Vacuum-assisted vaginal deliveries are associated with higher rates of shoulder dystocia and cephalohematoma, but lower rates of perineal lacerations, than forceps deliveries.
Shoulder dystocia in the setting of vacuum extraction is a prominent risk factor for obstetric brachial plexus palsy in the newborn.
Magnetic resonance imaging pelvimetry can identify women at greatest risk of dystocia but is not a significant improvement over previously described pelvimetric technique.
Gestational hypertensive disease is approximately 2-fold higher for twin and 3-fold higher for triplet gestations compared with singletons; quadruplet gestations do not have further added risk.
Uterine artery embolization for leiomyomata provides durable symptom control for most patients, with low rates of hysterectomy and other interventions.
Estrogen plus progestin therapy increases risk of urge and stress incontinence within 4 months of beginning treatment.
Ultralow-dose transdermal estradiol has no clinically significant effect on urinary incontinence.
Remodeling of vaginal connective tissue is accelerated in women with prolapse, as demonstrated by increased expression of collagen and active collagen degrading enzyme.
Pregnancy outcomes after adjustable gastric band-induced weight loss are consistent with general community outcomes rather than those of severely obese women.
Transient hypothyroxinemia is common in women with severe hypertensive disorders of pregnancy, accompanied by compromised neonatal thyroid function due to prenatal acidosis.
Neither cervical nor vaginal fetal fibronectin predicts vaginal delivery in nulliparous women undergoing cervical ripening with the intracervical Foley catheter.
Maternal third-trimester cigarette consumption is a strong and independent predictor of newborn birth weight percentile.
In a population of women with a pregnancy of unknown location, few factors predict women with a miscarriage.
Bladder perforation rates for the tension-free vaginal tape are higher for inexperienced surgeons, and there appears to be a learning curve.
Involvement of the female genital tract in pemphigus vulgaris is rare and generally occurs in the setting of severe disease, but patients can have full recovery without sequelae.
Adherent Gardnerella vaginalis biofilm is a prominent feature of bacterial vaginosis, and bacterial biofilms are absent on the vaginal epithelial surface of healthy controls.
A polymorphism of the HSD17 gene is associated with endometriosis, but no gene-gene interactions with COMT-, CYP17-, CYP1A1-, CYP19-, CYP1B1-, and ER polymorphisms were found.
Nevirapine-associated hepatic toxicity may be more frequent when initiated during the third trimester.
Use of assisted reproductive technology, either in vitro fertilization or ovulation induction, is associated with a significant risk of adverse pregnancy outcome in singleton pregnancies.
Severe asthma exacerbations occurred in 36 of pregnant women with asthma and were associated with an increased rate of low birth weight among male neonates.
The American College of Obstetricians and Gynecologists (ACOG) has stringent requirements for fairness and accuracy in expert medical testimony; testimony is subject to review and sanctions by ACOG and other groups.
Current guidelines are presented for identifying children with fetal alcohol syndrome and for identifying and intervening with women at-risk for an alcohol-exposed pregnancy.
Conflicts between male and female reproductive agendas continue to play out in contemporary issues of sex, power, and politics.
The evidence suggests that depression is a common complication of pregnancy and the postpartum period and is as frequent during childbearing as during nonchildbearing periods.
Urinary tract infections occur commonly in women and remain a major public health concern in the 21st century.
