Homocysteine concentrations are lowered 9.4% by combined estradiol-progestogen and 5.1% by unopposed estradiol therapy, and women with high levels at baseline benefit the most.
An increase in plasma triglyceride levels induced by estrogen therapy may enhance lipid transfer reactions, resulting in triglyceride-rich and cholesteryl ester–poor low-density lipoprotein particles in postmenopausal women.
Continuous transdermal estradiol-norethindrone acetate is safe and effective hormone replacement therapy in healthy postmenopausal women.
Rofecoxib effectively treats primary dysmenorrhea, showing that cyclooxygenase-2–derived prostanoids are important in its pathophysiology.
Differences in stage of disease and treatment patterns only partially explain differences in mortality between black and white women with cervical cancer.
Uterine polyps and myomas are more common in premenopausal women with abnormal bleeding than in asymptomatic women.
Endometrial ablation with a vaporizing electrode limits fluid absorption compared with resection with the standard cutting loop.
Abdominal panniculectomy in conjunction with pelvic surgery in morbidly obese women is safe and useful.
Flying high-performance military aircraft does not appear to increase a woman's risk of urinary incontinence.
Human immunodeficiency virus is the most statistically significant cause of increases of serum 2-microglobulin levels in pregnant women.
Pregravid high body mass and hypercholesterolemia are independent risk factors for hypertensive disorders of pregnancy.
Moderate decreases in thyroid hormone levels with concomitant increases in TSH levels correlate with the severity of preeclampsia-eclampsia and high plasma levels of endothelin.
Gestational diabetes with concomitant long-term hypertension is characterized by higher insulin resistance than normotensive gestational diabetes.
Prenatal sonography is highly sensitive and specific for the diagnosis of fetal neural tube and ventral wall defects in a high-risk population.
Prenatally diagnosed pulmonary sequestrations are a subset of congenital lung lesions with excellent perinatal prognosis.
Transdermal glyceryl trinitrate has significantly fewer maternal and fetal cardiovascular side effects than intravenous ritodrine at doses required for tocolysis.
Calcium supplementation in women with low dietary calcium intake increases fetal bone mineral content.
Ultrasound has low sensitivity, predictive value, and accuracy for diagnosing pregnancy and complications in women with -hCG levels below the discriminatory zone.
Pregnancies occurring before the completion of the recommended 6-month gonadotropin follow-up may be allowed to continue under careful surveillance.
Gestational age, maternal weight, parity, and fetal sex explain half of the variability in symphysis-fundus height measurements.
Venous thromboembolic events during pregnancy are associated with cesarean delivery, smoking, and preeclampsia.
The elective induction of nulliparous women at term is associated with nearly a two-fold increase in the risk of cesarean delivery compared with nulliparous women undergoing spontaneous labor.
Bone mineral decreases temporarily at specific skeletal sites during lactation but reverses as lactation declines and menstruation resumes.
Women who report receiving no medical advice or advice outside the recommended range for pregnancy weight gain are likely to gain outside the recommended range.
Sorting of spermatocytes and vaginal cells with flow cytometry enhances DNA typing after sexual assault.
During laparoscopy, attaching a leash to specimens left in the abdomen for later extraction prevents specimen loss.
The contention that vaginal douching causes chlamydial infection and its potential sequelae is challenged by microbiologic data.
Before implementation of recent residency accreditation standards, residents regarded obstetrics and gynecology as a primary care specialty and thought they would provide those services in practice.
Letters to the Editor: A RANDOMIZED CONTROLLED TRIAL OF LAMINARIA, ORAL MISOPROSTOL, AND VAGINAL MISOPROSTOL BEFORE ABORTION Arnold L. Sperling, Laura MacIsaac Obstet Gynecol 1999 94: 637. [Full Text] [PDF] CLEARANCE OF FETAL PRODUCTS AND SUBSEQUENT IMMUNOREACTIVITY OF BLOOD SALVAGED AT CESAREAN DELIVERY Jonathan H. Waters, Paul S. Potter, Jill Fong, Edith D. Gurwitsch, Lisa Kump, Renata Klein Obstet Gynecol 1999 94: 637-a-638-a. [Full Text] [PDF] MODERN OBSTETRIC MANAGEMENT AND OUTCOME OF INFANTS WITH GASTROSCHISIS Roger Lenke, Brian K. Rinehart, William E. Roberts Obstet Gynecol 1999 94: 638-639. [Full Text] [PDF] SELECTION OF DELIVERY METHOD IN PREGNANCIES COMPLICATED BY AUTOIMMUNE THROMBOCYTOPENIA: A DECISION ANALYSIS Jahangir Ayromlooi, David M. Stamilio, George A. Macones Obstet Gynecol 1999 94: 639-640. [Full Text] [PDF]
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