Showing papers in "American Journal of Obstetrics and Gynecology in 2013"

TL;DR: Early- and late-onset preeclampsia shares some etiological features, differ with regard to several risk factors, and lead to different outcomes, and should be treated as distinct entities from an etiological and prognostic standpoint.

TL;DR: A doubling in incidence of severe PPH over 10 years was not explained by contemporaneous changes in studied risk factors, as well as changes in risk factors themselves.

TL;DR: Abnormal umbilical artery Doppler and EFW <3rd centile were strongly and most consistently associated with adverse perinatal outcome, calling into question the current definitions of IUGR used.

TL;DR: The maternal basal plate is a possible source of intrauterine colonization and placental pathological examination could include examination for bacteria in this important maternal-fetal interface, according to morphological techniques.

TL;DR: In this article, a systematic review of the global epidemiology of BV is presented, which summarizes data from peer-reviewed publications detailing the population prevalence of the BV as diagnosed by a standardized and reproducible methodology-Nugent scoring system.

TL;DR: With the dramatic increase in the rate of CS today, a greater emphasis should be placed on the discussion among both professionals and childbearing women on potential consequences of CS on the health of the offspring.

TL;DR: In this article, epithelial ovarian cancer classification and genetics, theories regarding cells of origin with a focus on tubal intraepithelial carcinoma, and implications for prevention and screening are reviewed.

TL;DR: The natural history, pathophysiology, diagnosis, and treatment options for twin-twin transfusion syndrome (TTTS), including natural history of the disease, as well as management options and their risks and benefits are reviewed.

TL;DR: The finding provides the first preliminary evidence in human beings that maternal psychological stress during pregnancy may exert a "programming" effect on the developing telomere biology system that is already apparent at birth, as reflected by the setting of newborn LTL.

TL;DR: Uterine leiomyomas cause significant morbidity and when considering treatment, women are most concerned about surgical options, especially women aged <40 years who want to preserve fertility.

TL;DR: More studies are required to elucidate the safest and most cost-effective strategies for the management of trauma in pregnancy and to avoid underdiagnosis or undertreatment of trauma due to unfounded fears of fetal effects.

TL;DR: Comparing 9 cervical cancer screening strategies to the current screening standard found that incorporating screening with HPV and triage of HPV-positive women by a combination of genotyping for HPV16/18 and cytology provided a good balance between maximizing sensitivity and specificity.

TL;DR: A pregnancy following a previous placenta accreta is at increased risk for adverse maternal outcomes such as recurrent Accreta, uterine rupture, and peripartum hysterectomy, however, adverse perinatal outcomes were not demonstrated.

TL;DR: Although 73 RCTs over the past 8 years is encouraging, additional well-designed, adequately powered trials on the specific technical aspects of CD are warranted.

TL;DR: This review will describe the technique of placental injection and discuss the role of the vascular anastomoses in each of the complications in monochorionic twins, to provide an update on their management.

TL;DR: The common finding of posterior reversible encephalopathy syndrome in patients with eclampsia suggests that PRES is a core component of the pathogenesis of eClampsia.

TL;DR: The fetal cerebroumbilical ratio can identify fetuses at high and low risk of a subsequent diagnosis of intrapartum compromise, and may be used to risk stratify pregnancies before labor.

TL;DR: Independent risk factors for uterine atony requiring treatment include Hispanic and non-Hispanic white ethnicity, preeclampsia, and chorioamnionitis.

TL;DR: IUGR infants are subject to an increased risk for adverse short- and long-term outcome compared with SGA children.

TL;DR: In this article, the authors compared all three methods of contraction detection simultaneously in laboring women, including Tocodynamometry, EHG, and intrauterine pressure catheter (IUPC).

TL;DR: Based on state-of-the-art methods for indirect comparisons, either vaginal progesterone or cerclage are equally efficacious in the prevention of preterm birth in women with a sonographic short cervix in the mid trimester, singleton gestation, and previous pre term birth.

TL;DR: Maternal supplementation with vitamin D 2000 and 4000 IU/d during pregnancy improved maternal/neonatal vitamin D status and evidence of risk reduction in infection, preterm labor, and preterm birth was suggestive, requiring additional studies powered for these endpoints.

TL;DR: Logistic regression analysis showed that gestational age at diagnosis and mean pretreatment glucose level were predictors of the need for supplemental insulin therapy in women initially treated with metformin.

TL;DR: Although laparoscopic and robotic-assisted hysterectomies are safe approaches to hystEREctomy, robotic- assisted hySterectomy requires a significantly longer operative time.

TL;DR: This work presents an algorithm for the management of category II FHR patterns that reflects a synthesis of available evidence and current scientific thought and may enhance the overall ability to define the benefits of intrapartum FHR monitoring.

TL;DR: A higher proportion of women with prolapse symptoms who were examined for urogynecologic evaluation preferred uterine preservation, compared with hysterectomy, and Geographic region, education level, and belief that the uterus is important for a sense of self were predictors of preference for uterusine preservation.

TL;DR: The clinical features and laboratory findings of women with AFLP derive from the central pathologic process: liver failure; after delivery, clinical recovery typically is seen within 3-4 days; however, laboratory abnormalities can persist for much longer.

TL;DR: Risk assessment for stillbirth and severe late preeclampsia in the third trimester is possible with the determination of maternal plasma concentrations of angiogenic and antiangiogenic factors at 30-34 weeks of gestation.

TL;DR: First-trimester screening combining maternal factors with uterine artery Doppler, blood pressure, and pregnancy-associated plasma protein-A is useful to predict preeclampsia in a routine care setting.

TL;DR: Falling rates of preeclampsia have not equated to a decline in the incidence of eClampsia, and an accurate rate of both preeclampia and eclampsIA is vital considering the considerable contribution that these diseases make to maternal mortality.