Class A1 gestational diabetes is primarily a complication of pregnancy during the intrapartum period when excessive fetal size interferes with spontaneous delivery.
Circulating concentrations of defined vascular cell adhesion molecules are not increased abnormally in diabetic women during uncomplicated pregnancy.
Betamimetics and corticosteroids appear to increase the risk of gestational diabetes mellitus.
Women with triploid pregnancies and elevated serum hCG levels are at high risk for early onset preeclampsia.
Serum nicked and urinary beta-core fragment hCG are elevated significantly because of increased production in preeclamptic pregnancies.
In nonambulatory hypertensive pregnant patients, there is a strong correlation between random voided protein-creatinine ratios and 24-hour urine protein excretions.
Intravaginal application of 200 µg of misoprostol at 12-hour intervals provides an alternative to the standard gemeprost regimen in termination of second-trimester pregnancy.
Use of a screening-based approach or a risk-based approach potentially could have prevented a substantial proportion of 1995 early onset group B streptococcal cases.
An admission vaginal birth after cesarean scoring system may be useful in counseling patients regarding the option of vaginal birth or repeat cesarean delivery.
For cervical ripening and labor induction, misoprostol gel is safe but less effective than misoprostol tablets.
Pregnancy in patients with renal allografts leads to a substantial decline in serum cyclosporine levels.
The most common cause of maternal death in North Carolina is injury, and the most common cause of injury-related maternal death is homicide.
Anatomically, the internal anal sphincter lies in a position where a fourth-degree laceration would violate this structure.
Intracellular calcium waves use two different mechanisms of signaling in cultured human myocytes, one involving paracrine signalling and the other involving intracellular diffusion.
Amniotic fluid glycine-valine ratio is elevated in growth-restricted fetuses, but the ratio does not predict individual neonatal risk for hypoglycemia, cord blood gas abnormalities, or a lower birth weight percentile accurately.
A false-positive trisomy 18 screening test does not indicate increased risk to develop pregnancy complications and may be related to increased maternal weight.
In congenital diaphragmatic hernia, increased fetal nuchal translucency thickness at 10–14 weeks' gestation is associated with neonatal death.
Vascular resistance responses after vibroacoustic stimulation in growth-restricted fetuses with reactive nonstress tests were the same as the responses of normal fetuses, suggesting preservation of vascular resistance regulation.
Middle cerebral artery velocimetry is useful for predicting adverse perinatal outcome in fetuses with abnormal umbilical velocimetry.
During second-trimester ultrasonography, visualization of fetal pericardial fluid up to 2 mm is common.
Anit-M immunization rarely if ever causes clinically significant hemolytic disease of the newborn.
Rates of uterine leiomyomas were threefold higher among black women compared with white women, and differences in risk-factor prevalence did not explain the excess rate.
Presacral neurectomy can be performed safely and efficiently by laparoscopy and is a valuable alternative treatment for pelvic pain.
Cone height greater than 10 mm is an independant risk factor for the occurrence of preterm delivery after carbon dioxide laser conization of the cervix.
Urinary incontinence in later life is associated with race, parity, body mass index, estrogen use, and exposure to oxytocin during labor.
A simplified pessary management protocol can be implemented safely and successfully.
Physiologic levels of estrogen replacement in postmenopausal women suppress serum androgens.
Endometrial cancer patients whose pretreatment cervical cytology contains malignant glandular cells have a poor prognosis, whereas those with atypical glandular cells of uncertain significance do not.
The 4-S modification of the Roeder knot provides significant knot strength and may be tied laparoscopically as a single-throw knot.
A bladder volume instrument can be used to measure the amniotic fluid volume within pockets, and this measurement correlates significantly with the amniotic fluid index.
A faculty development workshop can foster camaraderie, continuity, and consistency among clinical faculty members while increasing teaching skills.
Telomerase activation is the basis for a promising new field of potential significance in gynecologic cancer diagnosis, assessment of prognosis, and development of anticancer therapeutic approaches.
Most studies published in Obstetrics & Gynecology during 1996 are observational.
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