Medical Letter: Dehydroepiandrosterone (DHEA) Obstet Gynecol 2005 106: 1096-1097. [Full Text] [PDF] Colonoscopy Preparations Obstet Gynecol 2005 106: 1097-1099. [Full Text] [PDF] Treatment of Lyme Disease Obstet Gynecol 2005 106: 1099-1100. [Full Text] [PDF] Pegaptanib Sodium (Macugen) for Macular Degeneration Obstet Gynecol 2005 106: 1100-1101. [Full Text] [PDF]
Abstracts: A Comparison of Medical Management With Misoprostol and Surgical Management for Early Pregnancy Failure Obstet Gynecol 2005 106: 1102. [Full Text] [PDF] Systematic Review and Meta-Analysis of Strategies for the Diagnosis of Suspected Pulmonary Embolism Obstet Gynecol 2005 106: 1102-a. [Full Text] [PDF] Impact on Contraceptive Practice of Making Emergency Hormonal Contraception Available Over the Counter in Great Britain: Repeated Cross Sectional Surveys Obstet Gynecol 2005 106: 1102-b-1103-b. [Full Text] [PDF] Incidence of Basal Cell and Squamous Cell Carcinomas in a Population Younger Than 40 Years Obstet Gynecol 2005 106: 1103. [Full Text] [PDF] One Year of Alendronate After One Year of Parathyroid Hormone (1–84) for Osteoporosis Obstet Gynecol 2005 106: 1103-a. [Full Text] [PDF] Role of Mobile Phones in Motor Vehicle Crashes Resulting in Hospital Attendance: A Case-Crossover Study Obstet Gynecol 2005 106: 1103-b-1104-b. [Full Text] [PDF] Long-Term Use of Aspirin and Nonsteroidal Anti-Inflammatory Drugs and Risk of Colorectal Cancer Obstet Gynecol 2005 106: 1104. [Full Text] [PDF] West Nile Virus Among Blood Donors in the United States, 2003 and 2004 Obstet Gynecol 2005 106: 1104-a. [Full Text] [PDF] How Strong Is the Evidence for the Use of Perioperative ß Blockers in Noncardiac Surgery? Systematic Review and Meta-Analysis of Randomized Controlled Trials Obstet Gynecol 2005 106: 1105. [Full Text] [PDF]
Letters to the Editor: Ovarian Conservation at the Time of Hysterectomy for Benign Disease Vani Dandolu, Enrique Hernandez Obstet Gynecol 2005 106: 1106. [Full Text] [PDF] Ovarian Conservation at the Time of Hysterectomy for Benign Disease Robert C. Wallach Obstet Gynecol 2005 106: 1106-a-1107-a. [Full Text] [PDF] Ovarian Conservation at the Time of Hysterectomy for Benign Disease William H. Parker, Michael S. Broder, Jonathan S. Berek, Zhimei Liu, Donna Shoupe, Jonathan S. Farquhar Obstet Gynecol 2005 106: 1107. [Full Text] [PDF] Simpson, Semmelweis, and Transformational Change Naomi E. Stotland, Nada L. Stotland Obstet Gynecol 2005 106: 1107-a-1108-a. [Full Text] [PDF] Simpson, Semmelweis, and Transformational Change Gilbert J. Grant, Abraham H. Grant, Charles J. Lockwood Obstet Gynecol 2005 106: 1108. [Full Text] [PDF] Diagnosis of Anal Sphincter Tears to Prevent Fecal Incontinence: A Randomized Controlled Trial Abdul H. Sultan, Ranee Thakar Obstet Gynecol 2005 106: 1108-a-1109-a. [Full Text] [PDF] Diagnosis of Anal Sphincter Tears to Prevent Fecal Incontinence: A Randomized Controlled Trial Daniel Ladislas Faltin, Michel Boulvain, Lucia Angela Floris, Olivier Irion Obstet Gynecol 2005 106: 1109. [Full Text] [PDF] Temporary Erb-Duchenne Palsy Without Shoulder Dystocia or Traction to the Fetal Head Herbert F. Sandmire, Robert K. DeMott Obstet Gynecol 2005 106: 1109-a. [Full Text] [PDF] Temporary Erb-Duchenne Palsy Without Shoulder Dystocia or Traction to the Fetal Head Robert H. Allen, Edith D. Gurewitsch Obstet Gynecol 2005 106: 1110. [Full Text] [PDF] Endometrial Effects of Bazedoxifene Acetate, a Novel Selective Estrogen Receptor Modulator, in Postmenopausal Women Michael W. Draper, Leo Plouffe, Jr Obstet Gynecol 2005 106: 1110-a-1111-a. [Full Text] [PDF] Endometrial Effects of Bazedoxifene Acetate, a Novel Selective Estrogen Receptor Modulator, in Postmenopausal Women Sheila Ronkin Obstet Gynecol 2005 106: 1111. [Full Text] [PDF] Efficacy and Safety of Isopropanolic Black Cohosh Extract for Climacteric Symptoms Susan Reed, Katherine Newton, Andrea LaCroix, Louis Grothaus Obstet Gynecol 2005 106: 1111-a. [Full Text] [PDF] Efficacy and Safety of Isopropanolic Black Cohosh Extract for Climacteric Symptoms Ruediger Osmers, Joerg Schnitker Obstet Gynecol 2005 106: 1111-b-1112-b. [Full Text] [PDF]
Massive postcesarean pulmonary embolism requiring continuous cardiopulmonary resuscitation and embolectomy results in a near-death experience.
