Physician characteristics, as opposed to patient characteristics or intrapartum factors, are a major determinant of whether laboring patients are offered cesarean delivery.
From 1996 to 2000, there was little change in the risk for preterm low birth weight (LBW) among singletons born after assisted reproductive technology; however, term LBW declined.
Early amniocentesis at 13 weeks carries a significantly increased risk of talipes equinovarus compared with chorionic villus sampling and possibly an increase in early, unintended pregnancy loss.
In monochorionic pregnancies with twin-twin transfusion syndrome, antenatal detection of an artery to artery anastomosis predicts higher perinatal and double survival independent of disease stage.
Adequate numbers of first-trimester exposures to nelfinavir have been monitored to detect a 2-fold increase in risk of birth defects; none has been detected.
Pregnant women with rheumatologic diseases are at increased risk of having preeclampsia.
This retrospective cohort study of 12,193 infertility patients generally shows reassuring results regarding the effects of ovulation-stimulating drugs on subsequent ovarian cancer risk.
The incidence of micrometastases in node-negative, early-stage cervical cancers is 15% (95% confidence interval 9%, 22%) and does not appear to be associated with the standard clinical predictors of recurrence.
The magnitude of gynecologic symptoms is a significant correlate of patients' depression and anxiety reports, with age and the absence of a partner also conferring vulnerability.
The contribution to maternal mortality from ectopic pregnancy has decreased in Michigan; racial disparities are large and sudden death is the most common clinical scenario.
Simulation training improved resident competency in the management of shoulder dystocia.
During the past 16 years, the American College of Obstetricians and Gynecologists Fellows have become increasingly more responsible for managing glucose levels in pregnancies complicated by gestational and type 1 diabetes mellitus.
Genetic variation in the calpain-10 gene is associated with alterations in glucose metabolism in pregnant women.
High glucose challenge test thresholds cannot be used as a single diagnosis tool for gestational diabetes mellitus.
Low maternal age is associated with increased neonatal mortality of extremely preterm twins, especially in the early neonatal period.
Although fewer amniocenteses and chorionic villus sampling procedures are now performed, the detection rate for fetal aneuploidy has remained constant.
Intrauterine lidocaine is no more effective than placebo in decreasing the discomfort associated with hysterosalpingograms in women who have taken a nonsteroidal agent.
A 1% intrauterine lidocaine infusion with standard paracervical block had no effect on first-trimester abortion procedure perceived pain and demonstrated no toxic effects.
The course of pregnancy of patients with {beta}-thalassemia minor is favorable, although higher rates of intrauterine growth restriction were found.
A cohort study following women with homozygous sickle cell disease (subjects) and women with a normal hemoglobin genotype (controls) from birth confirms that subjects have more frequent adverse pregnancy outcomes.
In prolonged preterm premature rupture of membranes, reduced fetal growth during the latency period is associated with an increased risk of infant neurodevelopmental impairment at 2-year follow-up.
Grand multiparas present various prenatal risk factors but appear to have no increased rate of intrapartum complications.
Pregnancy outcomes are worse among mothers in common-law unions than among mothers in traditional marriage relationships.
Fast-absorbing polyglactin 910 and chromic sutures are associated with similar pain, wound breakdown, and need for suture removal when used for postpartum perineal repairs.
Evidence suggests children conceived with assisted reproductive technology are at increased risk for adverse health outcomes. Further study is needed to disentangle treatment and infertility effects.
In the United States, there is wide geographical variation in the per capita distribution of obstetrics and gynecology residency training positions.
Vaginal hysterectomy continues to be underused in the United States compared with abdominal hysterectomy, despite well-documented medical and economic advantages of the vaginal approach.
Guidance is provided for answering questions from pregnant flight crew members and casual travelers about exposure to cosmic radiation during air travel.
Published clinical trials demonstrated that daily mifepristone results in a decrease in uterine leiomyoma size and symptoms.
Abstracts: Frequency and natural history of subdural haemorrhages in babies and relation to obstetric factors Obstet Gynecol 2004 103: 1337. [Full Text] [PDF] Patient-controlled transdermal fentanyl hydrochloride versus intravenous morphine pump for postoperative pain: a randomized controlled trial Obstet Gynecol 2004 103: 1337-a. [Full Text] [PDF] Outcomes at school age after postnatal dexamethasone therapy for lung disease of prematurity Obstet Gynecol 2004 103: 1337-b-1338-b. [Full Text] [PDF] Effect of antibacterial home cleaning and handwashing products on infectious disease symptoms: a randomized, double-blind trial Obstet Gynecol 2004 103: 1338. [Full Text] [PDF] Factor V Leiden and the risk for venous thromboembolism in the adult Danish population Obstet Gynecol 2004 103: 1338-a-1339-a. [Full Text] [PDF] Prospective study of type 2 diabetes and cognitive decline in women aged 70–81 years Obstet Gynecol 2004 103: 1339. [Full Text] [PDF] Cognitive ability in childhood and cognitive decline in mid-life: longitudinal birth cohort study Obstet Gynecol 2004 103: 1339-a. [Full Text] [PDF] Embryo development after heterotopic transplantation of cryopreserved ovarian tissue Obstet Gynecol 2004 103: 1339-b-1340-b. [Full Text] [PDF] A randomized trial of exemestane after two to three years of tamoxifen therapy in postmenopausal women with primary breast cancer Obstet Gynecol 2004 103: 1340. [Full Text] [PDF]
Letters to the Editor: Teaching Infrequently Used Skills: Vaginal Breech Delivery Brooks Ranney Obstet Gynecol 2004 103: 1341. [Full Text] [PDF] Teaching Infrequently Used Skills John T. Queenan Obstet Gynecol 2004 103: 1341-a. [Full Text] [PDF] Conversion From Vertex to Breech After Extra-amniotic Saline Installation Sharon Maslovitz Obstet Gynecol 2004 103: 1341-b-1342-b. [Full Text] [PDF] Pregnancy-Related Mortality Due to Cardiomyopathy: United States, 1991–1997 James D. Fett Obstet Gynecol 2004 103: 1342. [Full Text] [PDF] Pregnancy-Related Mortality Due to Cardiomyopathy: United States, 1991–1997 Sara J. Whitehead, Cynthia J. Berg, Jeani Chang Obstet Gynecol 2004 103: 1343. [Full Text] [PDF]
Errata: Erratum Obstet Gynecol 2004 103: 1344. [Full Text] [PDF] Erratum Obstet Gynecol 2004 103: 1344-a. [Full Text] [PDF] Erratum Obstet Gynecol 2004 103: 1344-b. [Full Text] [PDF] Erratum Obstet Gynecol 2004 103: 1344-c. [Full Text] [PDF]
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