Obstetrician-gynecologists have contributed to remarkable improvements in women's health care since ACOG was founded in 1951, but we continue to face new challenges.
The addition of soy to the diet of Western women appears to reduce the number and severity of hot flushes in climacteric patients.
Two thirds of patients with karyotypically normal spontaneous premature ovarian failure have bone mineral density associated with increased risk for hip fracture.
Leuprolide acetate depot and hormonal add-back administered for 1 year is effective and safe in the management of endometriosis-associated pelvic pain.
Decrease of peripheral blood polymorphonuclear leukocyte chemotactic index in patients with endometriosis is associated with plasma prostaglandin E2 levels and advanced disease.
Performing a laparoscopic hysterectomy provides substantial financial benefits to society, with a negligible financial cost to the hospital.
The risk of endometrial cancer is increased among women who use 0.3 mg per day of unopposed conjugated estrogens.
Patients should be screened before starting tamoxifen because pretreatment lesions may indicate a risk of developing endometrial cancer.
Modulation of the insulin-like growth factor system may be involved in the uterotropic effects of tamoxifen therapy in postmenopausal breast cancer patients.
Women with mixed incontinence undergoing Burch colposuspension are more likely to be cured of urgency if their symptoms of stress antedate their symptoms of urge.
The 2-year cure rate of laparoscopic Burch colposuspension is similar to that reported for the laparotomy approach.
Intraurethral ultrasound can identify urethral anatomy with smooth (longitudinal and circular) and striated muscle layers, blood vessels, and vagina.
Intravaginal prostaglandin E2 gel (2 mg) is more effective than intracervical protaglandin E2 gel (0.5 mg) for cervical ripening and labor induction.
For any estimate of fetal weight between 500 and 4500 g, regardless of whether derived clinically or sonographically, the range of actual birth weghts is highly variable.
In trisomy 21 fetuses nuchal thickening usually persists for at least several weeks.
Intertwin disparities in crown-rump length and birth weight are similar in monochorionic and dichorionic pregnancies.
Discordant umbilical arteries are associated with placental anomalies and abnormal umbilical Doppler velocimetry, but infant outcome seems to be unaffected.
There is a higher rate of human papillomavirus transmission from mother to newborn infant after vaginal delivery than after a cesarean.
Weight gains above 25 lb in morbidly obese women are likely to result in the delivery of a large for gestational age newborn.
Thin women with poor weight gain between 18 and 28 weeks' gestation have children with higher blood pressure.
In the respiratory-compromised, pregnant patient, delivery does not appear to result in dramatic maternal improvement.
Intrapartum ampicillin prophylaxis should be administered at least 2 hours before delivery to decrease vertical transmission of group B streptococcus.
A study of 250 pregnant women fails to show the asserted relationship between antibiotics and yeast infection.
Intravenous administration of a nitroglycerin bolus during cesarean delivery does not make fetal extraction easier.
The prevalence of developmental delays is not increased greatly in children exposed in utero to human parvovirus B19.
Infectious pathology might explain at most 20% of repeat ectopic pregnancy, implying the multifold and poorly understood etiology of ectopic pregnancy.
Immunohistochemical analysis of cervical glassy cell carcinoma reveals no estrogen or progesterone receptors, suggesting that hormone replacement therapy may be reasonable.
The bladder pillar can be transected and the ureter identified during laparoscopic-assisted radical vaginal hysterectomy.
The vacuum bottle aspiration technique for therapeutic amniocentesis permits expeditious removal of large volumes of amniotic fluid safely and effectively.
Most residency directors in the United States think that deficiencies in obstetrics and gynecology training will occur as a result of the new mandated primary care requirements.
Alternative remedies such as acupressure, ginger, and vitamin B6 may be helpful in alleviating nausea and vomiting of early pregnancy.
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