Transvaginal ultrasound does not predict successful labor induction in post-term pregnancy as well as digital cervical examination.
Although almost all ACOG Fellows have adopted group B streptococcal disease prevention strategies, important differences exist between current practice and the consensus recommendations.
No cases of congenital varicella syndrome or pattern of other birth defects are found after inadvertent exposure of pregnant women to varicella vaccine.
Maternal fever during labor is associated with infection-related neonatal and infant death.
Uterine artery embolization is safe and improves symptoms caused by uterine leiomyomata in most patients.
Rollerball ablation of the endometrium effectively treats menorrhagia; the likelihood of needing a subsequent hysterectomy is higher for younger women.
Sacrospinous and iliococcygeus fixation are equally effective procedures for vaginal vault prolapse and suffer similar rates of postoperative cystocele, buttock pain, and hemorrhage requiring transfusion.
Vulvar vestibulitis can be reliably diagnosed in women with dyspareunia, although erythema does not appear to be a useful diagnostic criterion.
Hormone replacement therapy increases bladder neck blood flow detected by perineal color Doppler ultrasonography in postmenopausal women with urinary stress incontinence.
Increased preterm labor inductions in twin pregnancies appear to be responsible for recent increases in the number of preterm twin births, and for declines in perinatal morbidity and mortality.
Low 5-minute Apgar score in term infants is associated with several obstetric risk factors and strongly related to mortality and neurologic morbidity.
Using color Doppler in the ultrasound assessment of amniotic fluid volume results in the overdiagnosis of oligohydramnios.
Among infants whose mothers were in preterm labor, higher levels of ionized magnesium in umbilical cord blood are associated with increased total pediatric mortality.
The Nugent score in pregnant women has a weak negative correlation with Lactobacillus and a strong positive correlation with Gardnerella vaginalis, Prevotella, and Peptostreptococcus.
The association between age at natural menopause and ovarian cancer risk is weak.
Raloxifene therapy for up to 3 years does not increase the need for surgery for pelvic floor relaxation in postmenopausal women.
An intraperitoneal drain reduces the frequency of shoulder pain after laparoscopy, although simple analgesia is more cost-effective for pain.
Curettage after medical abortion with mifepristone and vaginal misoprostol is rare; the most frequent reason is persistent bleeding several weeks after treatment.
Oral misoprostol for cervical ripening is effective but results in more side effects than vaginal administration.
Offering solid food to women soon after cesarean delivery appears to be well tolerated and may lead to shorter hospitalization.
Atosiban exerts dose-dependent inhibitory effects on oxytocin-induced contractions of myometrium of pregnant woman at term in vitro.
Pregnancies ending in premature rupture of membranes were more likely to have had elevated maternal production of type 1 cytokines than normal pregnancies.
Interstitial cystitis deserves greater consideration in the differential diagnosis of chronic pelvic pain.
Enlisting the male partner as a control for exogenous influences on a woman's temperature may improve interpretation of the basal body temperature graph.
The increasing presence of health maintenance organizations is not significantly associated with perinatal deregionalization in Washington State.
The current scientific evidence does not support routine use of repeat or rescue courses of antenatal corticosteroids in clinical practice.
Both the public health need and Food and Drug Administration regulations mandate a switch of hormonal emergency contraception from prescription-only to over-the-counter status.
Maintaining professionalism and the traditional values of medicine can help physiciansindividually and collectivelydeal with the challenges of practice in today's corporate environment.
Letters to the Editor: Clearance of Antiphospholipid Antibodies in Pregnancies Treated With Heparin John A. McIntyre, Dawn R. Wagenknecht, W. Page Faulk, Hitoshi Masamoto, Takashi Toma, Kaoru Sakumoto, Koji Kanazawa Obstet Gynecol 2001 98: 162. [Full Text] [PDF]
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