Oral administration of misoprostol results in longer intervals from induction to vaginal birth and less frequent uterine hyperstimulation than vaginal administration
Mifepristone promotes cervical ripening in women with post-term pregnancies and reduces the time to delivery, but it does not lower the cesarean rate.
Routine type and screen testing for an expected vaginal delivery does not improve patient care and should be eliminated to reduce unnecessary resource consumption.
Cesarean delivery performed in late labor is not protective of the anal sphincter mechanism; injury sustained is neuropathic rather than mechanical.
Maternal age, height, and body mass index are the primary influences on the risks of elective and nonelective cesarean delivery among nulliparous women in Sweden.
Complications of macrosomic births are infrequent except for shoulder dystocia, and complications of shoulder dystocia are infrequent.
In all but the southern United States, cesarean delivery rates fell and vacuum extraction became the most common method of operative vaginal delivery between 1987 and 1994.
Obstetric opinions about delivery room resuscitation of extremely low birth weight infants are influenced by infant and parental factors and a limited willingness to allow a parental role in decision making for infants in the delivery room.
Maternal plasma osmotic change has a more profound impact on acute increase of amniotic fluid volume when compared with maternal volume expansion.
Physical and sexual abuse during pregnancy and the preceding year is a significant risk factor for poor obstetric history, substance use during pregnancy, and low birth weight.
Serologic testing of pregnant women with negative histories of chickenpox and postpartum vaccination of susceptibles results in cost savings and disease prevention compared with no serotesting or vaccinating.
Amniotic fluid neuron-specific enolase levels are higher in cases in which the neonates develop intraventricular hemorrhage or periventricular leucomalacia.
Although placental penetration, two passes, and operator inexperience are associated with increased maternal cell contamination, inexperienced operators, with expert supervision, can perform amniocentesis without increased maternal cell contamination.
Prenatal cardiac dysfunction is common in recipient twins and can be transient, progressive, or persistent beyond the neonatal period.
Oral and transdermal sequential combined hormone replacement therapies are similarly effective in reducing impedance to flow in carotid and uterine artery at 1 year.
Bone density reductions in long-term users of depot medroxyprogesterone contraception are most marked in women starting use before age 20 or with prolonged use.
Tibolone increases trabecular and cortical bone mineral density in women with postmenopausal osteoporosis.
Hormone replacement therapy use is related strongly to physician interactions; a large proportion of women believe they are inadequately informed about hormone replacement therapy's risks and benefits.
Creatinine clearance does not change in a clinically important manner during the normal menstrual cycle, despite a small, statistically significant luteal phase increase.
First-degree relatives of patients with invasive and borderline ovarian cancer might share similar cancer risks and age-at-onset distributions.
Germline BRCA1 mutations occur in primary peritoneal carcinoma patients with a frequency comparable to ovarian carcinoma.
Failure to perform colposcopy on patients with atypical and low-grade squamous intraepithelial lesion cytology delays the diagnosis of high-grade cervical intraepithelial neoplasia.
Age over 65 years, low peak flow rates, and adjunctive surgical procedures are risk factors for delayed voiding after a fascia lata sling.
Vaginal delivery leads to stress incontinence, bladder neck hypermobility, decreased intravaginal and intra-anal pressures, and shortening of functional urethral length.
Extraperitoneal laparoscopic colposuspension may be considered an alternative to Burch colposuspension in cases that do not require laparotomy.
A simple technique using a special laparoscopic bag to remove intra-abdominal specimens.
Advances in our understanding of the biology of leiomyomas and normal myometriums might lead to new treatment options for these neoplasms.
Private practitioners teaching in an obstetrics and gynecology clerkship report personal motivations for their involvement and do not regard financial compensation as an important incentive.
A computerized database allows time spent in teaching to be abstracted from total time spent in patient care and academic activities.
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