Potential roles for gonadal steroids and insulin-like growth factor I during final cervical ripening

Estrogen and progesterone receptors and insulin-like growth factor I messenger RNA all decrease in the cervix after parturition, implicating hormonal regulation of cervical ripening.

Y Stjernholm, L Sahlin, A Malmstrom, K Barchan, HA Eriksson, G Ekman
Obstet Gynecol 1997 90: 375-380. [Abstract] [PDF]  

A prospective study of sleep, mood, and cognitive function in postpartum and nonpostpartum women

Sleep factors affect maternal mood and cognitive functioning during the first 3 weeks postpartum.

AM Swain, MW O'Hara, KR Starr, LL Gorman
Obstet Gynecol 1997 90: 381-386. [Abstract] [PDF]  

Factors influencing the prescription of hormone replacement therapy

Osteoporosis is associated with an increased, and older age with a decreased, prevalence of HRT prescriptions.

S Rozenberg, M Kroll, J Vandromme, M Paesmans, A Lefever, H Ham
Obstet Gynecol 1997 90: 387-391. [Abstract] [PDF]  

Menstrual cyclicity after metformin therapy in polycystic ovary syndrome

Metformin therapy reduces hyperinsulinism and hyperandrogenism while facilitating the restoration of menstrual cyclicity in oligoamenorrheic women with the polycystic ovary syndrome.

E Velazquez, A Acosta, SG Mendoza
Obstet Gynecol 1997 90: 392-395. [Abstract] [PDF]  

Transvaginal administration of progesterone

Transvaginal administration of progesterone leads to normal secretory transformation of the endometrium despite low plasma levels, hence the suggestion of a "first uterine pass effect."

R Fanchin, D De Ziegler, C Bergeron, C Righini, C Torrisi, R Frydman
Obstet Gynecol 1997 90: 396-401. [Abstract] [PDF]  

Estrogen and progesterone receptors in the uterosacral ligament

Estrogen and progesterone receptors are present in the uterosacral ligament and are localized in the nuclei of the smooth muscle component.

ML Mokrzycki, K Mittal, SW Smilen, AN Blechman, RF Porges, RI Demopolous
Obstet Gynecol 1997 90: 402-404. [Abstract] [PDF]  

Dissociation, somatization, substance abuse, and coping in women with chronic pelvic pain

Abuse history is related to dissociation, somatization, and substance abuse in women with chronic pelvic pain, and these variables are positioned as maladaptive coping strategies.

AS Badura, RC Reiter, EM Altmaier, A Rhomberg, D Elas
Obstet Gynecol 1997 90: 405-410. [Abstract] [PDF]  

Open compared with laparoscopic approach to Burch colposuspension: a cost analysis

Although the laparoscopic Burch colposuspension is associated with a shorter hospital stay, this study found no significant cost savings compared with the traditional open approach.

N Kohli, PA Jacobs, EH Sze, TW Roat, MM Karram
Obstet Gynecol 1997 90: 411-415. [Abstract] [PDF]  

A randomized comparison of gasless laparoscopy and CO2 pneumoperitoneum

Gasless laparoscopy provides no real advantage over CO₂ pneumoperitoneum.

JM Goldberg, WG Maurer
Obstet Gynecol 1997 90: 416-420. [Abstract] [PDF]  

Effectiveness of the Papanicolaou smear and speculoscopy as compared with the Papanicolaou smear alone: a community-based clinical trial

Speculoscopy, a magnified chemiluminescent exam, combined with the Papinicolaou smear as Papinicolaou plus speculoscopy, correctly identifies more women with cervical pathology than the Papinicolaou smear used alone.

PT Wertlake, K Francus, GR Newkirk, GP Parham
Obstet Gynecol 1997 90: 421-427. [Abstract] [PDF]  

Residual and recurrent disease after laser conization for cervical intraepithelial neoplasia

The appropriate follow-up interval after treatment for cervical intraepithellial neoplasia II and III should be guided by the histologic findings in the cone margins.

FE Skjeldestad, B Hagen, AK Lie, C Isaksen
Obstet Gynecol 1997 90: 428-433. [Abstract] [PDF]  

Progestin treatment of atypical hyperplasia and well-differentiated carcinoma of the endometrium in women under age 40

Treatment of atypical hyperplasia and well-differentiated carcinoma of the endometrium with progestins appears to be safe and effective in women under age 40.

TC Randall, RJ Kurman
Obstet Gynecol 1997 90: 434-440. [Abstract] [PDF]  

Value of preoperative CA 125 level in the management of uterine cancer and prediction of clinical outcome

Preoperative CA 125 levels are useful in the management of uterine cancer.

AK Sood, RE Buller, RA Burger, JD Dawson, JI Sorosky, M Berman
Obstet Gynecol 1997 90: 441-447. [Abstract] [PDF]  

Trends in squamous cell carcinoma of the vulva: the influence of vulvar intraepithelial neoplasia

The increasing frequency of vulvar carcinoma in women under age 50 years appears to be associated with the increasing frequency of vulvar intraepithelial neoplasia.

RW Jones, J Baranyai, S Stables
Obstet Gynecol 1997 90: 448-452. [Abstract] [PDF]  

Hysterectomy, oophorectomy in premenopause, and risk of breast cancer

The risk of breast cancer is lower in women who underwent bilateral oophorectomy before menopause, and the protection increases with time since surgery.

F Parazzini, C Braga, C La Vecchia, E Negri, S Acerboni, S Franceschi
Obstet Gynecol 1997 90: 453-456. [Abstract] [PDF]  

Prenatal screening for toxoplasmosis

Decision analysis indicates that universal maternal screening for toxoplasmosis carries significant clinical cost and should not be performed.

TJ Bader, GA Macones, DA Asch
Obstet Gynecol 1997 90: 457-464. [Abstract] [PDF]  

Maternal serum interleukin-6 during pregnancy and during term and preterm labor

Maternal serum Interleukin-6 concentrations are elevated in patients in term labor and those in preterm labor who have histologic evidence of chorioamnionitis.

PC Greig, AP Murtha, CJ Jimmerson, WN Herbert, B Roitman-Johnson, J Allen
Obstet Gynecol 1997 90: 465-469. [Abstract] [PDF]  

The Leicester Endometrial Needle Sampler: a novel device for endometrial and myometrial junctional zone biopsy

The Leicester Endometrial Needle Sampler was designed by us to sample the full endometrial thickness, and appears to be superior over Pippelle samplers for histologic diagnosis, pain, and tolerance scores.

F al-Azzawi, M Habiba, SC Bell
Obstet Gynecol 1997 90: 470-472. [Abstract] [PDF]  

Research design and methods of quantitative synthesis of medical evidence

Clinicians must understand the scientific principles, strengths, and weaknesses of research designs in order to evaluate medical evidence critically.

JF Peipert, DS Gifford, LA Boardman
Obstet Gynecol 1997 90: 473-478. [Abstract] [PDF]  

Commentary:

Birth weight as a predictor of brachial plexus injury

HF Sandmire
Obstet Gynecol 1997 90: 479-480. [PDF]  

Birth weight as a predictor of brachial plexus injury

L Gittens, V Ganesh, L Iffy
Obstet Gynecol 1997 90: 479-a.  

The association between hypertensive disorders of pregnancy and abnormal second-trimester maternal serum levels of hCG and alpha-fetoprotein

H Roque
Obstet Gynecol 1997 90: 480-481.  

Pubic bone suburethral stabilization sling for recurrent urinary incontinence

MT Valley
Obstet Gynecol 1997 90: 481-482.  

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