This study demonstrates that a testosterone patch (300 {micro}g/d) provides effective, well-tolerated therapy for treatment of hypoactive sexual desire disorder in surgically menopausal women.
History of a cesarean delivery is not associated with an increased risk for placenta previa in the second trimester.
Use of a subcutaneous drain in addition to a standard suture reapproximation technique is ineffective in preventing wound complications in obese women undergoing cesarean delivery.
Women receiving epidural analgesia do not have more occiput posterior fetuses at admission but are 4 times more likely to have an occiput posterior fetus at delivery.
Increasing maternal age is a risk factor for miscarriage, chromosomal abnormalities, gestational diabetes, placenta previa, placental abruption, cesarean delivery, and perinatal loss, but not for hypertensive complications.
Brief interventions for prenatal alcohol use reduce subsequent consumption the most for women with the highest initial consumption and when their partners participate.
Fifteen years after a randomized trial of pelvic floor muscle training, the initial superiority of intensive training in reducing stress urinary incontinence was not maintained.
Low-molecular-weight heparin (dalteparin) is inferior to thrice-daily subcutaneous heparin for prevention of postoperative deep venous thrombosis or pulmonary embolus in women with gynecologic malignancy.
Vaginal thickness is similar in women with and in those without pelvic organ prolapse, but the vaginal perimeter and cross-sectional areas are larger in prolapse patients.
We describe a condition involving recurrent fissuring of the posterior fourchette and a successful repair technique.
The incidence of postcesarean endometritis is decreased after the use of preoperative vaginal preparation with povidone-iodine.
A cause-and-effect analysis shows that significant proportions of adverse outcomes in an obstetrics-gynecology department seem to be related to issues of diagnosis, communication, and surgical care.
A large fetal-maternal hemorrhage may be more common than previously reported, with no difference between vaginal and cesarean deliveries.
Increased liveborn parity predisposes to low birth weight mainly as a result of preterm delivery.
The ectopic pregnancy rate at Kaiser Permanente during 1997-2000 was 20.7 per 1,000 reported pregnancies, with approximately 35% of cases receiving medical therapy.
Nuchal translucency thickness tends to be greater in fetuses with unbalanced chromosomal translocation than in those with normal or balanced karyotype.
This detailed analysis of estrogen plus progestin effects among WHI clinical trial participants showed relief of typical menopausal symptoms but multiple adverse effects.
This randomized placebo-controlled trial provides safety data and proof that the isopropanolic black cohosh extract is more effective than placebo in treating climacteric symptoms.
The increase in preterm birth in the United States is due to increases in medically indicated preterm birth and is associated with a reduction in perinatal mortality.
Neonates with an isolated single umbilical artery are at similar risk of being small for gestational age compared with infants with 3-vessel umbilical cords.
Surgery can be postponed until the postpartum period in select patients diagnosed with an adnexal mass during pregnancy.
Transdermal and oral drug delivery do not have identical pharmacodynamic effects; certain clinical situations support transdermal administration of drugs over their oral counterparts.
For first-trimester miscarriage, surgical management has somewhat better success rates than medical management, whereas expectant approaches exhibit variable success rates across studies.
Using inappropriate surrogate end points in clinical research leads to wrong conclusions that, in turn, waste resources and harm patients.
There are no rigorous studies of the safety of herbal remedies; it should not be assumed that they are safe for the mother or fetus.
The American College of Obstetricians and Gynecologists and the Association of Professors of Gynecology and Obsterics are working jointly, in a multifaceted approach, to reverse the decline in the number of students choosing a career in obstetrics and gynecology.
The use of progesterone therapy to prevent recurrent preterm delivery is appropriate for women with a prior spontaneous preterm delivery.
