ORIGINAL RESEARCH:

Effects of Symmetric and Asymmetric Fetal Growth on Pregnancy Outcomes

Small for gestational age fetuses with head-to-abdomen circumference asymmetry are at significantly increased risk of intrapartum and neonatal complications compared with fetuses who are symmetrically small or appropriate for gestational age.

JODI S. DASHE, DONALD D. McINTIRE, MICHAEL J. LUCAS, KENNETH J. LEVENO
Obstet Gynecol 2000 96: 321-327. [Abstract] [Full Text] [PDF]  

Transvaginal Sonographic Detection of Embryonic-Fetal Abnormalities in Early Pregnancy

Transvaginal ultrasound in early pregnancy detects cystic hygroma and fetal hydrops in many women, but the detection rate for heart defect is lower.

LORENZO GUARIGLIA, PAOLO ROSATI
Obstet Gynecol 2000 96: 328-332. [Abstract] [Full Text] [PDF]  

Histologic Chorioamnionitis, Antenatal Steroids, and Perinatal Outcomes

Histologic chorioamnionitis increases perinatal morbidity through its association with preterm birth and is independently associated with neonatal death; antenatal steroids are effective in the presence of histologic chorioamnionitis.

ANDREW ELIMIAN, UMA VERMA, DEBRA BENECK, REBECCA CIPRIANO, PAUL VISINTAINER, NERGESH TEJANI
Obstet Gynecol 2000 96: 333-336. [Abstract] [Full Text] [PDF]  

Human Papillomavirus in the Cervix and Placenta

Human papillomavirus infection in the cervix is not associated with infection in the placenta.

WOLFGANG EPPEL, CHRISTOF WORDA, PETER FRIGO, MARTIN ULM, ELISABETH KUCERA, KLAUS CZERWENKA
Obstet Gynecol 2000 96: 337-341. [Abstract] [Full Text] [PDF]  

Differences in Umbilical Venous and Arterial Leptin Levels by Mode of Delivery

Umbilical leptin levels are higher in vaginal deliveries than in cesarean deliveries.

NOBUYUKI YOSHIMITSU, TSUTOMU DOUCHI, MASAKI KAMIO, YUKIHIRO NAGATA
Obstet Gynecol 2000 96: 342-345. [Abstract] [Full Text] [PDF]  

Change in Cervical Length After Cerclage as a Predictor of Preterm Delivery

The increase in cervical length after cerclage generally disappears and progressive shortening of the cervix between 24 and 32 weeks' gestation predicts preterm birth.

KAROLIEN DIJKSTRA, EDMUND F. FUNAI, LORAINE O’NEILL, ANDREI REBARBER, MICHAEL J. PAIDAS, BRUCE K. YOUNG
Obstet Gynecol 2000 96: 346-350. [Abstract] [Full Text] [PDF]  

A Prospective Population-Based Study of Menopausal Symptoms

Hot flushes, night sweats, vaginal dryness, and breast tenderness are directly related to the menopausal transition and underlying hormonal changes.

LORRAINE DENNERSTEIN, EMMA C. DUDLEY, JOHN L. HOPPER, JANET R. GUTHRIE, HENRY G. BURGER
Obstet Gynecol 2000 96: 351-358. [Abstract] [Full Text] [PDF]  

Raloxifene and Estrogen Effects on Quality of Life in Healthy Postmenopausal Women: A Placebo-Controlled Randomized Trial

In asymptomatic, postmenopausal women, quality-of-life scores on the Women's Health Questionnaire are similar with raloxifene, estrogen, or placebo, and anxiety scores improve with raloxifene, 60 mg/day.

RONALD STRICKLER, DALE W. STOVALL, DIANE MERRITT, WEI SHEN, MAYME WONG, SHERYL L. SILFEN
Obstet Gynecol 2000 96: 359-365. [Abstract] [Full Text] [PDF]  

Vaginal Bleeding in Postmenopausal Women Taking Low-Dose Norethindrone Acetate and Ethinyl Estradiol Combinations

Vaginal bleeding in postmenopausal women declines over time with continuous treatment with norethindrone and ethinyl estradiol.

JAMES SYMONS, NONA KEMPFERT, LEON SPEROFF
Obstet Gynecol 2000 96: 366-372. [Abstract] [Full Text] [PDF]  

Norethindrone Acetate and Estradiol-Induced Endometrial Hyperplasia

Continuous daily norethindrone acetate, 0.1, 0.25, or 0.5 mg, markedly reduces the incidence of endometrial hyperplasia associated with unopposed 17-estradiol, 1 mg.

