Ritgen's maneuver does not prevent anal sphincter tears at delivery any better than simple manual perineal support.
Implementing a new first- and second-trimester screening program at a community hospital resulted in a significant decrease in the number of invasive procedures.
The false-positive rate of maternal biochemical serum screening for Down syndrome is not affected by human immunodeficiency virus infection or treatment.
Two-year follow-up of women with and without vulvodynia indicates a yearly vulvodynia incidence of 1.8% and yearly remission among active cases of 11.1%.
The prevalence of cervical intraepithelial neoplasia 2+ among women with mildly abnormal cervical cytology does not differ between human immunodeficiency virus-infected and HIV-negative women.
The rate of partial and complete moles in Nova Scotia is higher than previously reported in Canada, with significant variations related to age.
The overall survival rate in 804 patients with gestational trophoblastic neoplasia treated at the Brewer Trophoblastic Disease Center from 1962 to 2006 was 93.3% (88.6% from 1962 to 1978 and 97.8% from 1979 to 2006).
Women colonized during pregnancy with group B streptococci have a high rate of recurrence in a subsequent pregnancy.
Short durations (fewer than 4 hours) of intrapartum penicillin G prophylaxis achieve concentrations significantly above the minimum inhibitory concentration for group B streptococci in fetal serum.
Nifedipine does not significantly improve the success of external cephalic version.
Maternal hypomethylation status is associated with congenital heart defects and Down syndrome.
At the time of first pregnancy, 39% of women underestimate their final parity.
Chronic hypertension increases risk of preterm small for gestational age (SGA) fivefold, suggesting a pathogenesis involving abnormal placentation that is perhaps distinct from factors leading to term SGA.
Elevated fasting plasma free fatty acid levels at 30 weeks of gestation are associated with an increased risk of preterm delivery.
Pregnant patients from a drug dependence program who are hepatitis C antibody positive have a higher incidence of cholestasis of pregnancy and neonatal methadone withdrawal.
Only half of U.S. medical students surveyed believe that counseling their patients about safe sex will be highly clinically relevant.
Inherited thrombophilias are not yet established as a cause of placenta-mediated pregnancy complications.
An evidence-based examination of home uterine activity monitoring applied to patients in suspected preterm labor reveals very little supportive evidence.
Rapid advances in surgical technology and concerns for patient safety are significantly affecting methods used to teach and evaluate surgical skills for obstetrics and gynecology residents.
Computed tomography, magnetic resonance imaging, and contrast media can be used in pregnancy and lactation after appropriate consideration of the potential risks and benefits.
Incontinence surgery and surgical and nonsurgical approaches to weight loss are effective interventions for urinary incontinence in obese women.
This resident patient encounter illustrates resident, patient, and attending physician perspectives.
A higher level of awareness of and increased index of suspicion for inadvertently retained surgical instruments will increase detection and decrease sequelae for patients and providers.
Women with previous preeclampsia are at increased risk for recurrence in subsequent pregnancies, but currently there are no clinically useful methods to predict or prevent preeclampsia recurrence.
Abstracts: Abstracts Obstet Gynecol 2008 112: 373-376. [PDF]
Letters to the Editor: Hysterectomy for Benign Disease Horace Roman, Michel Canis, Marpeau Loïc, Gerard Mage Obstet Gynecol 2008 112: 377. [Full Text] [PDF] Hysterectomy for Benign Disease Tommaso Falcone, Mark D. Walters Obstet Gynecol 2008 112: 377-a-378-a. [Full Text] [PDF] Optimal Catheter Placement During Sonohysterography: A Randomized Controlled Trial Comparing Cervical to Uterine Placement Giuseppe Ricci Obstet Gynecol 2008 112: 378. [Full Text] [PDF] Optimal Catheter Placement During Sonohysterography: A Randomized Controlled Trial Comparing Cervical to Uterine Placement Tom C. Winter, Michael D. Evans, Steven R. Lindheim Obstet Gynecol 2008 112: 378-a-379-a. [Full Text] [PDF] Follow-up of Women After a First Episode of Postmenopausal Bleeding and Endometrial Thickness Greater Than 4 Millimeters Laura Detti, Elizabeth E. Puscheck, Frank D. Yelian, Michael P. Diamond Obstet Gynecol 2008 112: 379. [Full Text] [PDF] Follow-up of Women After a First Episode of Postmenopausal Bleeding and Endometrial Thickness Greater Than 4 Millimeters Anne Timmermans, Lena C. van Doorn, Brent C. Opmeer, Ben W. Mol Obstet Gynecol 2008 112: 379-a-380-a. [Full Text] [PDF] A Simple Clinical Maneuver to Reduce Laparoscopy-Induced Shoulder Pain: A Randomized Controlled Trial Sertac Esin, Zeynel Kaya Culha, Osman Fadil Kara, Hilmi Yildirim Obstet Gynecol 2008 112: 380. [Full Text] [PDF] A Simple Clinical Maneuver to Reduce Laparoscopy-Induced Shoulder Pain: A Randomized Controlled Trial Christian C. Apfel, Paul Phelps, Ozlem S. Cakmakkaya, Oliver C. Radke Obstet Gynecol 2008 112: 380-a. [Full Text] [PDF]
Conservative management using endovascular interventions, methotrexate therapy, and delayed definitive surgery may reduce maternal mortality and morbidity associated with placenta percreta with bladder invasion.
