Improving the sensitivity of conventional Papanicolaou tests with no improvement in specificity increases costs to cervical cancer prevention programs.
Adolescents have inadequate knowledge of human papillomavirus and cervical cancer screening.
Volume of tissue removed and history of loop excision are associated with the development of cervical stenosis after loop electrocautery excision for cervical dysplasia.
Local anesthesia with lidocaine aerosol spray reduced pain and discomfort during outpatient hysteroscopy.
Postmenopausal hormone therapy available in the United States seems to have no adverse effect on basal glucose metabolism but is associated with a slight elevation in postchallenge glucose levels.
Continued labor induction results in safe vaginal delivery for many women who remain in the latent phase 6–9 hours after oxytocin administration with ruptured membranes.
A scoring system and partogram for use in the second stage of labor offers an objective basis for management.
Intravaginal misoprostol is an effective agent for outpatient cervical ripening.
Outdoor ambient temperature during the second trimester of pregnancy might explain seasonal variation in birth weight, which is lowest in late spring and early summer.
Delivering a low-birth-weight infant predicts preeclampsia in subsequent pregnancies.
Advancing maternal age is associated with increased malformations unrelated to karyotype abnormalities.
Umbilical cord leptin concentration is an independent factor associated with macrosomia.
Chorionic villus sampling in twin pregnancies provides reliable genetic results, has a low complication rate, and offers the advantage of early selective termination in cases of discordant test results.
Vascular endothelial growth factor might be an independent prognostic factor of early-stage cervical cancer.
In carefully selected obese women, radical hysterectomy can be performed with adequate surgical resection, acceptable morbidity, and excellent survival.
Doppler recordings are more reliable than M-mode tracings for timing atrioventricular contractions of the fetal heart.
Neither amniotic fluid index nor single deepest pocket accurately evaluates abnormal amniotic fluid volumes.
Maternal anemia during pregnancy is associated with preterm birth, whereas high hemoglobin level is associated with small for gestational age.
Occipitoposterior position in term nulliparas is associated with birth weight, oxytocin augmentation, and epidural, but not gestational duration or induction of labor.
Symptomatic nephrolithiasis in pregnancy is best diagnosed by renal ultrasonography and intravenous pyelography.
Antepartum isoniazid for latent tuberculosis infection was less costly and resulted in fewer cases of tuberculosis reactivation compared with no treatment or postpartum treatment.
Open laparoscopy provides safe and effective abdominal entry for laparoscopic surgery.
Women who use tobacco or alcohol should be evaluated for joint abuse, and interventions should address both addictions.
Micro-hydrovaginoscopy using small-diameter endoscopes is simple, minimally invasive, and an effective method of vaginal examination in children.
The Dexterity Protractor is easy to apply, facilitates exposure, offers a barrier to potential infections and malignant contamination, and improves surgical efficiency through minilaparotomy incisions.
Post-term pregnancy poses substantial risk to the fetus, which can be avoided by inducing labor, with minimal increase in cesarean delivery.
Direct actions of hCG in the breast might explain the decreased incidence of breast cancer in women who become pregnant at a young age.
A perinatal ethical model based in relational ethics and equality has advantages over traditional models that view a pregnant woman and her fetus in conflict.
Hand-held computers are easy to use, portable, and permit the tracking of residents' clinical experience.
Holmes and Watson solve the mysterious Pap smear cases.
Skills of the fly fisherman provide an innovative solution to an obstetric surgery dilemma.
Letters to the Editor: PREVENTION OF PERINATAL GROUP B STREPTOCOCCAL INFECTION: CURRENT CONTROVERSIES Herbert F. Sandmire, W. David Hager Obstet Gynecol 2000 96: 801. [Full Text] [PDF] ERB’S PALSY: CONCEPTS OF CAUSATION Robert H. Allen, Stuart C. Edelberg, Herbert F. Sandmire, Robert K. DeMott Obstet Gynecol 2000 96: 801-a-802-a. [Full Text] [PDF]
In pregnant women with venous thromboembolism, increased factor VIII levels can suppress activated partial thromboplastin time response to therapeutic heparin levels, resulting in an unnecessary increase in heparin dose.
A woman with a history of classical cesarean delivery presents with a spontaneous uterine rupture at 15 weeks' gestation.
A lithopedion can present as a pelvic abscess.
The cyclooxygenase-2 inhibitor nimesulide for second-trimester tocolysis might cause severe oligohydramnios.
Small bowel obstruction in early pregnancy can be treated successfully with jejunotomy and total parenteral nutrition.
Early recognition and steroid therapy might prevent repetitive breast-deforming biopsies in granulomatous mastitis diagnosed during pregnancy.
Massive fetal pericardial effusion resulting in tamponade can be caused by congenital pericardial hemangioma, and decompression in utero might prolong pregnancy.
Gastroschisis can resolve in utero resulting in morbidity caused by short-bowel syndrome
Hypertrophic cardiomyopathy in the surviving twin of an acardiac pregnancy is detectable with antenatal ultrasound and might spontaneously resolve neonatally.
Preservation of dorsal and ventral neurovascular pedicles can be accomplished at clitoroplasty.
Two women who developed severe, localized vaginal pain caused by tacks from laparoscopic colposuspension, which necessitated tack removal are presented.
Pyoderma gangrenosum of the cervix can present with postcoital bleeding and a malignant-looking cervical ulcer that responds to steroid treatment.
Erythropoietin messenger RNA in uterine myomata might cause the erythrocytosis seen in myomatous erythrocytosis syndrome.
Ovarian vein thrombosis might occur after an uncomplicated first-trimester elective abortion.
Peritoneal reaction to bile or gallstones can mimic endometriosis at clinical presentation and laparoscopy.
Extraosseous Ewing sarcoma can present as a vaginal mass.
Clear cell adenocarcinoma might arise from müllerian remnants and be associated with genitourinary malformations.
Endometrial biopsy found adenocarcinoma of the uterus 5 years after endometrial ablation for abnormal uterine bleeding.
Chronic hypertension is clearly associated with increased maternal and fetal risks during pregnancy. Evidence on the effectiveness of common treatment and monitoring strategies is inconclusive.
Intrapartum amnioinfusion in oligohydramnios improves neonatal outcomes and reduces cesarean deliveries without increasing the frequency of postpartum endometritis.
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