ROBERT J. KURMAN, JUAN CARLOS FÉLIX, DAVID F. ARCHER, NAYAN NANAVATI, JOAN-CARLES ARCE, DEAN L. MOYER
Obstet Gynecol 2000 96: 373-379. [Abstract] [Full Text] [PDF]  

Office Systems Intervention To Improve Diethylstilbestrol Screening in Managed Care

An office systems intervention improves diethylstilbestrol screening, providing a model for integrating screening of other low-incidence but potentially serious conditions into managed care.

REBECCA JACKSON, LYDIA O’DONNELL, CINDY JOHNSON, ALLEN J. DIETRICH, JANE LAURIDSEN, CARL O’DONNELL
Obstet Gynecol 2000 96: 380-384. [Abstract] [Full Text] [PDF]  

HLA-DQB1 and HLA-DPB1 Genotypes in Severe Preeclampsia

The HLA-DQB1*04 allele has a higher frequency in preeclamptic women than in normal fertile women.

KEISUKE HONDA, KOICHI TAKAKUWA, ISAO HATAYA, MASAKO YASUDA, TAKUMI KURABAYASHI, KENICHI TANAKA
Obstet Gynecol 2000 96: 385-389. [Abstract] [Full Text] [PDF]  

Serum Levels of Activin A and Inhibin A and the Subsequent Development of Preeclampsia

Serum levels of activin A and inhibin A were not altered in the second trimester of women who eventually develop preeclampsia.

WILLIAM A. GROBMAN, EILEEN Y. WANG
Obstet Gynecol 2000 96: 390-394. [Abstract] [Full Text] [PDF]  

Increased L-Citrulline/ L-Arginine Plasma Ratio in Severe Preeclampsia

The plasma ratio of L-citrulline to L-arginine, which reflects nitric oxide production, is increased in severe preeclampsia but not in pregnancy-induced hypertension or in mild or moderate preeclampsia.

CHIARA BENEDETTO, LUCA MAROZIO, ISABELLA NERI, MAURIZIO GIAROLA, ANNIBALE VOLPE, FABIO FACCHINETTI
Obstet Gynecol 2000 96: 395-399. [Abstract] [Full Text] [PDF]  

Risk for One or Two Very Low Birth Weight Twins: A Population Study

The risks of delivering at least one very low birth weight twin and two very low birth weight twins are 1:5 and 1:11 in nulliparas and 1:12 and 1:22 in multiparas, respectively.

ISAAC BLICKSTEIN, RAN D. GOLDMAN, RAM MAZKERETH
Obstet Gynecol 2000 96: 400-402. [Abstract] [Full Text] [PDF]  

Increased Risk of Cervical Disease Among Human Immunodeficiency Virus–Infected Women With Severe Immunosuppression and High Human Papillomavirus Load

Immunosuppression favors cervical high-load human papillomavirus infection with oncogenic genotypes and its clinical expression in human immunodeficiency virus–seropositive women.

ISABELLE HEARD, JEAN-MICHEL TASSIE, VALERIE SCHMITZ, LAURENT MANDELBROT, MICHEL D. KAZATCHKINE, GÉRARD ORTH
Obstet Gynecol 2000 96: 403-409. [Abstract] [Full Text] [PDF]  

Prediction of Cervical Intraepithelial Neoplasia Grade 2–3 Using Risk Assessment and Human Papillomavirus Testing in Women With Atypia on Papanicolaou Smears

Triage based on human papillomavirus testing is a sensitive and potentially cost-effective alternative to colposcopy for women with atypia on Papanicolaou smears.

JUDITH C. SHLAY, TERRY DUNN, TIM BYERS, ANNA E. BARÓN, JOHN M. DOUGLAS, JR
Obstet Gynecol 2000 96: 410-416. [Abstract] [Full Text] [PDF]  

Absence of Estrogen Receptor-ß Expression in Metastatic Ovarian Cancer

Metastatic ovarian tumors are characterized by the expression of estrogen receptor but not .

THOMAS RUTHERFORD, WENDI D. BROWN, EVA SAPI, SARIT ASCHKENAZI, AMANDA MUÑOZ, GIL MOR
Obstet Gynecol 2000 96: 417-421. [Abstract] [Full Text] [PDF]  

Induction of Ovarian Tumor-Specific CD8+ Cytotoxic T Lymphocytes by Acid-Eluted Peptide-Pulsed Autologous Dendritic Cells

Dendritic cells pulsed with acid-eluted peptides of ovarian cancer cells induced tumor-specific HLA class I–restricted killing of autologous tumors by CD8+ cytotoxic T lymphocytes.