Medical Letter: Topiramate (Topamax) for Prevention of Migraine Obstet Gynecol 2005 105: 1136-1137. [Full Text] [PDF] Treatment of Menopausal Vasomotor Symptoms Obstet Gynecol 2005 105: 1137-1139. [Full Text] [PDF] Initial Therapy of Hypertension Obstet Gynecol 2005 105: 1140-1142. [Full Text] [PDF]
Abstracts: Early surgery versus initial conservative treatment in patients with spontaneous supratentorial intracerebral haematomas in the International Surgical Trial in Intracerebral Haemorrhage (STICH): a randomized trial Obstet Gynecol 2005 105: 1143. [Full Text] [PDF] Safety and immunogenicity of new cell-cultured smallpox vaccine compared with calf-lymph derived vaccine: a blind, single-center, randomized controlled trial Obstet Gynecol 2005 105: 1143-a. [Full Text] [PDF] Decline in mortality due to varicella after implementation of varicella vaccination in the United States Obstet Gynecol 2005 105: 1143-b-1144-b. [Full Text] [PDF] Malignancies, prothrombotic mutations, and the risk of venous thrombosis Obstet Gynecol 2005 105: 1144. [Full Text] [PDF] Maternal and infant characteristics associated with perinatal arterial stroke in the infant Obstet Gynecol 2005 105: 1144-a-1145-a. [Full Text] [PDF] The risk of cesarean delivery with neuraxial analgesia given early versus late in labor Obstet Gynecol 2005 105: 1145. [Full Text] [PDF] Effect of expedited treatment of sex partners on recurrent or persistent gonorrhea or chlamydial infection Obstet Gynecol 2005 105: 1145-a. [Full Text] [PDF] The effects of a smoking cessation intervention on 14.5-year mortality: a randomized clinical trial Obstet Gynecol 2005 105: 1146. [Full Text] [PDF] Ximelagatran versus low-molecular-weight heparin and warfarin for the treatment of deep vein thrombosis: a randomized trial Obstet Gynecol 2005 105: 1146-a. [Full Text] [PDF]
Letters to the Editor: Melissa Rowland and the Rights of Pregnant Women Susan M. Haack Obstet Gynecol 2005 105: 1147. [Full Text] [PDF] Melissa Rowland and the Rights of Pregnant Women Marwan Habiba Obstet Gynecol 2005 105: 1147-a-1148-a. [Full Text] [PDF] Melissa Rowland and the Rights of Pregnant Women Howard Minkoff, Lynn Paltrow Obstet Gynecol 2005 105: 1148. [Full Text] [PDF] Regarding Plan B: Science and Politics Cannot be Separated Farr A. Curlin, Daniel E. Hall Obstet Gynecol 2005 105: 1148-a-1150-a. [Full Text] [PDF] Regarding Plan B: Science and Politics Cannot be Separated David A. Grimes Obstet Gynecol 2005 105: 1150. [Full Text] [PDF] Regarding Plan B: Science and Politics Cannot be Separated Charles J. Lockwood, Michael F. Greene Obstet Gynecol 2005 105: 1150-a-1151-a. [Full Text] [PDF] World Health Organization Systematic Review of Screening Tests for Preeclampsia Jeltsje S. Cnossen, Ben W. Mol, Joris A. M. van Der Post, Patrick M. M. Bossuyt, Gerben ter Riet Obstet Gynecol 2005 105: 1151-1152. [Full Text] [PDF] World Health Organization Systematic Review of Screening Tests for Preeclampsia José Villar, Agustin Conde-Agudelo, Marshall Lindheimer Obstet Gynecol 2005 105: 1152. [Full Text] [PDF]
Transient diabetes insipidus of pregnancy with life-threatening hypernatremia may result when circulating vasopressinase overwhelms pituitary arginine vasopressin secretion, but it is easily treated.
Sutures in the endometrial cavity to control postpartum hemorrhage may result in uterine synechiae.
A history of an endometrial ablation can cause significant obstetric complications.
Vaginal cysts may present as prolapse, which may require examination in different positions and the use of ancillary testing.
Dopaminergic extra-adrenal pheochromocytomas may be managed conservatively during pregnancy.
Direct immunofluorescence may be used to differentiate between inflammatory diseases of the vulva, such as mucous membrane pemphigoid, lichen sclerosus, and erosive lichen planus.
Control model of the acquired development of adenomyosis serves to prove pregnancy-related etiology in a bicornuate uterus involving unilateral cornual adenomyosis.
Unusual fistula formation can be a long-term complication from anti-incontinence surgery.
