Very low second-trimester maternal serum alpha-fetoprotein is associated with high birth weight.
In 107 consecutive singleton type 1 diabetic pregnancies, neonatal hypoglycemia was found to correlate with maternal hyperglycemia in labor, not with HbA1c during pregnancy.
Compared with fetal heart rates, intrapartum maternal heart rates recorded by fetal monitors have lower baseline values, higher variability, no decelerations, and marked accelerations coinciding with uterine contractions.
In term pregnancies, meconium passage increases the risk of postpartum endometritis but not chorioamnionitis.
Optical-access trocars may be associated with significant injuries despite having the ability to visualize tissue layers during insertion.
Treating atrophic vaginitis with low-dose 17 b-estradiol tablets results in consistent, low absorption of estradiol without accumulation.
Treatment of missed abortion with misoprostol resulted in completed abortions in a high proportion of cases and reduced the need for dilation and curettage.
Routine pathology examination of the tissue aspirate after early surgical abortion confers little clinical benefit.
The prevalence of urinary incontinence symptoms is significantly different among black, white, and Hispanic women.
Although almost half of the obstetricians surveyed supported women's autonomy to choose cesarean, the vast majority preferred vaginal delivery for themselves (if female) or their partners.
Immediate postpartum perineal examination is not a good predictor of stress incontinence and pelvic floor weakness but could identify women at risk for anal dysfunctions.
A maternal age of 30 years or older is associated with an increased risk of symptomatic uterine rupture during a trial of labor after prior cesarean delivery.
Doppler measurement of the middle cerebral artery peak systolic velocity appears to be a valuable tool for estimating hemoglobin concentration in fetuses at risk for severe anemia.
Insulin-like growth factor binding protein-1 is higher at high altitude than at sea level, and this difference becomes statistically significant from 25 weeks' gestation onwards.
The combination of bacterial vaginosis and leukorrhea on a vaginal saline preparation is associated with an increased risk of Chlamydia trachomatis or Neisseria gonorrhea infection.
The amount of information given at the insertion visit is strongly associated with increased user satisfaction with the levonorgestrel intrauterine system.
The C677T polymorphism of the methylenetetrahydrofolate reductase gene is associated with elevated serum homocysteine levels and idiopathic recurrent miscarriage in a Middle-European white population.
There is a progressive increase in blood flow within the uterine artery, which is site specific beginning during the menstrual cycle and continuing into early pregnancy.
Antibiotic prophylaxis and an immediate preoperative vaginal wash might protect against rejection of synthetic suburethral slings.
Inter-rater agreement on the assessment of cervical photographs after acetic acid wash, using visual inspection with acetic acid categories, was moderate to substantial, consistent with other commonly used tests.
Increases of plasma adenosine may counter imbalances of T-helper cells in preeclampsia.
Even low-dose and brief exposure to methotrexate in the first trimester may result in multiple serious malformations in the fetus.
Acute vulvar zoster and postherpetic neuralgia are treatable causes of chronic vulvar pain.
Lateral tilting of the pelvis during cesarean can compress the buttock and underlying structures and thereby result in injury to the sciatic nerve.
This study supports the use of peer and self-evaluations in addition to the use of attending evaluations for obstetrics and gynecology residents in training.
ALTS investigators respond to a review of the trial data and reaffirm the conclusion that human papillomavirus testing is a viable option for the management of atypical squamous cells of undetermined significance.
Clinicians can provide young adolescent girls and parents with information about the parameters for normal pubertal development, menarche, menstrual cyclicity, and menstrual hygiene.
Endometrial thickness measurement in symptomatic women does not reduce the need for invasive diagnostic testing, as 4% of cancers would be missed at a 50% false-positive rate.
Letters to the Editor: Who Was Caring for Mary? Gerald R. Harpel Obstet Gynecol 2002 99: 676. [Full Text] [PDF] Uterine Necrosis After Uterine Artery Embolization for Leiomyoma J. P. Pelage, W. J. Walker, O. Le Dref, Edward Zbella, Claire Godfrey Obstet Gynecol 2002 99: 676-a-677-a. [Full Text] [PDF] Is the Formation of a Bladder Flap at Cesarean Necessary? A Randomized Trial James Honig, Elmar A. Joura, Maria Hohlagschwandtner Obstet Gynecol 2002 99: 677-678. [Full Text] [PDF]
ERRATA: ERRATUM Obstet Gynecol 2002 99: 678. [Full Text] [PDF]
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