Laparoscopically assisted vaginal hysterectomy, compared with abdominal hysterectomy, is associated with shorter hospital stay and convalescence but equivalent hospital charges.
The overall rate of complications with laparoscopy, while less than 2%, is directly proportional to the complexity of the surgical procedure.
Transurethral injection of silicone particles in women with intrinsic urethral sphincter incompetence is successful in about half of cases.
Levonorgestrel implants are well accepted in the United States with annual continuation rates above 80 per 100 and pregnancy rates averaging three per 1000.
After a breech delivery, the subsequent pregnancy rate decreased, especially if the previous infant survived the perinatal period, whereas the interpregnancy interval was not affected, and the recurrence rate increased by number of previous breech deliveries in the sibship.
Cervicography is a helpful adjunctive technique for detection of cervical intraepithelial neoplasia IIIII lesions in patients with prior atypical squamous cells of undetermined significance or low-grade squamous intraepithelial lesion Papanicolaou tests.
A third of patients with minimally abnormal Papanicolaou smears have cervical dysplasia.
Serum vascular endothelial growth factor is an independent prognostic factor in epithelial ovarian cancer.
In patients with cervical cancer and negative computed tomography scan, cystoscopy might not be necessary to rule out tumor invasion of the bladder.
Estrogen and simvastatin combination therapy decreases large and small low-density lipoprotein particles.
Preoperative serum beta hCG level, operating times, and intraoperative blood loss are significantly higher in patients who undergo unsuccessful laparoscopic linear salpingostomy for ectopic pregnancy.
Most women of normal weight before pregnancy return to their normal weight within 2 years postpartum, irrespective of gestational weight gain.
The methods used to diagnose premature rupture of membranes in United States hospitals vary according to hospital type, level of obstetric services, and the percentage of deliveries by private physicians.
Mean umbilical arterial pH values are normal after prior cesarean delivery.
Oxytocin use and uterine activity patterns do not appear to play roles in the pathogenesis of intrapartum uterine rupture.
Pretreatment with Laminaria japonica improves the induction to delivery time in patients undergoing second trimester abortions with prostaglandin E2.
Prolonged labor induction is associated with a small increase in infectious morbidity and does not increase the cesarean rate.
Preterm premature rupture of membranes is a risk for late pulmonary complications of infants.
Intravenous nitroglycerin injection induces uterine relaxation for internal podalic version of the second twin in transverse lie.
The presence of viruses in second trimester amniotic fluid is not associated with postamniocentesis pregnancy loss.
Activated neutrophils might be involved in thrombomodulin release from endothelial cells in gravidas who develop preeclampsia.
Insulin-like growth factorI and insulin-like growth factorI mRNA in molar tissue and placenta and insulin-like growth factorI in maternal serum are significantly lower in molar pregnancies than in pregnancies with normal placentas.
Asthma during pregnancy is associated with antepartum and postpartum hemorrhage, and asthmatics taking steroids are at risk of pregnancy-induced hypertension and neonatal hyperbilirubinemia.
Amniotic fluid bilirubin (OD450) is better assessed with the extended Liley graph than with the Queenan graph.
Matrix metalloproteinase-9 levels remain constant from 19 through 36 weeks of pregnancy regardless of whether women deliver preterm or at term and then rise with the onset of labor.
While obstetrician-gynecologists provide care unique to their specialty, obstetrics and gynecology graduates should consider providing general care for the growing population of elderly females.
Women with hemolysis, elevated liver enzymes, low platelets syndrome have a higher incidence of Factor V-Leiden mutations, but this increased incidence does not account fully for the increased frequency of activated protein C resistance in these patients.
Outcomes of planned home birth in 29 nurse-midwifery practices indicate appropriate risk-screening and an intrapartal and neonatal mortality of 2.5 per 1000 for intended home births.
Postmenopausal women who use hormone replacement therapy for more than 10 years may be at an increased risk of developing epithelial ovarian carcinoma.
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