Expectations for neonatal outcomes need to be tailored in early onset fetal growth restriction requiring consideration of gestational age, birth weight, and ductus venosus Doppler parameters.
In women with one prior cesarean delivery, pregnancy outcomes after labor induction are dependent on history of vaginal delivery and cervical status at induction.
A first delivery by cesarean increases risks for adverse obstetric and perinatal outcomes in the subsequent birth compared with vaginal first birth.
Three-day urinary diaries are recommended because they contain more complete days of data than 7-day diaries, suggesting "diary fatigue" during longer diary completion.
Almost one third of women report fecal incontinence after childbirth.
An educational workshop administered to senior residents improves their ability to properly repair fourth-degree perineal lacerations.
Women with prolapse have levator ani muscle defects more often and generate less force during a maximal contraction than controls.
Serious perioperative complications occur in 4.4% of pelvic organ prolapse surgical procedures using transvaginal mesh.
Risk of preterm delivery increases after all treatment modalities for cervical intraepithelial neoplasia.
Women with a short conization-to-pregnancy interval are at increased risk for preterm birth.
Cervical cerclage is used more frequently in a community than in a university hospital setting.
Cervical magnetic resonance T2 relaxation times in women whose pregnancies reached 41 weeks of gestation did not correlate with the Bishop score or predict labor outcome.
Increased chronic stressors and a lack of coping skills to buffer these stressors are associated with the delivery of low birth weight neonates in a low-income population of women.
Venous thromboembolism risk with transdermal contraception is increased compared with norgestimate-containing oral contraceptive pills with 35 mcg ethinyl estradiol.
Oophorectomy attenuates improvement in some quality-of-life measures for 6 months after hysterectomy, but 2 years after surgery, outcomes are similar to those in women with ovarian conservation.
Adnexa-sparing laparoscopic management of twisted normal adnexa in postmenarchal women may predispose them to recurrence of torsion.
Higher rates of cervical cancer persist among three groups of women: residents of the South, African-American women, and Hispanic women.
Fetal nasal bone length, expressed as multiples of the median, seems to be a potentially useful ultrasound marker for second-trimester Down syndrome screening.
Nuchal translucency sonography in the first trimester lacks the characteristics of a good screening tool for major congenital heart defects in a large unselected population.
In infant blood, genetic variants of the {beta} adrenergic receptor, nitric oxide synthase, and the placental plasminogen activator inhibitor are associated with spontaneous preterm birth.
In a population of predominantly human immunodeficiency virus-positive women, at 28 weeks, but not at 20-24 weeks, vaginal fetal fibronectin values of 50 ng/mL or more are associated with increased rates of preterm birth and low birth weight.
The presence of genital ulcers among herpes simplex virus type 2-seropositive women is associated with increased risk of intrapartum human immunodeficiency virus transmission.
Uterine leiomyomata 5 cm or larger are independently associated with cesarean deliveries performed before labor, and the risk increases with the size of the leiomyoma.
Hypoactive desire, a common concern among premenopausal women, can usually be addressed with psychosocial measures suggested by general obstetrician-gynecologists.
Pregravid obesity is a significant risk factor for maternal obstetric and medical complications and increases risks of short- and long-term obesity-related problems for the offspring.
An ACOG District I retreat concluded that the goals of continuing professional development and improved patient care are beacons that guide the healthy evolution of obstetrician-gynecologists. The leaders of obstetrics and gynecology must develop a "road map" to guide the evolution of the discipline through a challenging era of monumental environmental change.
There are implications of having a child with Down Syndrome. There are implications of having a child with Down Syndrome.
