Preventing higher-order multiple gestations would be associated with substantial reduction in excess early mortality in the United States.
Prospective risk of fetal death and neonatal death rate converge at term for singletons and twins and cross at approximately 36 weeks for triplets.
Compared with standard-cycle oral contraceptive regimens, the trimonthly-cycle regimen holds considerable promise as a way to reduce direct and indirect costs associated with monthly menstruation.
A table of categories of contraceptive effectiveness conveyed relative method effectiveness better than a table with numeric estimates of pregnancy risk.
Conservative management of endometrial cancer in young patients with progestins allows fertility and does not seem to worsen the outcome.
Electrocautery of the cervical cone bed provides effective hemostasis and requires shorter operative time compared with the suture method after cold-knife cervical conization.
Both umbilical venous base excess and pH are inversely related to the number of large fetal heart rate decelerations, but umbilical artery base excess and pH do not show any significant correlation with any of the computer-derived fetal heart rate parameters studied duringthe last hour of labor.
Asthma severity and medication use are associated with intrauterine growth restriction, gestational age, and preterm delivery; this finding supports current guidelines for managing the pregnant asthmatic patient.
Improved adherence to recommendations for prenatal screening for infectious diseases may reduce racial disparities in the prevention of congenital and perinatal diseases.
Rehydration of air-dried cervical smears is a feasible alternativeto immediate wet fixation, especially in resource-limited settings.
The overall incidence of cervical cancer is decreasing in young US women, and the previously increasing rates of adenocarcinoma have recently stabilized.
Fetal cell microchimerism might be involved in the pathogenesis or progression of cervical cancer.
Health care providers serving women at high risk for human immunodeficiency virus should strongly consider implementing a secondvoluntary universal human immunodeficiency virus test during the third trimester of pregnancy.
Recent increases in primary cesarean delivery are due to changesin maternal characteristics and obstetric practice.
Infants born after a prenatal sonographic identification of isolated micrognathia may have significant postnatal morbidity.
Maternal cardiac function in twin compared with singleton pregnancy is more hyperdynamic, with a steeper increase in mean arterial pressure and impaired left ventricular long axis functionafter midpregnancy.
Quantification of power Doppler signal with three-dimensional ultrasonography in the ovaries after pituitary suppression does not provide any additional information to predict the subsequent responseto gonadotrophin stimulation during in vitro fertilization.
A well-tolerated vaginal ring delivering the equivalent of 50 or 100 µg per day of estradiol improves vasomotor and urogenital symptoms of menopause, compared with placebo.
Sumatriptan 50-mg and 100-mg tablets are generally well toleratedand effective in providing pain-free relief of menstrual migraine when administered in the mild pain phase.
Helicobacter pylori infection is not associated withincreased dyspepsia in pregnant women.
The risk of spontaneous preterm birth increases with increasing levels of pregnancy glycemia, and this association is independent of perinatal complications that can trigger iatrogenic early delivery.
Uterine synechia might cause intrauterine head entrapment and intrauterine growth restriction and can be diagnosed by antenatal ultrasound.
In a patient with prior pregnancy losses, embolization of auterine arteriovenous malformation was followed by a successful twin gestation.
Danazol has the potential for medical management of uterine arteriovenous malformation in hemodynamically stable patients who do not respond to embolization.
Careful management of the pregnancy complicated by diabetes mellitus might reduce maternal morbidity and prevent perinatal morbidity and mortality.
Abstracts: ABSTRACTS Obstet Gynecol 2003 102: 869-872. [Full Text] [PDF]
Letters to the Editor: Antiphospholipid Syndrome: Obstetric Diagnosis, Management, and Controversies Dana P. Damron, Ware Branch Obstet Gynecol 2003 102: 873. [Full Text] [PDF]
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