Third-trimester intrauterine fetal death is significantly associated with thrombophilias.
Neonates who suffer acute intrapartum asphyxia sufficient to result in encephalopathy manifest evidence of multiple organ-system injuries in the early neonatal period.
Placenta previa detected after midpregnancy had a high likelihood of persistence, particularly if the previa was complete or the woman had a prior cesarean delivery.
After a fetal death in a multifetal pregnancy, the survival of remaining fetuses depends on the gestational age at which the first death occurred.
Early oral analgesia in gynecologic oncology patients undergoing intra-abdominal surgery is safe and efficacious.
Pain relief and bone mineral density preservation are maintained after completion of a 12-month course of GnRH agonist with add-back therapy for symptomatic endometriosis.
More aggressive evaluation of young women with secondary amenorrhea or oligomenorrhea might help them avoid bone loss related to estrogen deficiency.
A lower level of serum estradiol possibly impedes hearing sensitivity in postmenopausal women.
Changes in obstetric practice policies aimed at reducing intrapartum fetal compromise were associated with four-fold lower rates of meconium aspiration syndrome over a 9-year period.
In diabetic women near term, using the gestational-age projection method to estimate birth weight may allow improved accuracy of prediction.
Pfannenstiel and Maylard incisions for cesarean delivery resulted in similar postoperative complications.
Acute cigarette smoking reduces fetal heart rate reactivity.
Erythropoietin therapy increases the percentage of women who are able to predeposit three units of blood within 2 weeks of radical hysterectomy.
Attempts to reduce the incidence of high-order multiple gestations vary widely among those performing ovulation induction with intrauterine insemination and in vitro fertilization.
The use of preoperative autologous blood donation in gynecologic patients is not cost-effective.
Low-grade cervical dysplasia in human immunodeficiency virus-infected women appears to be a chronic condition that does not respond to oral isotretinoin and often resolves spontaneously.
Data from this Hong Kong birth cohort suggest a possible effect of forceps or vacuum delivery on breast-feeding and of cesarean on long-term breast-feeding duration.
The frequency of parvovirus B19 infection in first-trimester fetal loss is 3%, as measured by B19 DNA polymerase chain reaction in placental tissue.
The Institute of Medicine's recommended gestational weight gain for normal prepregnant weight is related to the lowest risk for pregnancy-delivery complications. The recommendation might be higher in some populations.
An initial antenatal visit hemoglobin concentration of more than 13 g/dL is associated with increased incidence of gestational diabetes mellitus in the third trimester in nonanemic women.
Abortions under 50 days' gestation induced with mifepristone followed by misoprostol complete faster than those induced with methotrexate followed by misoprostol, but the overall success rates, side effects, and complications are similar.
The risk of becoming pregnant while using oral contraceptives is 60% higher for women weighing 70.5 kg or more than for women of lower weight.
Planning for the transition from medical practice to retirement should begin early in a physician's career.
Residency should be adapted to accommodate the needs of those who, because of life circumstances, choose a less traditional path in which to learn their trade.
The economic returns on the investment into medical research are exceptional.
Letters to the Editor: Maternity Leave: Existing Policies in Obstetrics and Gynecology Residency Programs Lauren A. Plante, Jane L. Davis Obstet Gynecol 2002 99: 841. [Full Text] [PDF] Drug Interactions Between Oral Contraceptives and Antibiotics James L. Lindsey, Michèle Hugin, Roy D. Altman, Nancy H. Nielsen, Melvyn L. Sterling, Barry D. Dickinson Obstet Gynecol 2002 99: 841-a-842-a. [Full Text] [PDF] Hepatoxicity With Antiretroviral Treatment of Pregnant Women Graham P. Taylor, Eva Jungmann, Danielle Mercey Obstet Gynecol 2002 99: 842-843. [Full Text] [PDF]
ABOG CERTIFICATION: Diplomates Passing the 2001 Ob/Gyn Oral Examination on 11/09/2001 Obstet Gynecol 2002 99: 844-854. [Full Text] [PDF]
Hyperemesis gravidarum can be complicated by Wernicke's encephalopathy, and early thiamine replacement not only increases the chances of full neurologic recovery but also lowers fetal mortality.
"Fulminant" type I diabetes with severe ketoacidosis in previously healthy pregnant women led to fetal death.
Episodic hypothermia with hyperhidrosis is a rare disorder of temperature regulation in pregnancy.
