The traditionally quoted procedure-related pregnancy loss rate after amniocentesis of 1 in 200 is an overestimate, and is likely to be closer to 1 in 1,600 in contemporary practice.
Adverse event surveillance of an obstetrics service finds that, although serious adverse events occur infrequently, quality problems are common and should be targeted for improvement.
Pregnant women over age 50 have increased risks of preterm birth and low birth weight babies, as well as diabetes, hypertension, and hospitalization.
The progesterone receptor modulator CDB-2914 is at least as effective as levonorgestrel in preventing pregnancies after unprotected intercourse and has a similar adverse effect profile.
A strategy to maximize access to emergency contraceptive pills increased use but did not affect incidence of either pregnancy or sexually transmitted infections.
Dispensing a year's supply of oral contraceptive pills is associated with higher oral contraceptive continuation, improved reproductive health screening, and lower health care costs.
Genetic samples from women agreeing to their use within the context of larger studies may not be representative of the study cohort.
Despite professional guidelines favoring women's autonomy, acceptance of a woman's right to refuse cesarean delivery, at least in emergency situations, is not uniform among European obstetricians.
The controlled-release misoprostol vaginal insert effectively induces labor in parous women at term.
Whether gestational hypertension has a similar effect on neonatal outcomes in twin compared with singleton pregnancies is unknown, but we demonstrated a much more benign effect in twin pregnancies.
Intake of nonheme iron from supplements and other sources is associated with decreased risk of infertility due to anovulation.
Results of this study suggest that for neonatal macrosomia, hypoglycemia, and hyperbilirubinemia, a large degree of maternal weight gain increases the risk.
Hysterectomy plays a major role in the occurrence of adhesion-related small bowel obstruction, but obstruction rarely occurs after laparoscopic supracervical hysterectomy.
Localization of vessels in adnexal masses, as observed by three-dimensional ultrasonography, mean gray index, and flow index are potentially important parameters in distinguishing benign from malignant masses.
Positive predictive values of CA-125 and transvaginal ultrasonography screening were nonsignificantly higher in women with a significant family history of breast or ovarian cancer.
Women with chronic vaginal symptoms may have received numerous diagnoses, most noninfectious; many have also been diagnosed with psychiatric disorders, atopic disease, or pain syndromes.
Nuchal translucency, pregnancy-associated plasma protein A, total hCG, and inhibin A, in combination, provide first-trimester Down syndrome screening performance similar to that of nuchal translucency, pregnancy-associated plasma protein A, and free {beta}-hCG, in combination.
Women engaging in vigorous physical activity before pregnancy, or at least light-to-moderate activity during pregnancy, experience reduced risk for abnormal glucose tolerance and gestational diabetes.
Defects in DNA mismatch repair in endometrial cancer are correlated with negative prognostic factors and poor outcomes compared with tumors with an intact mismatch repair system.
Between 1981 and 2005, the mean tenure of academic chairs was 7.8 years, and the number of women appointed to chair positions increased to 15.2%.
Pelvic packing is a potentially lifesaving maneuver for the management of uncontrollable posthysterectomy hemorrhage associated with coagulopathy.
In obstetrics, multifaceted strategy based on audit and feedback is effective in changing behavior.
A policy of universal antenatal herpes simplex virus serologic screening to prevent neonatal herpes is not supported by available evidence.
A systematic review of the evidence reveals no well-designed studies examining optimal duration of intrapartum prophylaxis for prevention of neonatal group B streptococcal disease.
Systematic focus on patient safety, with specific recommendations for improvements, is needed in obstetrics and gynecology.
Images of Americans' sexual lives in debates over emergency contraception are tied to competing models of the role medical professionals play in women's sexual decision making.
Pharmacists' prerogative to refuse to dispense emergency contraceptives is defended, with important limits, in response to arguments to the contrary.
Reports linking subclinical thyroid dysfunction during pregnancy with an increase in preterm birth and impaired neurodevelopment in offspring have prompted recommendations for universal thyroid screening of pregnant women; however, recommendations for routine screening are premature. Treatment of overt hyperthyroidism and hypothyroidism clearly improved pregnancy outcomes. Management of subclinical thyroid dysfunction, especially subclinical hypothyroidism, is however problematic pending further research.
Abstracts: Caesarean Delivery Rates and Pregnancy Outcomes: The 2005 WHO Global Survey on Maternal and Perinatal Health in Latin America Obstet Gynecol 2006 108: 1293. [Full Text] [PDF] Condom Use and the Risk of Genital Human Papillomavirus Infection in Young Women Obstet Gynecol 2006 108: 1293-a. [Full Text] [PDF] Association of Bodyweight With Total Mortality and With Cardiovascular Events in Coronary Artery Disease: A Systematic Review of Cohort Studies Obstet Gynecol 2006 108: 1293-b-1294-b. [Full Text] [PDF] Efficacy and Safety of the Novel Selective Nicotinic Acetylcholine Receptor Partial Agonist, Varenicline, for Smoking Cessation Obstet Gynecol 2006 108: 1294. [Full Text] [PDF] A Randomized Trial Comparing Human E-Mail Counseling, Computer-Automated Tailored Counseling, and No Counseling in an Internet Weight Loss Program Obstet Gynecol 2006 108: 1294-a. [Full Text] [PDF] Family Size, Fertility Preferences, and Sex Ratio in China in the Era of the One Child Family Policy: Results From National Family Planning and Reproductive Health Survey Obstet Gynecol 2006 108: 1294-b-1295-b. [Full Text] [PDF] Prevention of Postoperative Nausea and Vomiting by Metoclopramide Combined With Dexamethasone: Randomized Double Blind Multicentre Trial Obstet Gynecol 2006 108: 1295. [Full Text] [PDF] Perinatal Mortality and Congenital Anomalies in Babies of Women With Type 1 or Type 2 Diabetes in England, Wales, and Northern Ireland: Population-Based Study Obstet Gynecol 2006 108: 1295-a. [Full Text] [PDF] Improving Women's Experience During Speculum Examinations at Routine Gynecological Visits: Randomized Clinical Trial Obstet Gynecol 2006 108: 1295-b-1296-b. [Full Text] [PDF] Smoking Cessation With Varenicline, a Selective 4ß2 Nicotinic Receptor Partial Agonist: Results From a 7-Week, Randomized, Placebo- and Bupropion-Controlled Trial With 1-Year Follow-Up Obstet Gynecol 2006 108: 1296. [Full Text] [PDF] Cytisine for Smoking Cessation: A Literature Review and a Meta-Analysis Obstet Gynecol 2006 108: 1296-a. [Full Text] [PDF]
Letters to the Editor: A Surprising Postnatal Diagnosis Brian G. Skotko Obstet Gynecol 2006 108: 1297. [Full Text] [PDF] A Surprising Postnatal Diagnosis Natasha Shur, Robert Marion, Susan J. Gross Obstet Gynecol 2006 108: 1297-a. [Full Text] [PDF] Decision-to-Incision Times and Maternal and Infant Outcomes Olivier Dupuis Obstet Gynecol 2006 108: 1297-b-1298-b. [Full Text] [PDF] Decision-to-Incision Times and Maternal and Infant Outcomes Charles W. Schauberger Obstet Gynecol 2006 108: 1298. [Full Text] [PDF] Decision-to-Incision Times and Maternal and Infant Outcomes Steven L. Bloom, Kenneth J. Leveno, Sharon Gilbert, Catherine Y. Spong Obstet Gynecol 2006 108: 1298-a. [Full Text] [PDF]
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