Decreased pulmonary morbidity associated with fewer late-term or postterm births is offset by increased respiratory morbidity associated with increased late-preterm and cesarean births.
Elective cesarean delivery at or after 384/7 weeks of gestation reduces neonatal respiratory distress and admission to neonatal intensive care, but predelivery labor or ruptured membranes does not.
Vaginal hysterectomy should not be contraindicated in patients without previous vaginal delivery.
Chronic pain after a Pfannenstiel incision is common.
Finding cervical intraepithelial neoplasia grade 3 within 2 years after a negative human papillomavirus test is uncommon but can result from new disease, false-negative human papillomavirus tests, non-high-risk human papillomavirus genotypes, or misclassified (false-positive) histology.
Third-generation contraceptive pills increase low-grade inflammatory status measured by high-sensitivity C-reactive protein concentrations, but do not affect homocysteine levels in healthy, young, nonobese women.
Cytogenetic analysis is advised for all fetal deaths, preferably by invasive testing before labor, because analysis of tissue postpartum has a high rate of failure.
Nulliparity, smoking, decreased amniotic fluid, and fundal placentation are risk factors for nonvertex presentation at delivery, and spontaneous version is still likely after 35 weeks of gestation.
Uterine artery embolization is an alternative to hysterectomy in patients with postabortion hemorrhage refractory to conservative measures.
Recurrent anterior vaginal prolapse occurs less frequently after polypropylene mesh-reinforced transobturator repair compared with anterior colporrhaphy.
Stress urinary incontinence is associated with substantial economic costs for incontinence management, decrement in health-related quality of life, and high willingness to pay for incontinence cure.
Increasing fiber intake gradually improves constipation and its associated symptoms, which may help a risk factor for the onset, progression, or recurrence of prolapse.
Compared with African-American women, white women have a wider and shallower anteroposterior outlet, wider pelvic inlet, and demonstrate less pelvic floor mobility after vaginal birth.
Antenatal corticosteroids are associated with decreased odds of death in neonates born at 23 weeks of gestation.
Pregnancy is rare and outcomes are poor among women with vasculopathic conditions: systemic sclerosis, primary pulmonary hypertension, and sickle cell disease.
Subsequent fetal programming switch (where the first pregnancy was appropriate for gestational age, second pregnancy outcome changed to small for gestational age, or vice versa) is associated with greater risk for neonatal and infant mortality than a nonswitch.
Data from a nationally representative survey reveal that patients of gynecologists are more likely to receive recommended preventive services than female patients of general medical physicians.
Scholar groups can educate and encourage medical students interested in obstetrics and gynecology.
Metformin increases the likelihood of ovulation in women with polycystic ovary syndrome and, in combination with clomiphene, increases the odds of both ovulation and pregnancy.
Mesh erosions and dyspareunia after vaginal mesh procedures may require difficult surgical excision.
Maternal oral health affects general health and has the potential to affect pregnancy outcome; general oral health promotion should be encouraged during pregnancy.
Abstracts: Abstracts Obstet Gynecol 2008 111: 987-990. [PDF]
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