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Showing papers in "International Journal of Gynecology & Obstetrics in 2004"


Journal ArticleDOI
TL;DR: One‐third of the pregnant women with HEV infection had a severe form of hepatitis in the third trimester of pregnancy, i.e. FHF, which is associated with high rates of preterm labor and mortality.

292 citations


Journal ArticleDOI
TL;DR: The objective of this study was to characterize the epidemiology of macrosomia and related maternal complications and to establish a smoking cessation strategy for women with this condition.

282 citations


Journal ArticleDOI
TL;DR: In the management of early pregnancy loss both expectant management and misoprostol treatment reduce the need for curettage, but misop Frostol treatment seems to be more effective in women with missed abortion as compared to expectants management.

134 citations


Journal ArticleDOI
TL;DR: It is concluded that the mystery of this disease must be resolved to achieve primary prevention of it and the need for coordinated efforts to reduce the morbidity and mortality due to pre‐eclampsia/eClampsia is emphasized.

131 citations


Journal ArticleDOI
TL;DR: On‐site human papillomavirus (HPV) identification, alone or in combination with other tests, is promising and another promising development is immunization against HPV infection, either as a preventative measure or for stimulating immunity in infected women.

131 citations


Journal ArticleDOI
TL;DR: A wide gap exists between current evidence‐based standards and current levels of provider competence in Benin, Ecuador, Jamaica, and Rwanda, which is a proxy indicator for reducing maternal mortality in developing countries.

126 citations


Journal ArticleDOI
TL;DR: To quantify maternal risk associated with multiple cesarean sections (CSs) and determine whether the third CS defines a threshold for increased morbidity, a database of CSs in women with high-risk pregnancies is analyzed.

121 citations


Journal ArticleDOI
TL;DR: To evaluate by ultrasonography, the lower uterine segment thickness of women with a previous cesarean delivery and determine a critical thickness above which safe vaginal delivery is predictable.

100 citations


Journal ArticleDOI
TL;DR: Compared their effect on producing ovulation and conception in infertile, clomiphene-resistant women with polycystic ovary syndrome (PCOS), letrozoles and anastrozole are potent aromatase inhibitors (AI) that peripherally decrease the production of estrogens from androgens.

98 citations



Journal ArticleDOI
TL;DR: Access to well‐established technologies, particularly safe caesarean section, can reduce maternal mortality in resource‐poor countries.

Journal ArticleDOI
TL;DR: Serum hCG and progesterone levels at defined times can be used to predict the immediate viability of a PUL, but cannot be used reliably to predict its location.

Journal ArticleDOI
TL;DR: Fenton et al. as discussed by the authors showed that women in resource-poor countries suffer from high rates of fistula, which is caused by prolonged obstructed labour and absent or inaccessible prenatal services.

Journal ArticleDOI
K. Krasovec1
TL;DR: Although evidence is still scarce, experience suggests that motorized transport is likely to be the most acceptable and effective transportation option, and more sophisticated communications technologies are increasingly becoming the technologies of choice for low‐resource settings.

Journal ArticleDOI
TL;DR: The American College of Obstetricians and Gynecologists generally adopts the immunization recommendations of the Centers for Disease Control and Prevention, and the following guidelines indicate routine assessments for nonpregnant women based on age groups and risk factors.

Journal ArticleDOI
TL;DR: The RMI is able to correctly discriminate between malignant and benign pelvic masses and can be introduced easily into clinical practice to facilitate the selection of patients who would benefit from primary surgery.

Journal ArticleDOI
TL;DR: Placental abruption was twice as likely to occur in twin pregnancy although the overall incidence was low, and there was no difference in the rates of placenta previa between twin and singleton pregnancies.

Journal ArticleDOI
TL;DR: Chronic hypertension is associated with adverse pregnancy outcome, regardless of superimposed preeclampsia, and pregnancies complicated with chronic hypertension had higher rates of CD.

Journal ArticleDOI
TL;DR: There is no obvious relationship between increasing endometrial thickness and the need for surgical intervention in women treated with misoprostol for early pregnancy failure.

Journal ArticleDOI
TL;DR: Medical management of missed abortion with either oral or vaginal misoprostol is highly effective and highly acceptable.

Journal ArticleDOI
TL;DR: Overall, the p53 gene was associated with increased risk for invasive cervical cancer, however, the risk varied by country, cellular, and HPV type.

Journal ArticleDOI
TL;DR: Using a multiple logistic regression model controlling for possible confounders, such as preterm delivery, hydramnios, etc., umbilical cord prolapse was found to be an independent contributing factor to perinatal mortality.

Journal ArticleDOI
TL;DR: There is still a long way to go in making patients and society aware of the fact that UI is a disorder, which can and should be treated, while patients must be encouraged to report their problem, while health care providers should raise the issue on routine exams in risk groups.

Journal ArticleDOI
TL;DR: Clinical and operational research is needed to answer remaining questions about misoprostol, the anti‐shock garment, and umbilical vein injection of oxytocin for retained placenta to help reduce maternal mortality due to obstetric hemorrhage.

Journal ArticleDOI
TL;DR: Analysis of patterns of physical and sexual abuse before, during, and after pregnancy in 32 communities of the Tianjing, Liaoning, Henan, and Shannxi provinces suggested routine screening for abuse in the maternity services setting is advocated to decrease the effect of abuse on women and their children.

Journal ArticleDOI
Michael J. Free1
TL;DR: Some technologies with documented value for maternal care in developing world settings appear to be stuck short of widespread acceptance and use and understanding the factors impeding their progress can enable the public sector and its collaborators to organize and facilitate their progress more effectively.

Journal ArticleDOI
TL;DR: Health education and provision of modern affordable methods of management of diagnosed cases such as uristix and hemastix will improve maternal and fetal outcome in pregnant diabetics in Africa.

Journal ArticleDOI
Y. Cheng, X. Gno, Y. Li, S. Li, A. Qu, B. Kang1 
TL;DR: To determine the rates of repeated abortion and contraceptive use among unmarried young women seeking an abortion in China, a large number of women were surveyed and it was found that women who had previously had an abortion were more likely to use contraception.

Journal ArticleDOI
Vivien Tsu1, B Shane1
TL;DR: Immediate efforts are needed to accelerate the appropriate use of technologies and to reduce their inequitable distribution and to scale up and put proven technologies into widespread use to save women's lives.

Journal ArticleDOI
TL;DR: Pregnancy in women with valvular heart disease is associated with significantly higher maternal morbidity and adverse fetal outcomes and requires a team approach for optimal management.