Maternal fat-free mass in late pregnancy is the most important factor in predicting birth weight.
Black women do not receive a clear birth weight benefit from gaining in the upper versus the lower half of the Institute of Medicine pregnancy weight gain ranges.
A Medicaid-based intervention providing enhanced prenatal care reduces low birth weight and preterm delivery among drug-using pregnant women infected with human immunodeficiency virus.
Identification of prenatal alcohol use can be improved significantly using a four-item screening questionnaire.
Pregnancy-induced hypertension (particularly preeclampsia and eclampsia) and chronic hypertension preceding pregnancy (particularly pregnancy-aggravated hypertension) are significant risk factors for spontaneous preterm births among black women.
Fetuses with persistently nonvisualized stomachs have an increased incidence of structural defects and abnormal amniotic fluid volumes and are more likely to have a poor outcome.
Risk factors for poorer immediate neonatal outcomes among growth-restricted neonates include preeclampsia, "fetal distress," breech delivery, forceps use, nalbuphine during labor, and general anesthesia.
Birth weight curves for live-born twin gestations are different for twins with monochorionic and dichorionic placentation.
In cocaine users with no clinical evidence for abruptio placentae, the prevalence of chorionic villous hemorrhage is 17% and of villous edema 17%.
Ring block of the penis is an effective method for anesthesia for neonatal circumcision.
Preeclampsia is characterized by sympathetic nervous over-reactivity to noninvasive cardiovascular reflex testing.
The maternal midtrimester levels of hCG, alpha-fetoprotein, or the proposed new marker N-terminal peptide of proatrial natriuretic peptide are not helpful in predicting preeclampsia.
Fibroblasts probably contribute to the interleukin-1-associated increase in interleukin-8 concentration in the lower uterine segment during parturition at term.
Common mitochondrial DNA mutations and respiratory enzyme dysfunction are not a universal cause of preeclampsia.
Endothelin concentrations increase with initial intravascular transfusion for fetal anemia in cases of Rh alloimmunization.
The degree of prolapse assigned during examination in the lithotomy position is similar to that assigned in the standing position.
Simple but rigorous clinical diagnostic criteria are highly reliable in identifying genuine stress incontinence.
The incidence rate of epithelial vulvar neoplasia is increasing.
The majority of high-grade cervical lesions are heralded by borderline Papanicolaou smear diagnoses, emphasizing the need for effective triage of minimally abnormal Papanicolaou test results.
Adjuvant chemotherapy after radical hysterectomy for cervical carcinoma may reduce extrapelvic recurrences.
The different layers of the carotid artery wall seem to be affected differently by estrogen replacement therapy, whether given orally or as a hormone implant.
The cervix contains a baseline population of leukocytes that bears no relationship to the pathologic diagnosis of cervicitis.
Vaginal douching predisposes to chlamydial infection of the cervix.
Sciatic hernia should be considered in the differential diagnosis of chronic pelvic pain in women.
Routine screening for physical abuse is indicated in women seeking abortion because many have an abuse history and some terminate pregnancies because of relationship issues.
From 1992 to 1994, genital tract infections were diagnosed at nearly half of all emergency department visits for gynecologic disorders among women ages 15-44 years.
Labor management and cesarean guidelines, physicians' commitment, adequate feedback, and in-house coverage can decrease cesarean rates safely at a community hospital.
Two pessaries may be used to reduce grade 4 uterine or vaginal vault prolapse when one pessary cannot be retained.
There is a positive correlation among performance on the US Medical Licensure Examination, grade point average, and performance on the obstetrics-gynecology subject examination.
Mentorship is an important part of fellow satisfaction and predicts thesis completion.
Objective evidence supports the use of folic acid in the periconceptional period for the purpose of reducing the risk of neural tube defects.
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