Abstracts: Prevalence and Characteristics of the Polycystic Ovary Syndrome in Overweight and Obese Women Obstet Gynecol 2007 109: 446. [Full Text] [PDF] Factors That Shape Young People’s Sexual Behavior: A Systematic Review Obstet Gynecol 2007 109: 446-a. [Full Text] [PDF] Disparities in Breast Cancer Treatment and Survival for Women With Disabilities Obstet Gynecol 2007 109: 446-b-447-b. [Full Text] [PDF] Treatment of Periodontal Disease and the Risk of Preterm Birth Obstet Gynecol 2007 109: 447. [Full Text] [PDF] Socioeconomic Differentials in Caesarean Rates in Developing Countries: A Retrospective Analysis Obstet Gynecol 2007 109: 447-a. [Full Text] [PDF] Wrong-Side/Wrong-Site, Wrong-Procedure, and Wrong-Patient Adverse Events: Are They Preventable? Obstet Gynecol 2007 109: 448. [Full Text] [PDF] Sexual and Reproductive Health: A Matter of Life and Death Obstet Gynecol 2007 109: 448-a. [Full Text] [PDF] Fetal Pulse Oximetry and Cesarean Delivery Obstet Gynecol 2007 109: 448-b. [Full Text] [PDF] Effect of Breastfeeding on Intelligence in Children: Prospective Study, Sibling Pairs Analysis, and Meta-Analysis Obstet Gynecol 2007 109: 449. [Full Text] [PDF] Is Vaginal Birth After Cesarean (VBAC) or Elective Repeat Cesarean Safer in Women With a Prior Vaginal Delivery? Obstet Gynecol 2007 109: 449-a. [Full Text] [PDF]
Letters to the Editor: Magnesium Sulfate Tocolysis: Time to Quit Kent Heyborne Obstet Gynecol 2007 109: 450. [Full Text] [PDF] Magnesium Sulfate Tocolysis: Time to Quit George Macones, John C. Hauth, Charles J. Lockwood Obstet Gynecol 2007 109: 450-a-451-a. [Full Text] [PDF] Magnesium Sulfate Tocolysis: Time to Quit David A. Grimes, Kavita Nanda Obstet Gynecol 2007 109: 451. [Full Text] [PDF] Pregnancy Loss Rates After Midtrimester Amniocentesis Allan Nadel Obstet Gynecol 2007 109: 451-a. [Full Text] [PDF] Pregnancy Loss Rates After Midtrimester Amniocentesis R. Douglas Wilson Obstet Gynecol 2007 109: 451-b-452-b. [Full Text] [PDF] Pregnancy Loss Rates After Midtrimester Amniocentesis Lawrence Smith Obstet Gynecol 2007 109: 452. [Full Text] [PDF] Pregnancy Loss Rates After Midtrimester Amniocentesis Keith A. Eddleman, Fergal D. Malone, for the FASTER Consortium Obstet Gynecol 2007 109: 452-a-453-a. [Full Text] [PDF] Fetal Injury Associated With Cesarean Delivery Russel D. Jelsema Obstet Gynecol 2007 109: 453. [Full Text] [PDF] Fetal Injury Associated With Cesarean Delivery James M. Alexander Obstet Gynecol 2007 109: 453-a. [Full Text] [PDF] Cervical Neck Dislocation Associated With the Zavanelli Maneuver Eugene C. Sandberg Obstet Gynecol 2007 109: 453-b-454-b. [Full Text] [PDF] Cervical Neck Dislocation Associated With the Zavanelli Maneuver Michael G. Ross, Marie H. Beall Obstet Gynecol 2007 109: 454. [Full Text] [PDF] Repair Techniques for Obstetric Anal Sphincter Injuries Gavin Jacobson, Katherine Gabriel-Cox Obstet Gynecol 2007 109: 454-a. [Full Text] [PDF] Repair Techniques for Obstetric Anal Sphincter Injuries Ruwan J. Fernando, Abdul H. Sultan, Christine Kettle, Simon Radley, Peter Jones, P. M. S. O’Brien Obstet Gynecol 2007 109: 454-b-455-b. [Full Text] [PDF] Unexplained Prelabor Uterine Rupture in a Term Primigravida Colin A. Walsh, William Reardon, Michael E. Foley Obstet Gynecol 2007 109: 455. [Full Text] [PDF] Patient Safety in Obstetrics and Gynecology: An Agenda for the Future Philip J. Balestrieri Obstet Gynecol 2007 109: 455-a-456-a. [Full Text] [PDF] Patient Safety in Obstetrics and Gynecology: An Agenda for the Future Mark D. Pearlman Obstet Gynecol 2007 109: 456. [Full Text] [PDF] Effects of Lifetime Exercise on the Outcome of in Vitro Fertilization Anne B. Loucks, Mary Jane De Souza, Nancy I. Williams Obstet Gynecol 2007 109: 456-a-457-a. [Full Text] [PDF] One Cheer for Choice Robert P. Kauffman Obstet Gynecol 2007 109: 457. [Full Text] [PDF] One Cheer for Choice Lauren A. Plante Obstet Gynecol 2007 109: 457-a-458-a. [Full Text] [PDF]
A uniformly fatal outcome in our series of patients with congenital diaphragmatic hernia and spinal anomalies alters prenatal counseling regarding fetuses diagnosed with these conditions.
