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Showing papers in "Obstetrics & Gynecology in 1984"


Journal Article•
TL;DR: The present observations indicate that retrograde menstruation through the fallopian tubes into the peritoneal cavity is a very common physiologic event in all menstruating women with patent tubes.

892 citations


Journal Article•
TL;DR: A negligible risk for lymph node metastasis exists if: cancer is confined to the endometrium irrespective of grade, invasion is superficial for grades 1 and 2 tumor, the intermediate third of the myometrium is invaded for grade 1 tumor only, and occult disease is not present in the cervix and/or adnexa.

588 citations


Journal Article•
TL;DR: At the National Maternity Hospital in Dublin, one of the largest obstetric units in Western Europe, this situation has been averted through a coordinated policy of early detection and effective treatment of abnormal uterine action over a period of 15 years.

312 citations


Journal Article•
TL;DR: awareness of risk factors in young women who develop endometrial adenocarcinoma leads to earlier diagnosis and will preserve the historically excellent survival rate of young women.

281 citations


Journal Article•
TL;DR: An immunoradiometric assay using a monoclonal antibody detects an antigenic determinant (CA125) that is present in more than 80% of epithelial ovarian cancers and may deserve further evaluation for the early detection of ovarian carcinoma.

278 citations


Journal Article•
TL;DR: Results of this study suggest that pelvic pain reported to be in the same location for a minimum of six months, is usually associated with organic pathology.

253 citations


Journal Article•
TL;DR: From their results, the authors suggest that obstetricians should alert the pediatricians when predisposing factors exist to aid in the recognition and early treatment of these birth injuries.

224 citations


Journal Article•
TL;DR: Fetal measurements including weight, knee-to-heel length, biparietal diameter, placental weight, and amniotic fluid volume were correlated with foot length, and a table of recommended values for fetal measurements by week of fetal age is provided.

214 citations


Journal Article•
TL;DR: The hypothesis that cognitive and behavioral abnormalities are caused by maternal smoking is strengthened as medical practice is unable to eliminate the influence of smoking-associated fetal growth retardation or increased neonatal hemoglobin levels.

209 citations


Journal Article•DOI•
TL;DR: In this paper, a prospective evaluation of 155 couples with two or more consecutive pregnancy losses disclosed uterine morphologic abnormalities in 27%, chromosomal abnormalities in 21 individuals (7.7%), and at least one abnormal diagnostic test suggestive of a cause for recurrent pregnancy losses in 106 (68%).

200 citations


Journal Article•
TL;DR: Although some modification of the standard radical vulvectomy is appropriate for the primary lesion in patients with stage I disease, patients with greater than 1 mm of stromal invasion require at least an ipsilateral inguinalfemoral lymphadenectomy.

Journal Article•
TL;DR: Data obtained by the rapid in situ hybridization of cervical cells are in agreement with the presence of human papillomavirus 16 and 18 in a high proportion of cervical carcinoma and carcinoma in situ lesions and can be applied to test the hypothesis that a lesion containing human papillsomav virus 16/18 positive cells has a higher risk of progressing to cancer.

Journal Article•DOI•
TL;DR: The results suggest that insulin may be a regulator of steroid biosynthesis in the thecal and stromal compartments of the human ovary.

Journal Article•
TL;DR: Dietary factors may partially explain variation in the international incidence of this disease and suggest a new pathway for its etiology.

Journal Article•
TL;DR: It is strongly suggested that in asymptomatic women past the age of 50, endometrial hyperplasia does not necessarily precede or accompany the development of endometricrial carcinoma.

Journal Article•
TL;DR: In this paper, the influence of aggressive management, associated medical/obstetric complications, race, and gestational age on fetal, neonatal, and maternal risks associated with severe preeclampsia were studied.

Journal Article•
TL;DR: Findings of the present study increase the possibility that bacteria are responsible for most cases of Chorioamnionitis.

Journal Article•
TL;DR: The outcome of 53 cases expectantly managed with premature rupture of membranes (PROM) before fetal viability was retrospectively reviewed, and there were 13 surviving neonates with birth weights ranging from 740 to 2170 g.

Journal Article•
TL;DR: The urinary cytology specimens from the men with and without penile lesions contained nonspecific abnormalities consisting of squamous metaplasia with mild degrees of cytologic atypia, and at present the diagnosis of human papillomavirus infection in the man is best made by careful clinical examination.

Journal Article•
TL;DR: Patients with premature rupture of membranes and a cervix unfavorable for induction of labor were randomized to compare expectant with intervention management and there was no statistically significant difference between groups in mean length of maternal hospitalization.

Journal Article•
TL;DR: External pneumatic calf compression was most effective during the first five days postoperatively and also reduced the incidence of deep venous thrombosis in patients at highest risk.

Journal Article•
TL;DR: Because of the high recurrence rate after initial therapy, a suggested plan of therapy is presented for patients with uterine endolymphatic stromal myosis.

Journal Article•
TL;DR: No statistically significant differences emerged among the survival curves of patients treated with each of the above regimens.

Journal Article•
TL;DR: In infants at less than 32 weeks' gestation, amniocentesis need not be done for pulmonary maturity as the morbidity of prematurity in this group is too high even in the presence of pulmonary maturity.

Journal Article•
TL;DR: A total of 425 children exposed to diagnostic ultrasound at three Denver hospitals during the period May, 1968, through August, 1972, and 381 matched control children were studied for adverse effects at birth and again at a special examination between seven and 12 years of age.

Journal Article•
TL;DR: The data suggest that anovulatory cycles are correlated with the amount of exercise and increased levels of catechol estrogens, which may interact to suppress luteinizing hormone release at the hypothalamic pituitary axis.

Journal Article•
TL;DR: Twelve kinds of knots commonly used in surgical practice were tested with respect to holding power, expressed as loop-holding capacity, and square knots were stronger than sliding knots, and the holding power could be increased by adding extra throws to the knot.

Book Chapter•DOI•
TL;DR: To assess the presence of autoimmune factors in patients with endometriosis, endometrial homogenates, peritoneal fluid, and serum were evaluated and it was suggested that an antigen, possibly a glycoprotein, is present in the endometrian homogenate.

Journal Article•
TL;DR: The data from this short-term study suggest that depo-medroxyprogesterone acetate affords a suitable alternative to estrogen therapy for reducing vasomotor symptoms and may prevent bone resorption as well.

Journal Article•
TL;DR: This part of the report examines both the significance and clinical definition of IUGR and reviews the diagnostic tests used for the detection of the problem of impaired fetal growth and the clinical approach to the management of this entity.