In pregnant women with a history of gastric bypass surgery, internal hernias should be considered in the differential diagnosis of anorexia, nausea, and abdominal pain.
Uterine granulomatous reactions are a potential adverse effect of interferon-{alpha} therapy for chronic hepatitis C infection.
A vertical incision in the anterior uterine wall and subsequent complete eversion of the uterus aids in manually removing placenta accreta.
Single doses of methotrexate and misoprostol for medical termination can be associated with multiple congenital anomalies and growth restriction.
Benign vaginal villi, discovered during deinfibulation of female genital cutting, resolved spontaneously after deinfibulation.
Oral estrogens can be Used to delay ovulation until resumption of intercourse.
Despite honoring a patient's request not to apply traction to the fetal head during an uncomplicated spontaneous vaginal delivery, a neonate exhibited Erb-Duchenne palsy that only resolved on the fourth day of life.
Maternal death secondary to Escherichia coli sepsis and disseminated intravascular coagulation occurred after uncomplicated genetic amniocentesis.
A premenopausal woman with a follicle stimulating hormone-secreting pituitary microadenoma exhibited dramatic fluctuations in serum estradiol concentrations and ovarian hyperstimulation during conservative management.
Rapid growth of a simple ovarian follicular cyst can become a significant complication in the third trimester of pregnancy.
Severe ophthalmopathy in pregnancy may require surgical intervention.
Von Willebrand's disease may help explain why conservative management of menorrhagia may fail.
Fetus with findings of Dandy-Walker malformation, asymmetric microphtalmia, oligodactyly with thumb aplasia and intrauterine growth restriction during prenatal sonographic evaluation should be a reminder of the 13q-syndrome and warrant cytogenetic analysis.
Significant symphyseal separation is a rare obstetrical complication with varied etiologies and should be considered in postpartum patients complaining of suprapubic pain and ambulatory difficulties.
This case report describes an interesting and treatable cause of hypertension in an 18-week pregnant woman.
Umbilical cord stricture may be a cause of recurrent fetal death.
Symptomatic intrauterine device perforation of the cecum is a rare complication that may be managed with appendectomy.
Hemophagocytic lymphohistiocytosis should be considered when encountering cytopenia with high-grade fever in pregnant patients.
Urea cycle disorders are likely underrecognized cause of postpartum "psychosis" and, therefore, should be considered in such a clinical setting.
We describe the successful conservative management of placenta previa percreta with bladder invasion in a gravida who would not accept donor blood or blood products.
Physicians should be aware that, in limited situations, oral methotrexate in combination with hysterectomy can offer a patient successful treatment for advanced-stage gestational trophoblastic neoplasia.
The combination of human immunodeficiency virus and pregnancy in addition to antibiotics, such as nitrofurantoin, may trigger the occurrence of Stevens-Johnson Syndrome.
The diagnosis and management of a large recurrent retroperitoneal liposarcoma is described; after ruling out signs of local invasion, a transperitoneal resection was performed.
Patients treated with oral antibiotics in the late third trimester may have a temporary negative group B streptococcus screen.
Unusual presentations of pruritic urticarial papules and plaques of pregnancy with palmoplantar involvement or vesicle formation may be confused with other skin conditions with maternofetal consequences.
A case of a recurrent mature cystic ovarian teratoma occurred in an adolescent.
A solution containing octenidine dihydrochloride and phenoxyethanol, used for peritoneal lavage, played a role in the development of chemical serositis with effusion after laparotomy.
Vaginectomy with acellular dermal graft neovagina was performed for vaginal occlusion secondary to recurrent erosive vulvovaginal lichen planus.
Liver infarction is a possible diagnosis in a patient with antiphospholipid syndrome who presents with chest or abdominal pain in the postpartum period.
Awareness of the practice of genital piercing and the importance of obtaining a good history.
A prenatally detected fetal ductus arteriosus aneurysm ruptured after dexamethasone administration and tocolysis with terbutaline.
Data suggest that tamoxifen is associated with the development of uterine cancer. Other selective estrogen receptor modulators, specifically raloxifene, may also be involved.
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