EDITORIALS:

Obesity: A Sign of the Times

John T. Queenan
Obstet Gynecol 2004 103: 217-218. [Full Text] [PDF]  

ORIGINAL RESEARCH:

Maternal Morbid Obesity and the Risk of Adverse Pregnancy Outcome

In this large population-based cohort study, there is a strong association of morbid obesity in early pregnancy and adverse perinatal outcome.

Marie I. Cedergren
Obstet Gynecol 2004 103: 219-224. [Abstract] [Full Text] [PDF]  

Intrauterine Pressure During the Second Stage of Labor in Obese Women

Obese women generate second-stage intrauterine pressures equivalent to women with a normal body mass index; however, they require oxytocin augmentation more often.

Catalin S. Buhimschi, Irina A. Buhimschi, Andrew M. Malinow, Carl P. Weiner
Obstet Gynecol 2004 103: 225-230. [Abstract] [Full Text] [PDF]  

Correlates of Weight Loss Behaviors Among Low-Income African-American, Caucasian, and Latina Women

Among low-income, primarily overweight women, 15% reported using diet pills and 4% reported purging to lose weight in the last month.

Carmen Radecki Breitkopf, Abbey B. Berenson
Obstet Gynecol 2004 103: 231-239. [Abstract] [Full Text] [PDF]  

Diabetic Pregnancy Associated With Increased Epidermal Growth Factor in Cord Serum at Term

The rise in cord serum epidermal growth factor levels in diabetes may be a metabolic response to hyperglycemia.

Mikko Loukovaara, Pekka Leinonen, Kari Teramo, Sture Andersson, Henrik Alfthan, Ulf-Håkan Stenman
Obstet Gynecol 2004 103: 240-244. [Abstract] [Full Text] [PDF]  

Relief of Hot Flushes With New Plant-Derived 10-Component Synthetic Conjugated Estrogens

The results of a clinical trial show that the 0.3-mg, 0.625-mg, and 1.25-mg strengths of a new 10-component conjugated estrogens tablet significantly reduce vasomotor symptoms.

Wulf H. Utian, Samuel A. Lederman, Brenda M. Williams, Rhonda Y. Vega, William D. Koltun, Thomas W. Leonard
Obstet Gynecol 2004 103: 245-253. [Abstract] [Full Text] [PDF]  

Postmenopausal Hormone Therapy and Risk of Developing Urinary Incontinence

Postmenopausal hormone therapy, including several agents and regimens, may increase risk of developing urinary incontinence.

Francine Grodstein, Karen Lifford, Neil M. Resnick, Gary C. Curhan
Obstet Gynecol 2004 103: 254-260. [Abstract] [Full Text] [PDF]  

Effect of Raloxifene on Urinary Incontinence: A Randomized Controlled Trial

After 3 years of treatment, raloxifene had no significant effect on the severity, frequency, type, or perceived impact of urinary incontinence in postmenopausal women.

L. Elaine Waetjen, Jeanette S. Brown, Katharina Modelska, Terri Blackwell, Eric Vittinghoff, Steven R. Cummings
Obstet Gynecol 2004 103: 261-266. [Abstract] [Full Text] [PDF]  

Transition From Estrogen–Progestin to Raloxifene in Postmenopausal Women: Effect on Vasomotor Symptoms

Raloxifene does not appear to exacerbate vasomotor symptoms in women discontinuing estrogen-progestin therapy.

Stephen Gordon, Brian W. Walsh, Angelina V. Ciaccia, Suresh Siddhanti, Amy S. Rosen, Leo Plouffe, Jr
Obstet Gynecol 2004 103: 267-273. [Abstract] [Full Text] [PDF]  

Single Versus Weekly Courses of Antenatal Corticosteroids in Preterm Premature Rupture of Membranes

Weekly courses of antenatal corticosteroids in women with preterm premature rupture of membranes did not improve neonatal outcomes beyond a single course of therapy.

Men-Jean Lee, Jill Davies, Debra Guinn, Lisa Sullivan, M. Wendy Atkinson, Scott McGregor, Barbara V. Parilla, Kathleen Hanlon-Lundberg, Lynn Simpson, Joanne Stone, Deborah Wing, Keith Ogasawara, Jonathon Muraskas
Obstet Gynecol 2004 103: 274-281. [Abstract] [Full Text] [PDF]  

Predicting Failed Trial of Labor After Primary Cesarean Delivery

Failed trial of labor is not accurately predicted by scoring systems, although the risk of complications is high in those with unfavorable scores.

