Anal sphincter laceration reduces the proportion of women who report sexual activity at 6 months postpartum.
Incontinence and other pelvic floor disorders are associated with poor sexual function, including decreased libido and arousal, infrequent orgasm, and dyspareunia.
By assisting delivery of the crowning infant, the percentage of anal sphincter tears decreased from 4.03% to 1.17%.
Clinically unrecognized obstetric anal sphincter injuries in primiparous women asymptomatic 3 months after delivery are not associated with deterioration in anal continence 10 years later.
Fetal growth norms based on the physiologic determinants of birth weight are a better discriminator of aberrations of fetal growth than traditional norms.
The rate of cesarean delivery has increased dramatically in southeast China in the past decade, mainly due to cesarean delivery on maternal request.
Amniotic fluid bilirubin concentration is determined by bilirubin concentration in fetal blood as well as by albumin concentrations in fetal blood and amniotic fluid.
In a large health maintenance organization, one half of women have at least one complication of pregnancy during the antepartum, intrapartum, or postpartum period.
Visits to obstetrician-gynecologists for preventive care, pelvic examinations, and Pap testing are often missed opportunities for chlamydia screening in nonpregnant women aged 15-25 years.
Personal beliefs about human papillomavirus vaccines and fewer practical barriers to vaccination are associated with intention to receive the vaccine among low-income women.
In an endemic area, dengue infects 2.5% of pregnant women with a vertical transmission rate of 1.6%, but pregnancy outcome is unaffected.
Elevated concentrations of inflammatory markers in preterm infants after birth indicate that inflammation of fetal origin may be associated with preterm birth.
CDB-2914 reduced leiomyoma volume, induced amenorrhea, and thus may be an effective therapy for uterine leiomyomata.
Given that myomectomy is independently associated with fewer fevers with localized findings compared with hysterectomy, clinicians might consider simplifying the fever evaluation of postoperative myomectomy patients.
The prevalence of psoriasis in women with lichen sclerosus is 7.5%, resulting from similar immune dysregulation.
Vaginal descent progression is positively associated with various bladder, bowel, and prolapse symptoms in postmenopausal women with stages I-II prolapse.
Manual inflation of the lungs at the end of surgery reduces shoulder pain, nausea, and vomiting after laparoscopic surgery.
Many women diagnosed with endometrial cancer before age 50 will have a mismatch repair deficiency discovered by immunohistochemistry and microsatellite instability testing.
A time interval of less than 5 years between childbirth and breast cancer diagnosis worsens the prognosis in a dose-response fashion.
Selective serotonin reuptake inhibitors are effective pharmacologic treatments for premenstrual syndrome and premenstrual dysphoric disorder.
Preoperative evaluation uncovers medical concerns, identifies patients who benefit from more extensive medical consultation, and permits the surgeon to plan for appropriate postoperative care.
A reentry program for physicians who have voluntarily left the workforce can be implemented successfully by teaching programs with experienced educators and adequate clinical cases.
This essay is the national winner of a contest sponsored by the American College of Obstetricians and Gynecologists Junior College Advisory Council.
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