Conservative management of the abnormally invaded placenta should be undertaken with caution, and complications should be anticipated.
Super-selective arterial embolization with a 2-F microcatheter is a useful treatment of abdominal bleeding due to abdominal pregnancy.
Uterine necrosis can result after placement of multiple uterine compression sutures and, more specifically, after placement of a brace suture confined to the uterine fundus.
Lepirudin can be used during pregnancy as an alternative anticoagulant when heparin is contraindicated.
Although restrictive bariatric surgery is generally considered safe, we want to warn of possible severe adverse outcomes related to the intervention.
Labial fusion, a rare consequence of graft-versus-host disease, may be treated successfully with surgery and medical therapy.
Bone marrow transplantation in a patient with severe combined immunodeficiency syndrome resulted in Rh isoimmunization, complicating pregnancy management
Profound fetal anemia may cause anoxic lesions of the fetal brain that may be diagnosed prenatally.
Progestin-only contraceptives may detrimentally affect glucose tolerance, particularly in patients with lipodystrophy, a cause of severe insulin resistance and leptin deficiency.
Injection of India ink through the bowel during endoscopic tattooing can deposit on peritoneal surfaces and visually mimic endometriosis.
This case evaluates an obstetric patient with acute chest pain who was diagnosed with Takotsubo cardiomyopathy during her 23rd week of pregnancy.
Women presenting for suction curettage abortions should receive appropriate prophylactic antibiotics.
Eczema herpeticum in pregnancy is a serious condition requiring early treatment to prevent maternal disseminated disease and neonatal herpes simplex viral infection.
There is a high risk for tubal rupture and bleeding and the need for appropriate surgical intervention when managing recurrent ectopic pregnancies.
The optimum obstetric management of a nuchal cord with multiple loops is uncertain.
Bowel herniation and evisceration through an 8-mm robotic port site is possible.
Two cases of atypical endometrial hyperplasia complicating polycystic ovary syndrome, which did not respond to high-dose progestin therapy, were successfully treated with metformin and oral contraceptives.
Arteriovenous malformations are rarely identified in the uterus, and as a result, the differential diagnosis often is confounded.
Intrauterine bone fragments may result from retained fetal bones or osseous metaplasia, which may contribute to infertility.
Any patient with a family history of Marfan syndrome should be properly evaluated regardless of physical appearance.
A clear cell carcinoma arose in endometriosis of a previous episiotomy site.
The diagnosis of a wandering spleen was made using ultrasonography and nuclear medicine.
Urinary retention can lead to serious complications, including bladder rupture.
Fascioliasis often mimics another common problem in pregnancy, cholelithiasis; clinicians need to be aware of this disease in high-risk populations.
Arterial thromboembolism can be masked by exaggerated symptoms of the compartment syndrome.
Colorectal cancer or premalignant colonic lesions may present with the passage or protrusion of rectal tissue during a routine vaginal delivery.
Aromatase inhibitor is effective for the management of a postmenopausal woman with leiomyomatosis peritonealis disseminata.
Fallopian tube prolapse can occur up to 6 months after total laparoscopic hysterectomy, and this complication can be managed using the laparoscope.
Pudendal nerve entrapment is one potential complication of anterior vaginal repair with biologic graft.
Decompression of a large peritoneal inclusion cyst, which had significantly enlarged in the first trimester, allowed the patient's pregnancy to progress normally.
The prenatal diagnosis of resistance to thyroid hormone is important for adequate management of both mother and fetus in pregnancy and avoiding unnecessary intervention.
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