Mara J. Dinsmoor, Ellen L. Brock
Obstet Gynecol 2004 103: 282-286. [Abstract] [Full Text] [PDF]  

Maternal Temperature Monitoring During Labor: Concordance and Variability Among Monitoring Sites

Oral temperature measurement in labor correlates with intrauterine temperature but underestimates it by 0.8C, whereas skin and external auditory canal temperature do not correlate well.

Sujoy Banerjee, Peter Cashman, Steve M. Yentis, Philip J. Steer
Obstet Gynecol 2004 103: 287-293. [Abstract] [Full Text] [PDF]  

Cerebrovascular Hemodynamics in Pregnant Women With Mild Chronic Hypertension

Pregnant women with uncomplicated mild chronic hypertension have normal cerebrovascular reactivity.

Shlomit Riskin-Mashiah, Michael A. Belfort
Obstet Gynecol 2004 103: 294-298. [Abstract] [Full Text] [PDF]  

Screening for Partner Violence: Direct Questioning or Self-Report?

Self-report is an effective alternative to direct questioning in identifying women experiencing domestic partner violence.

Joan Webster, Victoria Holt
Obstet Gynecol 2004 103: 299-303. [Abstract] [Full Text] [PDF]  

Effectiveness of Screening for Cervical Cancer in an Inpatient Hospital Setting

Providing screening for cervical cancer in an inpatient academic hospital setting is an efficient means of targeting women at risk for disease.

Cornelia L. Trimble, Lynn A. Richards, Barbara Wilgus-Wegweiser, Karen Plowden, Dorothy L. Rosenthal, Ann Klassen
Obstet Gynecol 2004 103: 310-316. [Abstract] [Full Text] [PDF]  

ZYC101a for Treatment of High-Grade Cervical Intraepithelial Neoplasia: A Randomized Controlled Trial

ZYC101a is an experimental therapeutic agent that promotes the resolution of cervical intraepithelial neoplasia 2/3 in women younger than 25 years.

Francisco Garcia, Karl Ulrich Petry, Laila Muderspach, Michael A. Gold, Patricia Braly, Christopher P. Crum, Marianne Magill, Michael Silverman, Robert G. Urban, Mary Lynne Hedley, Kathleen J. Beach
Obstet Gynecol 2004 103: 317-326. [Abstract] [Full Text] [PDF]  

The Association Between Fetal Sex and Preterm Birth in Twin Pregnancies

A large population-based study concludes that male sex is associated with an increased risk of preterm birth in twin pregnancies.

Hongzhuan Tan, Shi Wu Wen, Walker Mark, Karen Fung Kee Fung, Kitaw Demissie, George G. Rhoads
Obstet Gynecol 2004 103: 327-332. [Abstract] [Full Text] [PDF]  

Fetal Ultrasound Training for Obstetrics and Gynecology Residents

Fetal ultrasound training for obstetrics and gynecology residencies is perceived as being adequate, although limited curriculum and faculty time are potential obstacles.

Wesley Lee, Andrea N. Hodges, Sterling Williams, Ivana M. Vettraino, Beverley McNie
Obstet Gynecol 2004 103: 333-338. [Abstract] [Full Text] [PDF]  

Increasing Recruitment of Quality Students to Obstetrics and Gynecology: Impact of a Structured Clerkship

Medical student satisfaction with the third-year clerkship increases with a structured rotation, including faculty involvement, clear objectives, and prompt feedback.

Terry S. Dunn, Doug Wolf, Julie Beuler, Charles C. Coddington
Obstet Gynecol 2004 103: 339-341. [Abstract] [Full Text] [PDF]  

Operative Note Dictation: Should It Be Taught Routinely in Residency Programs?

Formal instruction regarding operative dictation is effective and can be incorporated into residency education.

Amy C. Eichholz, Bradley J. Van Voorhis, Joel I. Sorosky, Brian J. Smith, Anil K. Sood
Obstet Gynecol 2004 103: 342-346. [Abstract] [Full Text] [PDF]  

Anesthetic Effect of Intrauterine Lidocaine Plus Naproxen Sodium in Endometrial Biopsy

Intrauterine lidocaine and oral naproxen sodium are better for pain relief associated with Pipelle endometrial biopsy when used in combination than when using either drug alone.

