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Showing papers in "Obstetrics & Gynecology in 1988"


Journal Article
TL;DR: Women in premature labor who delivered preterm were more likely to experience rupture of membranes, intrapartum fever, and postpartum fever than were control women, and the presence of bacterial vaginosis and Chlamydia trachomatis was positively associated with birth before 37 weeks.

305 citations


Journal Article
TL;DR: It is speculated that overt thyroid deficiency is associated with adverse pregnancy outcome related to preeclampsia and placental abruption and Thyroxine replacement probably improves these outcomes even if subclinical hypothyroidism persists.

292 citations


Journal Article
TL;DR: The Maternal Mortality Collaborative reported 601 maternal deaths from 19 reporting areas for 1980-1985, representing a maternal mortality ratio of 141 per 100,000 live births as discussed by the authors.

287 citations


Journal Article
TL;DR: In this article, all pregnant women from a well defined area (the central district of the County of Ostergotland, Sweden) attending antenatal clinics over a period of seven months were interviewed with regard to low back pain during pregnancy.

274 citations


Journal Article
TL;DR: The results indicate that a one-week diary is a reliable method for assessing the frequency of voluntary micturitions and involuntary episodes of urine loss and that there were significant differences between diagnostic groups.

267 citations


Journal Article
TL;DR: The vasodilating, platelet-disaggregating prostaglandins (PGI2 and PGE) are increased during normal pregnancy and may account for many of the observed hemodynamic changes, which begin as early as the first trimester in preeclampsia.

258 citations


Journal Article
TL;DR: Recognition of the structure of the extrinsic continence mechanism can help to understand urethral pressures during a cough and directional “pressure” variations seen in patients with stress incontinence and contribute to the understanding of surgical failures that occur despite successful urethra suspension.

213 citations


Journal ArticleDOI
TL;DR: Intrapartum treatment of women with intra‐amniotic infection with ampicillin and gentamicin during labor and immediately after umbilical cord clamping led to a lower incidence of neonatal sepsis and a shorter neonatal hospital stay when compared with postpartum treatment.

195 citations


Journal Article
TL;DR: Follow-up of the 35 patients showed that despite the occasional complication of persistence or recurrence of tumor, all were alive without evidence of disease 3-18 years after the initial operation, with an average follow- up of 7.5 years.

176 citations


Journal Article
TL;DR: Patients with chronic pelvic pain showed significantly greater prevalence of lifetimemajor depression, current major depression, lifetime substance abuse, adult sexual dysfunction, and somatization and were also significantly more likely than controls to have been a victim of childhood and adult sexual abuse.

169 citations


Journal Article
TL;DR: Urodynamic evaluation was used to select patients with genuine stress incontinence and low urethral closure pressures for surgical treatment with a sling procedure using polytetrafluoroethylene and an 85% subjective and objective cure rate was found on urodynamic testing three months postoperatively.

Journal Article
TL;DR: In this article, a retrospective matched cohort study of 55 women who admitted to the use of crack during pregnancy and 55 non-drug-using women who delivered during the same period was conducted.

Journal Article
TL;DR: Weight gain in pregnancy, week of registration, cigarette smoking, race, percent of ideal body weight, complications of pregnancy, and marital status in the first pregnancy, as well as breast-feeding in the hospital and interval between the two pregnancies, correlated significantly with interpregnancy weight change.

Journal Article
TL;DR: Tissue data indicate that secretory IgA, which provides the first line of defense against invading pathogens, is produced locally in tissues of the female reproductive tract.

Journal Article
TL;DR: Measurement of serum CA 125 significantly increased diagnostic accuracy in postmenopausal patients and may thus have an important role in the preoperative evaluation of women with ovarian masses.

Journal ArticleDOI
TL;DR: Women with fibroids tended to have an earlier age at menarche and at the last birth, to be more educated, and to use intrauterine devices and oral contraceptives more frequently, although these findings were not statistically significant.

Journal Article
TL;DR: Body weight, length, and head circumference were significantly decreased in neonates born to mothers who abused methamphetamines during pregnancy, and the frequency of congenital anomalies was not significantly increased in this group.

Journal Article
TL;DR: The disease-free survival rate for all patients in this study was 22%; those patients who presented with stage I and II disease had a 29% survival rate, and no objective responses to radiation therapy were seen in these patients.

Journal Article
TL;DR: Of the 840 hysterosalpingograms obtained for evaluation of tubal closure after transcervical sterilization in normal multiparous women using methylcyanoacrylate and the FEMCEPT device, 16 congenital uterine anomalies were identified, for an incidence of 1.9%.

Journal Article
TL;DR: It is suggested that an elevated serum CA 125 level by itself does not sufficiently distinguish benign from malignant masses preoperatively and is often associated with benign secondary pathology such as endometriosis.

Journal Article
TL;DR: It is argued that selective termination in appropriate circumstances (eg, when the ability to carry the pregnancy to viability is very small) is ethically justified because it meets the criterion of least harm and most potential good.

Journal Article
TL;DR: It is suggested that women at low risk of acquiring sexually transmitted infections have little increase in the risk of pelvic inflammatory disease from use of an IUD, whereas previously and never-married women using IUDs had relative risk estimates of 1.8 and 2.6.

Journal ArticleDOI
TL;DR: In this paper, the authors reviewed nine cases of early and six cases of advanced abdominal pregnancy managed at the University of Mississippi Medical Center over a 20-year period and reported a perinatal mortality rate of 83% and no maternal mortality.

Journal Article
TL;DR: The dismal outcome indicates that traditional modes of therapy for cervical cancer are not effective in cases of neuroendocrine small-cell carcinoma.

Journal ArticleDOI
TL;DR: Both skin thickness and metacarpal index increased to a statistically significant degree over the one-year period, with most of the increase occurring in the first six months of therapy.

Journal Article
TL;DR: Observations suggest that hypoestrogenism may affect the sensory threshold of the lower urinary tract of incontinent postmenopausal women.

Journal Article
TL;DR: Second-trimester biopsy specimens taken from patients with cervical incompetence contained normal collagen concentrations, but relatively high collagen extractabilities and collagenolytic activities, exceeding normal postpartum values.

Journal Article
TL;DR: The Q-tip test, if performed correctly, is an easy, inexpensive, and reliable method of quantifying mobility of the bladder neck and proximal urethra in continent or incontinent women with or without pelvic relaxation.

Journal ArticleDOI
TL;DR: In this paper, two hundred primigravid women with mild preeclampsia at 26-35 weeks' gestation were randomly allocated to treatment with hospitalization alone or combined with labetalol.

Journal Article
TL;DR: Oral medroxyprogesterone acetate is effective in relieving symptoms and objectively improving endometriosis along with inducing a pseudodecidualized reaction and atrophic changes in the endometrium and ectopic implants and also suppresses ovulation and the serum levels of both LH and E2.