, and previous gynecologic surgery are risk factors associated with subsequent surgery for pelvic floor disorders.
Observer reproducibility and overall diagnostic accuracy of laparoscopic diagnosis of pelvic inflammatory disease areunsatisfactory when histopathology is used as the gold standard.
Differences in comorbidities and severity of disease explain observed differences in complications of myomectomy in black and white women.
International Federation of Gynecology and Obstetrics stage, size of residual tumor at the end of primary surgery, and age at diagnosis were the only independent prognostic factors of survival in ovarian cancer patients.
Although obstetrician–gynecologists are concerned about depression, believe depression screening is effective, and often screen patients for depression, they perceive screening as difficult in everyday practice.
An association exists between first trimester nuchal translucency and second trimester cardiac echogenic foci.
Absent nasal bone in the second trimester of pregnancy has asensitivity of 41% and a specificity of 100% in the detection offetal trisomy 21 in a high-risk population.
Increasing birth weight discordance among triplets is associated with increased risk of fetal death and smallness for gestational age.
Persistent fetal occiput posterior position is associated with significantly more obstetric complications and fewer spontaneous vaginal deliveries than the occiput anterior position in term laboring patients.
Oral misoprostol plus intravenous infusion of oxytocin is the most effective preventive measure against postpartum hemorrhage when compared with conventional oxytocics.
The tension-free vaginal tape procedure has an acceptable complication rate.
Lateral deviation of the tension-free vaginal tape needle can lead to major vascular injury.
Patients treated with radiation therapy for cervical cancer may still have viable endometrium and can develop endometrial cancer.
The risk for spontaneous abortion is not increased among pregnancies conceived using assisted reproductive technology.
Misoprostol tablets are absorbed via the rectal route and display different absorption kinetics and lower incidence of adverse effects than when administered via the oral route.
Fetal platelet activation is associated with the placental vascular disease that is detected by umbilical artery Doppler study.
Expedited human immunodeficiency virus results for women delivering infants are usually available within the state-mandated 48-hour period but often exceed the interval for optimal interventionagainst perinatal transmission.
Human immunodeficiency virus 1–serodiscordant couples interested in assisted reproduction are generally healthy, taking antiretroviral therapy, educated, motivated, and in stable relationships, and haveunique reproductive issues and concerns.
Bladder tumor can be found during the tension-free vaginal tape procedure, and the postprocedure transurethral resection of the bladder tumor does not exacerbate urinary in continence.
Vulvar lymphangioma circumscriptum, whether acquired orcongenital, is a rare benign condition whose proper identification may prevent inappropriate treatment.
The number of medical schools in The American College of Obstetricians and Gynecologists districts is predictive for the number of papers published recently from each district in four specialty journals.
A change in the way we practice obstetrics is warranted.
Hirsutism is a frequent and distressing disorder, often reflecting androgen excess, with a systematic approach to evaluation and combination therapy providing satisfactory treatment.
Abstracts: ABSTRACTS Obstet Gynecol 2003 101: 1017-1019. [Full Text] [PDF]
Letters to the editor: Bleeding Patterns of the Hormone Replacement Therapies in the Postmenopausal Estrogen and Progestin Interventions Trial James A. Simon, James P. Symons, Etta A. Lindenfeld, Robert D. Langer Obstet Gynecol 2003 101: 1020-1021. [Full Text] [PDF] Screening Interval and Risk of Invasive Squamous Cell Cervical Cancer Narendra Pisal, Michael Sindos, Albert Singer, Marie Grisham Miller, Robert A. Hiatt, George F. Sawaya, Hai-Yen Sung Obstet Gynecol 2003 101: 1021-1022. [Full Text] [PDF] Local Relapse in Patients Treated for Squamous Cell Vulvar Carcinoma: Incidence and Prognostic Value Peter G. Rose, Bassam Haddad Obstet Gynecol 2003 101: 1022-1023. [Full Text] [PDF] Prospective Risk of Stillbirth in Multiple Gestation Pregnancies: A Population-Based Analysis Tony Y. T. Tan, Sara Paterson-Brown, Nicholas M. Fisk Obstet Gynecol 2003 101: 1023. [Full Text] [PDF] Effect of Adding Biofeedback to Pelvic Floor Muscle Training to Treat Urodynamic Stress Incontinence Hjalmar Schiøtz, Siv Mørkved, Kari Bø, Torill Fjørtoft Obstet Gynecol 2003 101: 1024-1025. [Full Text] [PDF] Reflection Richard C. Boronow, James R. Scott Obstet Gynecol 2003 101: 1025-1026. [Full Text] [PDF]
ABOG CERTIFICATION: Diplomates Passing the 2002 Ob/Gyn Oral Examination on 11/08/2002, 12/13/2002, and 01/17/2003 Obstet Gynecol 2003 101: 1027-1037. [Full Text] [PDF]
The authors describe a rare tumor of the clitoris that should not be so infrequent considering the high number of female genital mutilations performed.