A high dose of misoprostol might provoke death.
Ethylene vinyl alcohol copolymer erosion may occur after use as a urethral bulking agent.
An intermittent vesicovaginal fistula developed in a pregnant patient 2 weeks after cervical cerclage placement, mimicking premature rupture of membranes.
Pathologic uterine rings may result in traumatic cranial deformity with resultant infant cerebral palsy.
This report describes incarceration of the uterus in the third trimester, surgical management difficulties, and postpartum pulmonary embolus associated with it.
Nemaline myopathy in pregnancy requires a careful management plan.
The presentation of cervical pregnancy is uncommon, but it is important to recognize and treat this entity early to prevent maternal catastrophes.
Severe postpartum hemorrhage may be associated with lower extremity compartment syndrome.
A rare type of leiomyoma was excised in a pregnant woman, and the pregnancy progressed to term.
Mifepristone treatment resulted in a dramatic response in a case of recurrent low-grade leiomyosarcoma but not in two cases of high-grade leiomyosarcoma.
Intracranial lesions such as meningioma are a possible diagnosis in a patient who presents with atypical psychiatric symptoms in the antenatal or postpartum period.
Kawasaki disease with coronary artery aneurysms is now seen more frequently in women of childbearing age; obstetricians should be familiar with implications of this disease.
Reproductive-aged women who do not undergo urine pregnancy tests on the day of their hysterectomies are at risk of abdominal pregnancy, a potentially life-threatening complication.
This article presents a rare case of umbilical artery embolism in fetal leukemia causing sudden fatal circulatory failure, which was recorded ultrasonographically.
Amniotic fluid embolism is a rare pregnancy complication that is associated with poor outcomes, which underscores the need to initiate appropriate treatment quickly after diagnosis.
Ultrasound examination of the abdomen and pelvis should be considered after uterine perforation during dilation and evacuation if complete evacuation cannot be confirmed.
Obstetricians should consider diffuse uterine leiomyomatosis in pregnancy complicated by uterine fibroids and peripartum hemorrhage.
Alport syndrome in pregnancy can result in severe early onset preeclampsia with sustained renal impact even in a patient with prior mild disease.
We report a case of community-acquired methicillin-resistant Staphylococcus aureus sepsis and pneumonia arising from an infected episiotomy site.
A woman with malignant ovarian tumor treated with combination chemotherapy during pregnancy delivered a normal infant.
The diagnosis of pseudomembranous colitis should be considered in postcesarean women who have low-grade fever, abdominal and gastrointestinal symptoms, and recent antibiotic exposure.
An ultrasonically guided transhepatic injection of potassium chloride into the fetal heart and an intramuscular injection of methotrexate was an effective, minimally invasive treatment for hepatic pregnancy.
The rare gonadotroph adenomas of the pituitary can lead to ovarian hyperstimulation syndrome in both premenopausal and postmenopausal women, even with normal immunoreactive follicle-stimulating hormone levels.
Preeclampsia phenotype of Mirror syndrome is associated with elevated circulating antiangiogenic proteins.
Despite associated hypertension, fetal growth restriction, and nonreassuring intrapartum fetal heart rate patterns, maternal pyruvate kinase deficiency is associated with good maternal-fetal outcomes.
Chronic uterine inversion is diagnosed after 14 weeks of postpartum vaginal bleeding.
Radio frequency ablation therapy may be used during pregnancy for treatment of recurrent metastatic embryonal sarcoma of the liver.
A patient with dermatomyositis who was treated with intravenous immunoglobulin monotherapy without therapy-related complications delivered a healthy infant at term.
Parasitic angiogenesis of the anterior abdominal wall complicates the removal of a 51-kg broad ligament mass.
Retained epidural catheters are an uncommon complication but can lead to long-term morbidity.
Two patients experienced large pelvic hematomas after anterior vaginal wall prolapse repair using a mesh augmentation system.
The cardiovascular and neuroendocrine changes of pregnancy may contribute to an increased tendency for intracerebral aneurysm rupture in the puerperium.
Pregnancy outcome was favorable after a massive intra-abdominal bleeding due to placenta percreta at 14 weeks of gestation.
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