ALESSANDRO D. SANTIN, STEFANIA BELLONE, ANTONELLA RAVAGGI, SERGIO PECORELLI, MARTIN J. CANNON, GROESBECK P. PARHAM
Obstet Gynecol 2000 96: 422-430. [Abstract] [Full Text] [PDF]  

Depomedroxyprogesterone-induced Hypoestrogenism and Changes in Vaginal Flora and Epithelium

Depomedroxyprogesterone use for over 6 months caused low estradiol levels, decreased hydrogen peroxide–producing Lactobacillus, and decreased epithelial glycogen thickness.

LESLIE MILLER, DOROTHY L. PATTON, AMALIA MEIER, SOE SOE THWIN, THOMAS M. HOOTON, DAVID A. ESCHENBACH
Obstet Gynecol 2000 96: 431-439. [Abstract] [Full Text] [PDF]  

Obstetric Risk Factors for Stress Urinary Incontinence: A Population-Based Study

Advanced maternal age, obesity, primiparity, diabetes mellitus, a large infant, and epidural analgesia during vaginal delivery are risk factors for later incontinence surgery.

JAN PERSSON, PÅL WØLNER-HANSSEN, HAKAN RYDHSTROEM
Obstet Gynecol 2000 96: 440-445. [Abstract] [Full Text] [PDF]  

Risk Factors for Lower Urinary Tract Symptoms in Women 40 to 60 Years of Age

In women 40–60 years old, lower urinary tract symptoms associate closely with parity, high body mass index, prior hysterectomy, and use of diuretics.

LARS ALLING MØLLER, GUNNAR LOSE, TORBEN JØRGENSEN
Obstet Gynecol 2000 96: 446-451. [Abstract] [Full Text] [PDF]  

Contrast-Enhanced, Three-Dimensional Power Doppler Sonography for Differentiation of Adnexal Masses

Contrast-enhanced, three-dimensional power Doppler sonography improves visualization of adnexal tumor vascularity, which may aid in differentiating between benign and malignant adnexal lesions.

SANJA KUPESIC, ASIM KURJAK
Obstet Gynecol 2000 96: 452-458. [Abstract] [Full Text] [PDF]  

After-Hours Telephone Calls to Obstetrician-Gynecologists

Resident and private obstetrician-gynecologists provide primary care and women's health care advice in after-hours telephone calls from women.

JOHN C. SMULIAN, AMANDA D. REEVE, ELAINE A. DONOGHUE, ROBERT A. KNUPPEL, THOMAS O. MCCANN, CANDE V. ANANTH
Obstet Gynecol 2000 96: 459-464. [Abstract] [Full Text] [PDF]  

Oral Misoprostol and Intracervical Dinoprostone for Cervical Ripening and Labor Induction: A Randomized Comparison

Oral misoprostol is more effective for cervical ripening and labor induction than intracervical dinoprostone.

JOSE L. BARTHA, RAFAEL COMINO-DELGADO, FATIMA GARCIA-BENASACH, PILAR MARTINEZ-DEL-FRESNO, LUIS J. MORENO-CORRAL
Obstet Gynecol 2000 96: 465-469. [Abstract] [Full Text] [PDF]  

Spontaneous Regression of Vulvar Intraepithelial Neoplasia 2-3

Spontaneous regression of vulvar intraepithelial neoplasia 2-3 can occur in women younger than 30 years of age with multifocal pigmented lesions.

RONALD W. JONES, DARION M. ROWAN
Obstet Gynecol 2000 96: 470-472. [Abstract] [Full Text] [PDF]  

Health-Related Consequences of Physical and Sexual Violence: Women in the Military

More than a decade after rape or physical assault during military service, women report markedly decreased health-related quality of life.

ANNE G. SADLER, BRENDA M. BOOTH, DEANNA NIELSON, BRADLEY N. DOEBBELING
Obstet Gynecol 2000 96: 473-480. [Abstract] [Full Text] [PDF]  

DEPARTMENTS:

Letters to the Editor:

COST-BENEFIT ANALYSIS OF PRENATAL DIAGNOSIS FOR DOWN SYNDROME USING THE BRITISH OR THE AMERICAN APPROACH

Mark Walker, Pranav Pandya, Anthony M. Vintzileos, John C. Smulian
Obstet Gynecol 2000 96: 481. [Full Text] [PDF]  

COST-EFFECTIVENESS OF ELECTIVE CESAREAN DELIVERY AFTER ONE PRIOR LOW TRANSVERE CESAREAN

L. Lewis Wall, William A. Grobman, Alan M. Peaceman, Michael L. Socol
Obstet Gynecol 2000 96: 482. [Full Text] [PDF]  

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