A national computerized patient record can promote evidence-based medical practice, which in turn can control economic influences in health care.
Prophylactic 15-methyl prostaglandin F2 (carboprost tromethamine) shortens the third stage of labor in midtrimester medical pregnancy losses.
A partially home-based exercise program for women with gestational diabetes resulted in improved cardiorespiratory fitness but no change in blood glucose levels.
Closure of a low transverse incision in one continuous locking layer or with a two-layer imbricating method makes no difference in subsequent pregnancy outcomes.
Management of brain tumors during pregnancy should be tailored individually.
Serum ionized magnesium levels decrease with gestational age in normal and preeclamptic women.
Few hospitals have prevention policies or use optimal methods for isolation of group B streptococcus; however, institutions with prevention policies have less early onset disease than others.
A decline in the fetal death rate in the United States resulted from improved birth weight-specific mortality; however, the racial disparity in this rate persisted due to differences in the prevalence of low birth weight.
Women 35 years of age or older are more likely to have an unexplained fetal death than are younger women.
Fetal plasma concentration of cellular fibronectin, a measure of endothelial activation or injury, are similar in preeclamptic and normal pregnancies.
Placentas from pregnancies with abnormal umbilical artery flow velocity waveforms show a significant reduction in nitric oxide synthase activity.
Inhibition of nitric oxide synthase in the fetal sheep causes an increase Doppler systolic to diastolic ratio similar to that seen in compromised human pregnancies.
Fetal serum bilirubin levels in pregnancies affected with red cell alloimmunization remain elevated with serial intrauterine transfusions.
Obstetricians support infant hepatitis B vaccination; however, a discrepancy exists between the perceived feasibility and the actual practice of educating pregnant patients about vaccination.
Among women with pelvic inflammatory disease, those with concomitant human immunodeficiency virus infection are sicker than those without but respond similarly to treatment.
Although repeat screening of human immunodificiency virus-positive women for sexually transmitted disease is unnecessary, regular cervical smears are important and concomitant colposcopy may improve the detection rate for significant abnormalities.
In at-risk urban populations, cervical cancer is an important contributor to AIDS-defining illness and a common AIDS-related malignancy.
HPV infection was present in 36% of squamous cell carcinomas of the vulva, and HPV 16 and 18 were the most prevalent types.
In women with a history of colorectal cancer, a new pelvic mass is more likely a recurrent colorectal cancer in the ovary than a new ovarian cancer.
Microinvasive adenocarcinoma of the cervix is a distinct clinicopathologic entity that behaves similarly to its squamous counterpart and should be treated accordingly.
Sacrospinous ligament suspension and endopelvic fascia fixation are effective in managing vaginal vault prolapse.
Transdermal estrogen reduces blood pressure in oophorectomized women, whereas oral estrogen does not affect it; blood pressure may rise in more than a third of women on either treatment.
Urinary excretion of metabolites of thromboxane A2 is increased during treatment with oral estradiol plus norethisterone acetate but unchanged during treatment with transdemal estradiol plus medroxyprogesterone acetate.
Diagnostic and sterilization laparoscopies appear to be safe, but operative laparoscopies are associated with serious complications.
Transvaginal color Doppler sonography can be used to evaluate ureterovesical urine flow (jets) in the obstetric/gynecologic patient.
Women who received a single prophylactic dose of systemic methotrexate after linear salpingostomy for treatment of unruptured ectopic pregnancy had a significantly reduced rate of persistent ectopic pregnancy (1.9%) compared with that of controls (14.5%)
Adequate Papanicolaou smears are difficult to obtain in women with mental retardation; these women also appear to have a low rate of HPV and dysplasia.
Vaginal hysterectomy assisted by minilaparotomy is a feasible approach for hysterectomy in the setting of large myomas, myomas with adhesions caused by endometriosis or previous pelvic surgery, and adenomyosis.
An in-line suturing device facilitates suture placement and retrieval when performing sacrospinous vault suspension.
Supracervical hysterectomy may, in at least some instances, be preferable to total hysterectomy, but further appraisal is necessary.
Not all cases of permanent brachial plexus palsy are attributable to traction.
Ethics can be integrated into the teaching of gynecologic oncology within a reasonable time frame and in a manner having practical value to residents.
Advances in vector technology and treatment strategies have made gene therapy a realistic investigational therapeutic option for women afflicted with advanced ovarian malignancies.
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