The early fetal characteristic of spongiform cardiomyopathy is relatively diagnostic; a restrictive cardiomyopathy with no enlargement of the ventricles but with enlarged atria.
Tetany due to hypo-ionized calcemia and hypomagnesemia occurred after rapid infusion of citrate-containing blood products during resuscitation from hemorrhagic shock after abruptio placentae.
A case report of a patient with undiagnosed von Willebrand's disease presenting with corpus hemorrhagicum is described.
Patients must be monitored closely after a diagnosis of ovarian granulosa cell tumor, even if the tumor is occult.
A molar cornual ectopic pregnancy is presented.
Treatment with gonadotropin releasing hormone agonist reduces androgen levels in women with postmenopausal ovarian hyperthecosis who are poor surgical candidates.
Pelvic vein thrombosis can cause acute pelvic pain, especially in women with hypercoagulopathies, and may be readily diagnosed using computed tomography imaging.
A maternal death secondary to Clostridium perfringens sepsis is reported in a woman experiencing a spontaneous septic abortion.
Multiple bilateral echogenic papillary muscles may provide the only sonographic sign of fetal trisomy 13.
Rupture of the larynx by obstetric forceps as an unusual complication of delivery is reported.
Psoas abscess is a rare complication of spontaneous vaginal delivery that can be diagnosed by computed tomography and treated by percutaneous drainage.
We present a rare case of a puerperal adrenal abscess diagnosed and drained percutaneously in a primigravida with chorioamnionitis and preterm delivery.
Atypical glandular cells of undetermined significance on cervicovaginal Papanicolaou test were from extramammary Paget's disease and extensive urothelial carcinoma in situ.
A case of uterine leiomyoma metastasis of breast cancer discovered by a positron emission tomography scan is reported.
Inflammatory cyokines in serum, peritoneal, and pleural fluids correlated with the clinical picture in a patient with Meigs' syndrome, suggesting a role for these cytokines in this disorder.
Sebaceous gland hyperplasia is a benign condition extremely rare on the vulva, which has presented as a polypoid lesion on labium majus affecting young women.
Transurethral bladder eversion in the adult woman is rare and can be successfully treated by a vaginal surgical approach.
Other serious psychiatric conditions can mimic postpartum depression and should be considered in the differential diagnosis.
A young primigravida who was diagnosed with primary dilated cardiomyopathy in infancy, and developed severe acute cardiac failure at 20 weeks gestation.
Cystic fibrosis can coexist with other medical disorders during pregnancy, presenting complex issues.
Pregnancy may occur after remote cesarean hysterectomy and should be considered in presentation of abdominal pain and mass.
Factor VII deficiency in pregnancy can be safely and effectively treated with recombinant factor VIIa during labor.
Undiagnosed subclinical celiac disease can be responsible for chronic pelvic pain, dysmenorrhea, and deep dyspareunia, which are amenable to treatment with a gluten-free diet.
Delayed diagnosis of a hair tourniquet can result in amputation of the clitoris.
Hysteroscopic removal of cornual ectopic pregnancies under sonographic guidance provides a conservative treatment alternative in select patients.
Transitional cell ovarian carcinoma is a rare histologic variant of epithelial ovarian cancer that may occur in BRCA1 mutation carriers.
Two women with müllerian agenesis developed vaginal vault prolapse, one after mechanical dilatation of the vaginal vault and one after surgical reconstruction, but they were successfully treated with abdominal sacrocolpopexy and paravaginal repair.
The prenatal ultrasound features of a rare congenital malignant extrarenal rhabdoid tumor are presented.
A spontaneous pregnancy and delivery is reported in a patient with metastatic embryonal sarcoma of the liver previously treated by surgical resection and radiochemotherapy.
An intravesical ureterocele causing bilateral hydroureteronephrosis and anhydramnios at 31 weeks' gestation was treated successfully with percutaneous needle decompression.
Cornelia de Lange syndrome is associated with an increased nuchal translucency in the first trimester.
The finding of an exceedingly high serum b-hCG level during second trimester multiple marker screening can herald the presence of hyperreactio luteinalis.
Surgical intervention should be considered in all pregnant patients with primary hyperparathyroidism for whom conservative treatment fails.
After hermaphroditism, adrenal hyperplasia, neoplasms, stromal hyperthecosis, polycystic ovarian syndrome, and androgen exposure were ruled out, this woman's "penis" proved to be an epidermoid cyst.
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