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Showing papers in "American Journal of Obstetrics and Gynecology in 1986"


Journal ArticleDOI
TL;DR: The presence of a "true" syndrome of hemolysis, elevated liver enzymes, and low platelets (HELLP syndrome) in preeclampsia is associated with poor maternal-perinatal outcome.

561 citations


Journal ArticleDOI
TL;DR: Within thenormotensive group, patients remaining normotensive in subsequent pregnancies had the lowest incidence of chronic hypertension, and patients having preeclampsia-eclamptic in their second pregnancies had a significantly higher incidence of subsequent chronic hypertension.

388 citations


Journal ArticleDOI
TL;DR: This study supports recent evidence for the association between maternal weight gain and birth weight, but only for women whose prepregnancy weights are 135% of ideal or less and suggests that recommendations for a minimum weight gain for obese women are unnecessary.

372 citations


Journal ArticleDOI
TL;DR: The morphologic characteristics and clinical importance of peritoneal lesions that have the histologic features of endometriosis but are devoid of the pigmented stigmas typical of this disease are described.

299 citations


Journal ArticleDOI
TL;DR: Doppler velocimetry of the uterine arteries shows that normal pregnancy occurs when the systolic/diastolic ratio is less than or equal to 2.6, and when the ratio exceeds this level and there is a notch in the waveform, the pregnancy is complicated by stillbirth, premature birth, intrauterine growth retardation, and maternal preeclampsia.

276 citations


Journal ArticleDOI
TL;DR: It is demonstrated that cocaine, when administered in doses that produce plasma levels observed in humans, significantly decreases uterine blood flow for a duration of greater than or equal to 15 minutes while inducing a hypertensive response in the pregnant ewe and fetus.

240 citations


Journal ArticleDOI
TL;DR: Clinicians must be aware that patients with uterine anomalies may develop extensive endometriosis, which upon creation of an unobstructed outflow tract results in complete resorption.

237 citations


Journal ArticleDOI
TL;DR: This review derives from extensive experience with the placental bed biopsy technique in three centers over the last 30 years and focuses on the sampling errors and the pitfalls in morphologic interpretation of tissues, both maternal and fetal, that are continuously changing throughout the course of pregnancy.

221 citations


Journal ArticleDOI
TL;DR: The biofeedback group improved the strength and selective control of pelvic floor muscles; the verbal feedback group did not; both groups significantly reduced the frequency of incontinence.

218 citations


Journal ArticleDOI
TL;DR: Sera from patients with repeated abortions who had the lupus anticoagulant contained antibodies that were most often of the IgG class with affinity for negatively charged phospholipids, according to enzyme-linked immunosorbent assays.

192 citations


Journal ArticleDOI
TL;DR: The results suggest that even moderate amounts of aerobic exercise may have effects on female reproductive function which would not be suspected from menstrual patterns alone.

Journal ArticleDOI
TL;DR: Even a small decline in the death rate from CAD among estrogen users would have a major impact on the overall risk:benefit ratio associated with estrogen use.

Journal ArticleDOI
TL;DR: From the proliferative phase of the menstrual cycle through 40 weeks of pregnancy, four developmental phases are described, based on the calculation of the systolic-diastolic ratio and the disappearance of the early diastolic notch in the velocity wave.

Journal ArticleDOI
TL;DR: The incidence of multiple gestation is 3.29% to 5.39%, higher than previously believed, and the sonographic criteria for "vanishing twin" are discussed.

Journal ArticleDOI
TL;DR: Aspects of ovarian cancer as it pertains especially to elderly women (those 65 years or older) are examined according to age/stage relationships at initial diagnosis and age variations in treatment and survival.

Journal ArticleDOI
TL;DR: The data suggest that the only reliable method to determine the severity of rhesus isoimmunization in the second trimester of pregnancy is the direct measurement of fetal hemoglobin.

Journal ArticleDOI
TL;DR: The most abrupt response and most uncomplicated courses were experienced in the three subjects with initial human chorionic gonadotropin levels below 1000 mIU/ml, which suggests that methotrexate may be an effective alternative for the treatment of early ectopic pregnancy.


Journal ArticleDOI
TL;DR: It is confirmed that congenital malformations in pregnancy complicated by diabetes may be linked to disturbances in maternal metabolism during the period of embryogenesis, and the recommendation that tight diabetic control is required before the patient attempts to conceive is concurred.

Journal ArticleDOI
TL;DR: The detection of squamous cells in the pulmonary arterial circulation of pregnant women is not pathognomonic for amniotic fluid embolism, but the significant increase in cell count documented in pregnant patients suggests a possible fetal origin for someSquamous cells detected during pregnancy.

Journal ArticleDOI
TL;DR: Adult-onset Amenorrhea has a less significant impact on future wellbeing than was reported for a similar-sized group of patients whose amenorrhea developed as a result of pubertal aberrancy.

Journal ArticleDOI
TL;DR: It is concluded that although chorionic villus sampling appears to be an acceptably safe and reliable procedure, further investigation is needed before this first-trimester technique is widely utilized as an alternative to amniocentesis.

Journal ArticleDOI
TL;DR: Women with no symptoms of nausea and/or vomiting of pregnancy experienced a significantly greater proportion of nonviable pregnancy outcomes (fetal death).

Journal ArticleDOI
TL;DR: Serum levels of CA 125 paralleled the clinical course of disease and a close correlation between elevated levels and vessel invasion of tumor cells was revealed.

Journal ArticleDOI
TL;DR: The dynamic response of the sympathoadrenal system was evaluated during and after pregnancy in 13 healthy women with a protocol that compared cardiovascular parameters and plasma catecholamine levels during the basal state, after postural maneuvers, and following isometric exercise.

Journal ArticleDOI
TL;DR: Tissue from 13 cervical cancers and pelvic or para-aortic lymph nodes from the same patient were evaluated for the presence of human papillomavirus-related deoxyribonucleic acid sequences, providing further evidence implicating human papillaavirus in the etiology of cervical cancer.

Journal ArticleDOI
TL;DR: The maternal and fetal outcomes of 70 consecutive singleton pregnancies with prolonged premature rupture of the membranes before 28 weeks, which were managed expectantly, were evaluated; 58.6% of the mothers developed chorioamnionitis and 13% postpartum endomyometritis.

Journal ArticleDOI
TL;DR: From the end of 1979 to September, 1985, radical pelvic lymphadenectomy was performed at the Graz Clinic in 123 cases of Stages IA to IV ovarian cancer following maximum debulking procedure.

Journal ArticleDOI
TL;DR: Addition of 20 micrograms/ml of arachidonic acid to an otherwise teratogenic hyperglycemic serum medium prevented the malformations induced byhyperglycemic conditions.

Journal ArticleDOI
TL;DR: It is concluded that human papillomavirus deoxyribonucleic acid analysis in cervicovaginal cells is a sensitive method to detect dysplastic lesions of the cervix and may be useful in identifying patients with specific types of human papillaavirus infection, who are at risk to develop cervical cancer.