Showing papers in "Obstetrics & Gynecology in 1990"

TL;DR: Factors predictive of relapse risk in patients with stage I invasive epithelial ovarian cancer were analyzed, and simplification of stage I substaging was allowed, as only differentiation, dense adherence, and large-volume ascites need be considered.

TL;DR: It is demonstrated that preeclampsia is not a disease of systemic hypoperfusion and challenges most current models of the disease based on that assumption.

TL;DR: Fifty-eight women with severe preeclampsia between 28-34 weeks' gestation qualified for a randomized controlled trial to establish whether elective delivery 48 hours after administration of betamethasone or delivery later as indicated by maternal or fetal condition was more beneficial to maternal and fetal outcome.

TL;DR: Bacterial vaginosis appears to be an important risk factor for postpartum endometritis after cesarean delivery and is not appreciably changed in the multivariable analysis after adjusting for maternal age, duration of labor, and duration of membrane rupture.

TL;DR: It is suggested that the terminology of the HPV-related precursor lesions be modified and that two terms, rather than three, would best satisfy the requirements of both science and clinical care.

TL;DR: A majority of women experience some change in sexual function during the years immediately before and after the menopause, and common sexual complaints include loss of desire, decreased frequency of sexual activity, painful intercourse, diminished sexual responsiveness, and dysfunctions of the male partner.

TL;DR: The findings of numerous smaller studies that have concluded that the policy of routine repeat cesarean delivery should be abandoned are supported.

TL;DR: The results showed that the women with twin pregnancies were slightly older, had a higher parity, gained more weight during the gestation, and had a heavier body weight at delivery, and there was no increased risk of pyelonephritis, placenta previa, or diabetes mellitus in mothers with twins.

TL;DR: The placentas of 1843 deliveries were examined for the presence of histologic chorioamnionitis, which was classified as mild, moderate, or severe, and there was no significant difference in frequency and severity between black and white or between indigent clinic and private patients who delivered preterm.

TL;DR: It is concluded that outpatient abortion on selected patients to the 14th week from the last menstrual period is a safe procedure.

TL;DR: Two hundred ten consecutive fetuses were identified as having renal pyelectasis among 7400 patients scanned during 1 year and seven of these 210 fetuses had Down syndrome.

TL;DR: The overall maternal mortality ratio for the period was 9.1 deaths per 100,000 live births and pulmonary embolism was the leading cause of death after a live birth; unmarried women had a higher risk of death than married women.

TL;DR: Sonograms from 1622 consecutively scanned singleton pregnancies at a mean gestational age of 28.5 weeks were analyzed to determine whether maternal obesity affected visualization of fetal anatomy, and body mass index was the best predictor of visualization.

TL;DR: It is concluded that regular elicitation of the relaxation response is an effective treatment for physical and emotional premenstrual symptoms, and is most effective in women with severe symptoms.

TL;DR: The data suggest that incontinence during exercise is a common, although little known, problem and in addition to the behavioral adaptations which women initiate on their own, surgical and nonsurgical treatments may be of benefit.

TL;DR: The average age at diagnosis was 57.4 years and the median survival for the total group was 24.0 months with a median survival rate of 6.5 months.

TL;DR: The technique of meta-analysis was used to derive typical estimates of the risk of congenital malformations from oral contraceptive exposure in early pregnancy, and there is no lack of an association between OCs and birth defects in prospective studies.

TL;DR: Although the mean ages at first intercourse were similar, women with idiopathic pelvic pain reported a higher total number of sexual partners and were significantly more likely to have experienced previous significant psychosexual trauma.

TL;DR: A vaginal probe with a 240° scanning angle in gravidas at various gestational ages is used to test the theoretical advantages of the wide scanning angle and a fair degree of association between sonographic cervical measurements and measurements obtained by digital examination was found.

TL;DR: It is concluded that the risks and benefits of midline episiotomy should be evaluated in a randomized clinical trial that compares policies of “usual” versus conservative use of episiotomies.

TL;DR: Characteristics of the fetal heart rate were studied longitudinally throughout the second and third trimesters in 43 low-risk singleton fetuses so that in late pregnancy different behavioral states could be determined reliably from characteristics of the baseline FHR alone.

TL;DR: In this paper, a composite definition of twin-twin transfusion syndrome is proposed based on modern diagnostic modalities such as sonography and Doppler studies, allowing antenatal diagnosis and therefore may change the current definition of the syndrome.

TL;DR: Based upon the available literature, it is believed that the enthusiasm for continuous combined therapy is premature and caution is urged in its use until further, more conclusive, data become available.

TL;DR: Commercial available lactobacilli-containing products may not be appropriate for recolonization of the vagina because they either do not contain the Lactobacillus species advertised and/or contain other bacteria of questionable benefit.

TL;DR: The Martius graft, a labial fibro-fatty tissue graft, is described as an adjunctive technique in the repair of 37 complex fistulas in 35 patients, with an overall success rate of 86.5%.

TL;DR: Prenatal diagnosis by first-trimester chorionic villus sampling was successful, and a significant increase in the perinatal loss rate in the placental mosaic group was noted when compared with the nonmosaics: 16.7 versus 2.7%.

TL;DR: A protocol was developed to monitor pregnancies complicated by major blunt abdominal trauma in the third trimester, looking specifically for delayed placental and/or fetal problems, and found no cases of direct fetal injury or Rh-isoimmunization.

TL;DR: Findings in this study should have a significant impact on the therapeutic choices recommended by gynecologists and may alter the informed consent that patients give in such cases.

TL;DR: This study provides an anatomical basis for the elevated resistance to blood flow in placentas from growth-retarded fetuses and correlated significantly with the resistance index.

TL;DR: Although in some instances transvaginal sonography was performed during vaginal hemorrhage, aggravation of bleeding was never observed and transvagINAL sonographic localization of the placenta proved to be an accurate and safe diagnostic procedure.