Erbil Dogan, Murat Celiloglu, Evrim Sarihan, Ahmet Demir
Obstet Gynecol 2004 103: 347-351. [Abstract] [Full Text] [PDF]  

Prevalence and Severity of Urinary Incontinence in Kidney Transplant Recipients

Urinary incontinence affects kidney transplant recipients and might not be predicted by a history of urinary incontinence before kidney failure.

Michael Heit, Linda Blackwell, Shannon Thomas, Rosemary Ouseph
Obstet Gynecol 2004 103: 352-358. [Abstract] [Full Text] [PDF]  

CURRENT COMMENTARY:

Interim Guidance for the Use of Human Papillomavirus DNA Testing as an Adjunct to Cervical Cytology for Screening

Human papillomavirus DNA-positive women with negative cervical cytology results should be retested in 6 to 12 months rather than referred for colposcopy.

Thomas C. Wright, Jr, Mark Schiffman, Diane Solomon, J. Thomas Cox, Francisco Garcia, Sue Goldie, Kenneth Hatch, Kenneth L. Noller, Nancy Roach, Carolyn Runowicz, Debbie Saslow
Obstet Gynecol 2004 103: 304-309. [Abstract] [Full Text] [PDF]  

Ethical Dimensions of Elective Primary Cesarean Delivery

Although beneficence-based and justice-based considerations favor vaginal delivery and there is no autonomy-based obligation to offer cesarean delivery, elective cesarean delivery is sometimes ethically permissible.

Howard Minkoff, Kathleen R. Powderly, Frank Chervenak, Lawrence B. McCullough
Obstet Gynecol 2004 103: 387-392. [Abstract] [Full Text] [PDF]  

Evaluating Evaluation Forms Form

A new and questionably useful form is introduced for evaluating evaluation forms.

Roger P. Smith
Obstet Gynecol 2004 103: 394-396. [Abstract] [Full Text] [PDF]  

REVIEWS:

Combination Estrogen–Progestin Contraceptives and Body Weight: Systematic Review of Randomized Controlled Trials

A systematic review of randomized controlled trials finds no evidence that combination contraceptive use leads to changes in body weight.

Maria F. Gallo, David A. Grimes, Kenneth F. Schulz, Frans M. Helmerhorst
Obstet Gynecol 2004 103: 359-373. [Abstract] [Full Text] [PDF]  

Minimizing the Risk of Neurologic Injury in Gynecologic Surgery

A thorough understanding of the anatomy of the lumbosacral nerve plexus is essential to reduce the risk of intraoperative injuries to this plexus during gynecologic surgical procedures.

William Irvin, Willie Andersen, Peyton Taylor, Laurel Rice
Obstet Gynecol 2004 103: 374-382. [Abstract] [Full Text] [PDF]  

CASE REPORTS:

Laparoscopic Exposure in Obese High-Risk Patients With Mechanical Displacement of the Abdominal Wall

A simple technique that uses mechanical displacement of the anterior abdominal wall assists with carbon dioxide insufflation during laparoscopy in obese patients.

Michael P. Stany, William E. Winter, III, Louis Dainty, Ernest Lockrow, Jay W. Carlson
Obstet Gynecol 2004 103: 383-386. [Abstract] [Full Text] [PDF]  

PERSONAL PERSPECTIVES:

Life Comes Full Circle

Richard H. Schwarz
Obstet Gynecol 2004 103: 393. [Full Text] [PDF]  

DEPARTMENTS:

Abstracts:

ABSTRACTS

Obstet Gynecol 2004 103: 397-399. [Full Text] [PDF]  

Letters to the Editor:

Is the Intrapartum Biophysical Profile Useful?

Carl A. Krantz, Lynn E. T. Shaffer, So Young Kim, Meena Khandelwal, John P. Gaughan, Mehmet Agar, E. Albert Reece
Obstet Gynecol 2004 103: 400. [Full Text] [PDF]  

Asymmetric Distribution of Sciatic Nerve Endometriosis

Ronald E. Batt, John Yeh, Philippe R. Koninckx, Paolo Vercellini, Giada Frontino
Obstet Gynecol 2004 103: 400-a-401-a. [Full Text] [PDF]  

Superiority of Electrocautery Over the Suture Method for Achieving Cervical Cone-Bed Hemostasis

Frank S. Billingsley, Aparna A. Kamat
Obstet Gynecol 2004 103: 401-402. [Full Text] [PDF]  

ACOG PUBLICATIONS:

ACOG Committee Opinion. Number 293, February 2004: Uterine Artery Embolization

Obstet Gynecol 2004 103: 403-404. [PDF]  

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