Obstetrician-gynecologists provide their patients with advanced care of the reproductive system, as well as primary and preventive care.
Benzathine penicillin G given intramuscularly treats maternal syphilis effectively and almost always prevents congenital syphilis.
Childbirth after age 40 is associated with a significant operative delivery rate (61%) in nulliparous patients and increases in maternal and neonatal morbidity.
Mothers of infants with congenital hypothyroidism are at increased risk for thyroid autoantibodies or thyroid dysfunction.
Ten years after negative second-look laparotomy, 40% of advanced-stage patients remain free of disease.
Cotinine accumulates in fetal fluids early in gestation in active and passive smokers, and fetal and maternal concentrations are related.
Age-adjusted ovarian cancer mortality rates have changed little in the United States from 1979 to 1995, but rates are increasing in older women (65+ years), are decreasing in younger women, and are higher in northern states.
BRCA1 185delAG and BRCA2 6174delT mutations are frequent in Jewish women with invasive epithelial ovarian cancer, irrespective of family history.
This study attempts to define concerns and thoughts of family members whose loved one died of ovarian cancer.
Early feeding is feasible, safe, and well-tolerated in gynecologic oncology surgery.
Cervical intraepithelial neoplasia arises more rapidly and is more severe in women with persistent cervical human papillomavirus type 16 infections than in those with transient human papillomavirus type 16 infections.
Depot leuprolide is effective in treating chronic pelvic pain in women with suspected endometriosis.
Moderate or heavy smoking affects menstrual function, leading to shorter cycles, more variable cycle and menses lengths, and potential effects on reproductive health.
This study demonstrates that adrenomedullin protein and messenger RNA are present in normal and carcinomatous endometrium of the human uterus.
Photodynamic therapy, after topical application of 5-aminolevulinic acid, seems to be effective in treating vulvar lichen sclerosus.
Burch retropubic urethropexy has a better cure rate for stress urinary incontinence than modified anterior colporrhaphy.
Magnesium sulfate is superior to nitroglycerin for intravenous tocolysis because of better efficacy and fewer maternal hemodynamic effects.
Modulation of prostaglandin E receptors by interleukin-1 in amnion tissue might be a mechanism of infection-induced preterm labor.
Expression of relaxatory prostaglandin E2 receptor isoforms in pregnant lower segment myometrium decreases toward term, whereas contractile prostaglandin F receptor expression increases with labor at term.
The myometrium of the term-pregnant uterus consists of myocytes imbedded in collagen and grouped into fasciculi, cylindrical bundles, sheetlike bundles, fiber bundles, and communicating bridges.
Urinary trypsin inhibitor suppresses production of inflammatory cytokines induced by lipopolysaccharide in pregnant mouse peritoneal macrophages through suppression of lipopolysaccharide receptor and nuclear factor-B levels.
Differences in the distribution of interpregnancy intervals between black and white women do not explain the disparity in term small for gestational age births between the races.
Birth weight discordance of more than 25% decreases as a logarithmic function of the total twin birth weight and is a birth-order–dependent phenomenon.
Fetal fibronectin is associated positively with bacterial vaginosis measured at 24–29 weeks' gestation, but only among women who smoke.
Higher telomerase and proliferative activity were identified in placenta without fetal growth restriction than in placenta with fetal growth restriction.
An antenatal management protocol for monoamniotic twins, including intensive fetal surveillance, weekly steroid therapy, and preterm, elective delivery, is proposed.
Optical coherence tomography, a recently developed high-resolution imaging technology, can differentiate normal and neoplastic gynecologic tissue.
Current approaches to fetal growth restriction, which include new diagnostic technologies and modified management strategies, can improve fetal outcome.
Oocyte donors represent a useful pool of potential gynecologic teaching associates, participating fully in the examination module and providing feedback to students.
At the time of miscarriage, the physician needs to demonstrate an appreciation of a woman's emotional reactions and actively assist in dealing with the experience.
Letters to the Editor: HIGH THIRD-TRIMESTER FERRITIN CONCENTRATION: ASSOCIATIONS WITH VERY PRETERM DELIVERY, INFECTION, AND MATERNAL NUTRITIONAL STATUS Robert C. Goodlin, Theresa O. Scholl Obstet Gynecol 1999 93: 156. [Full Text] [PDF] RECTALLY ADMINISTERED MISOPROSTOL FOR THE TREATMENT OF POSTPARTUM HEMORRHAGE UNRESPONSIVE TO OXYTOCIN AND ERGOMETRINE: A DESCRIPTIVE STUDY Patrick S. Ramsey, Kirk D. Ramin, Patrick O’Brien Obstet Gynecol 1999 93: 157-158. [Full Text] [PDF] THE ISOLATED CHOROID PLEXUS CYST Antonio Farina, Carol L. Morcos, Lawrence D. Platt, Dru E. Carlson, Kimberly D. Gregory, Naomi H. Greene, Lisa M. Korst Obstet Gynecol 1999 93: 158-159. [Full Text] [PDF] IF TOCOLYTIC MAGNESIUM SULFATE IS ASSOCIATED WITH EXCESS TOTAL PEDIATRIC MORTALITY, WHAT IS ITS IMPACT? Donald McNellis, Deborah Hirtz, Robert Mittendorf, Kwang-Sun Lee, Babak Khoshnood, Peter Pryde Obstet Gynecol 1999 93: 159-160. [Full Text] [PDF] A MULTICENTER RANDOMIZED COMPARISON OF LAPAROSCOPICALLY ASSISTED VAGINAL HYSTERECTOMY AND ABDOMINAL HYSTERECTOMY IN ABDOMINAL HYSTERECTOMY CANDIDATES Bruce Patsner, William N. Spellacy, Robert L. Summitt, Jr Obstet Gynecol 1999 93: 160-161. [Full Text] [PDF] INCIDENCE AND PREDICTORS OF CERVICAL DYSPLASIA IN PATIENTS WITH MINIMALLY ABNORMAL PAPANICOLAOU SMEARS D. Paul Shackelford, Marc H. Kobelin Obstet Gynecol 1999 93: 161-162. [Full Text] [PDF] HEMOLYTIC DISEASE OF THE FETUS: A COMPARISON OF THE QUEENAN AND EXTENDED LILEY METHODS John T. Queenan, Gary S. Eglinton, Thomas P. Tomai, Serdar H. Ural, Jeffrey C. King, Catherine Y. Spong, Joseph A. Spinnato, Ann L. Clark Obstet Gynecol 1999 93: 162-163. [Full Text] [PDF]
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