A case of urethral erosion related to urethral dilatation after placement of tension-free vaginal tape is described.
Vaginal evisceration can be repaired transvaginally in certain cases, provided that the herniated structure can be entirely explored.
Malignancy should be included in the differential diagnosis of unusual, unexplained cases of thromboembolism in pregnancy.
C-reactive protein is excreted by the fetal kidneys as early as 15 weeks' gestation.
Buttock burns encountered during thermal balloon endometrialablation were related to an inadequately cooled weighted speculum.
Alkaptonuric ochronosis can be a rare cause of vaginalhyperpigmentation.
Resorting immediately to delivery of the posterior arm during asevere shoulder dystocia after the McRoberts maneuver and traction failed resulted in a successful atraumatic delivery.
The use of anabolic steroids in the treatment of human immunodeficiency virus can cause reversible azoospermia complicating assisted reproduction in human immunodeficiency virus–serodiscordant couples.
A 2-day delay in delivery in a patient with preterm antepartum eclampsia allowed administration of steroids for fetal lung maturity enhancement.
A young woman with primary amenorrhea and sexual infantilism was found to have ovarian resistance after extensive workup.
Intracranial blood flow volume was increased at the onset of postpartum photophobia with blood pressure elevation in a preeclamptic woman.
A cystic right lower quadrant abdominal mass with peristalsis found at prenatal ultrasonography was confirmed at laparotomy as congenital duplication of the cecum.
Two unusual cases are presented of women with a leiomyoma of over 40 kg (88 lb) arising from a normal-sized uterus.
Hypodysfibrinogenemia, an autosomally dominant disease associated with postpartum hemorrhage and placental abruption, can result in asuccessful pregnancy outcome with careful management.
Drug rash with eosinophilia and systemic symptoms syndrome and renal failure were associated with nevirapine therapy in a pregnant human immunodeficiency virus type 1–infected woman.
Familial Mediterranean fever should be included in the differential diagnosis of patients of Mediterranean ancestry presentingwith recurrent pelvic inflammatory disease.
A case of a unique, atypical clinical presentation of the rare entity of "wandering spleen" in a pregnant patient during her third trimester is reported.
Wandering spleen can present as an asymptomatic solid pelvic mass.
We report a case of sonographic diagnosis of fetal anomalies after failed pregnancy termination with methotrexate.
Serial amnioreductions delayed delivery and resulted in intact survival for all three fetuses in triplet fetofetal transfusion.
Allowing a trial of labor and vaginal delivery in women with transverse vaginal septa is a reasonable management option in selected cases.
Aggressive management of adult-onset Still disease in pregnancycan result in good maternal and fetal outcomes.
Vibroacoustic stimulation may warrant caution, particularly in the setting of preexisting fetal arrhythmias.
Preeclampsia-induced liver enzyme elevations that failed tonormalize 8 weeks postpartum led to the diagnosis of type III autoimmune hepatitis.
Erosive lichen planus is an important cause of dyspareunia, which can be diagnosed clinically and responds to appropriate medical therapy.
Use of a rigid dilator in an attempt to lengthen a heavily radiated vaginal cuff was followed by the development of a rectovaginal fistula in two patients.
Episiotomy site recurrence of cervical cancer is a rare event. Treatment with a combination of surgery and radiation is recommended.
A differential diagnosis of malignancy should be entertainedduring an evaluation of systemic eosinophilia.
Smooth muscle tumors of the rectum are a rare type of retroperitoneal mass that may mimic an adnexal mass.
Women with fetuses at risk for 21-hydroxylase deficiency obtainclinical benefits from analysis of cell-free fetal deoxyribonucleic acid in maternal plasma for fetal sex determination.
Gestational trophoblastic tumor is a rare complication of early medical abortion with mifepristone–misoprostol.
Urgent surgical intervention may be considered in the treatment of gigantomastia during pregnancy or postpartum.
Fetal subdural hematoma developed during maternal total parenteral nutrition in a patient with vitamin K deficiency.
Patients with suspected false positive human chorionic gonadotropin results should be reassayed for human chorionic gonadotropin levels after treating their serum with heterophile blocking agents to eliminate interfering serum heterophile antibodies.
A case of King syndrome in pregnancy is described.
This report describes magnetic resonance imaging and successful preservation of fertility with a cervicoisthmic pregnancy at 21 weeks'gestation.
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