In pregnant women gaining weight as recommended by the Institute of Medicine, fat gains occurring in underweight women normalized body composition, whereas weight gains in obese women did not increase body fat.
Preliminary observations do not provide support for ethnic group-specific recommendations within current guidelines for prenatal weight gain.
Birth weight increases with birth order until at least the tenth delivery in grand grand multiparous women.
Despite less use of prenatal care, rates for prematurity and low birth weight were not increased among adolescents eligible for military health care.
An appreciable number of women presenting for prenatal care may lack antibodies to the rubeola virus.
Seronegativity to varicella-zoster virus in tertiary care institutions is greater than reported in the general US population.
If estimated blood loss is less than 500 mL, routine postpartum hemocrits are unnecessary.
Meconium in amniotic fluid is a gestational age-independant risk factor for cerebral palsy among preterm infants.
Amnitoic fluid volume progressively increases throughout gestation.
The volume of fluid removed at amnioreduction correlates linearly with the fall in amniotic fluid index.
Continuous fetal monitoring of oxygen saturation by an atraumatic intrauterine oxisensor did not increase neonatal or maternal morbidity in a cohort of 1050 patients who required fetal blood analysis.
Utilization patterns of cord blood gas analysis differ between institutions, independent of risk for adverse outcome of infants delivered, and do not follow ACOG guidelines.
The likelihood of diagnosis of preeclampsia correlates with the extent and severity of uteroplacental vascular lesions.
Platelet counts of the second newborn of a mother with idiopathic thrombocytopenic purpura correlate with those of her first newborn.
The etiology, management, and maternal and perinatal outcome in 18 cases of septic shock during pregnancy are presented.
Platelet reactivity is altered in late pregnancy, as indicated by decreased binding to several receptors.
Twenty-one milligrams of transdermal nicotine yields nicotine concentrations and fetal middle cerebral artery resistence indices similar to hourly maternal smoking.
Evaluation of the four-chamber view and the outflow tracts will detect most cardiac defects in fetuses of insulin-requiring diabetic women.
Fetuses involved in severe twin-twin transfusion syndrome exhibit a female sex preponderance.
When evaluated from physical and psychosocial points of view, dyspareunia manifests as a heterogenous disorder probably requiring different assessment and treatment strategies for different subtypes.
Continuous daily treatment of premenstrual dysphoria with fluoxetine may change menstrual cycle length in some women.
The availability of information on family violence is limited in texts used for obstetrics and gynecology, primary care, and nursing education.
Infertility therapy is associated with an elevated risk of very low birth weight, related only in part to an increased risk of multiple gestations.
Selective termination is a safe and effective option to consider when one fetus in a multifetal pregnancy with dichorionic placentation is found to be abnormal.
Oral methotrexate followed by vaginal misoprostol is an effective regimen for medical abortion.
A centripetal pattern of epithelial growth is associated with regression of cervical dysplasia.
Nonclosure of pelvic and parietal peritoneum at radical abdominal hysterectomy and node dissection is not associated with increased postoperative morbidity.
Most gynecologists do not perform full surgical staging of women with corpus cancer.
Physicians should develop effective means to communicate bad news to patients, incorporating compassion while transmitting accurate information with confidence.
Increasing numbers of women training and practicing in obstetrics and gynecology, and the enthusiasm of patients for female gynecologists, evoke anxieties about "a man's place."
In patients with a baseline elevated activated partial thromboplastin time, such as that associated with a lupus anticoagulant, heparin therapy should be monitored with heparin levels.
A 23 year old with a deep vein thrombosis in pregnancy developed heparin-induced thrombocytopenia that was treated successfully with danaparoid without adverse effects.
During pregnancy, intravenous iron administration in severe non-hemorrhagic anemia with high erythropoietin levels rapidly enhances hemoglobin levels and should be considered prior to blood transfusion.
Castleman disease may manifest as an abdominal or retroperitoneal mass during pregnancy.
Second-trimester jaundice, thrombocytopenia, and coagulopathy due to severe folate deficiency and megaloblastosis may mimic the HELLP syndrome closely.
Maternal serum alpha-fetoprotein may be affected by the hepatic dysfunction in acute reactive hepatitis induced by alpha-methlydopa.
Haloperidol overdose during pregnancy causes a maternal extrapyramidal reaction, fetal akinesia, and prolonged fetal neuromuscular depression, but full recovery is likely.
The nutcracker syndrome can be aggravated by pregnancy and can cause gross hematuria.
Report of angiographic embolotherapy rather than a primary surgical approach for treatment of a ruptured renal aneurysm during pregnancy.
A patient with a cloacal malformation at birth who had undergone multiple repair procedures was delivered vaginally.
A patient with three Escherichia coli biotypes with different antibiotic sensitivities isolated from blood is presented to illustrate implications for therapy.
Intentional preoperative phlebotomy and normovolemic hemodilution can be useful before planned cesarean in patients refusing blood transfusion.
Postpartum women with protein S deficiency should be converted cautiously from heparin to warfarin to reduce the risk of developing warfarin skin necrosis.
A gravida survives and delivers a healthy term infant after ingesting rat poison containing brodifacoum, a powerful warfarin derivative.
Poor perinatal outcome is possible following maternal infection with Brucella abortus.
Prompt identification of ductus arteriosis constriction, tricuspid regurgitation, and fetal hydrops associated with indomethacin tocolysis can lead to cessation of indomethacin therapy and a favorable outcome.
Serial amnioinfusions in conjunction with fetal bladder aspirations may be beneficial in selected cases of severe fetal hydronephrosis by reducing adverse sequelae and mortality.
Amnioreduction is followed by an immediate change in Doppler velocimetry of the umbilical artery of a stuck twin, suggesting improvement in hemodynamics.
A careful ultrasound examination at 20 weeks for elevated materal serum alpha-fetoprotein revealed a tubal pregnancy in an otherwise asymptomatic woman.
Laparoscopic fibrin glue hemostasis is useful in controlling bleeding from cornual pregnancy following ipsilateral salpingectomy.
Early primary abdominal pregnancy can be treated laparoscopically.
Lumbosacral osteomyelitis is an uncommon complication of abdominal sacral colpopexy that may present remote from surgery and does not necessarily require mesh removal for successful treatment.
The combination of pessary and periurethral collagen injections is a viable nonsurgical treatment option for uterovaginal prolapse and stress incontinence in medically compromised patients.
Delayed hypersensitivity reactions may be responsible for 2.5% of treatment-related adverse clinical events associated with collagen periurethral injection after a negative skin test.
Hyperplasia of Bartholin's gland is a benign cause of bilateral solid vulvar masses.
Non-Hodgkin lymphoma of the endometrium should be part of the differential diagnosis of patients infected with the human immunodeficiency virus who present with unexplained abnormal vaginal bleeding.
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