We report a case of massive pulmonary embolism in the second trimester of pregnancy successfully treated with tissue plasminogen activator without maternal or fetal complications.
Percutaneous catheter fragmentation with local thrombolysis is a treatment option for massive pulmonary embolism in pregnancy.
Magnetic resonance imaging and/or 3-dimensional ultrasonography should be used to characterize the nature of uterine anomalies in pregnancy before the use of prostaglandin agents to avoid rupture.
ST elevation myocardial infarction during pregnancy may be treated successfully with percutaneous transluminal coronary angioplasty and stent placement.
Selective uterine artery embolization combined with medical treatment by methotrexate can be an efficient and safe management of interstitial pregnancy.
Splenosis is a rare complication that may mimic benign or malignant tumors of the pelvis.
Laparoscopic excision of splenic nodules with the argon beam coagulator is a well-suited method of treatment for symptomatic splenosis.
The incidence of iatrogenic fetal injury during cesarean delivery is high enough to warrant inclusion as a specific complication when obtaining consent.
Development of endometrial carcinoma after endometrial resection for dysfunctional uterine bleeding is still a possibility even when proper strict selection criteria are used.
Two patients developed delayed signs of peritoneal irritation because of leiomyoma degeneration after microwave endometrial ablation.
Hemolytic disease of the fetus and neonate due to antibodies against the RhG antigen is uncommon and difficult to diagnose accurately, but it should be managed aggressively.
Anti-Cw antibodies may cause severe hemolytic disease of the newborn and require intrauterine transfusions.
Mirror syndrome caused by parvovirus B19 infection resolved spontaneously with a good outcome.
Identification of placental location when pregnancy is complicated by uterine didelphys may improve the ability to diagnose hemiuterus torsion.
Hepatitis caused by herpes simplex virus during pregnancy is a rare, often fatal, condition that can be treated successfully with intravenous acyclovir if recognized promptly.
Severe maternal and fetal macrocytic anemia complicating antiretroviral therapy suggests that noninvasive fetal evaluation could be initiated in such cases.
A pregnant woman with systemic lupus erythematosus and secondary antiphospholipid antibody syndrome presented with thrombosis in an unusual vascular bed while receiving enoxaparin.
Although polymyalgia rheumatica is uncommon during pregnancy, awareness of this disorder is important to prevent delayed diagnosis and to determine the method of delivery.
The management of a pregnant patient with Goodpasture syndrome and severe renal insufficiency is described, and the fetal outcome is reported.
Transobturator sling procedures can be associated with retropubic bleeding and hematoma.
Hematometra in a patient with Cornelia De Lange syndrome can result from abnormal uterine contractile function.
Patients with preeclampsia may be at higher risk of cardiac events; troponin I levels may be helpful in diagnosis of patients with relevant symptoms.
Even though pregnancy is contraindicated in patients with pulmonary hypertension, stable patients on epoprostenol therapy may successfully complete their pregnancies.
Pregnancy-induced physiologic changes modify certain key factors in the acute management of a severely burned patient.
Vascular spaces diffusely distributed throughout the myometrium in pregnancy proved to be veins in a cavernous hemangioma.
Polymerase chain reaction from acute-phase serum is a quick and easy way to detect Chlamydophila abortus, a rare but severe cause of gestational septicemia.
Vaginal lichen sclerosus is a rare occurrence that must be managed on a case-by-case basis.
This case describes a tuboovarian abscess caused by a rare pathogen, Pasteurella multocida, which is treated conservatively with ultrasound-guided transvaginal drainage and parenteral antibiotics.
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