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Showing papers in "Obstetrics & Gynecology in 1994"


Journal ArticleDOI
TL;DR: Two‐thirds of all hysterectomies for noncancerous conditions were performed for uterine leiomyoma or endometriosis—conditions that are most common before the age of menopause, suggesting future assessments of the appropriateness of hysteretomy will require better understanding of these disorders.

648 citations


Journal Article
TL;DR: To determine the incidence of physical and sexual abuse in a sample of adult and teen pregnant women and to determine the effect of abuse on birth weight, a large number of African-American, Hispanic, and white urban female residents were screened for abuse.

457 citations


Journal ArticleDOI
TL;DR: In this article, the effect of hysterectomy for nonmalignant conditions on symptoms and quality of life and to identify adverse effects 1 year after surgery was assessed. But the study was limited to women ages 25-50.

440 citations


Journal Article
TL;DR: The incidence of sarcoma among patients having surgery for “rapidly growing” leiomyoma or among those who met published criteria for rapid growth does not substantiate the concept of increased risk of Sarcoma in these women.

437 citations


Journal Article
TL;DR: There has been an important change over the past 14 years in the management of mature cystic teratomas, with an increased tendency for ovarian preservation, as evidenced by the more frequent use of cystectomy and a decrease in contralateral ovarian biopsy.

398 citations


Journal Article
TL;DR: It appears that estrogen subjectively improves urinary incontinence in postmenopausal women, although the studies included nonhomogeneous groups, and the diagnostic criteria, therapeutic interventions, and outcome assessments varied considerably.

365 citations


Journal ArticleDOI
TL;DR: Estrogen appears to have a specific effect on verbal memory skills in healthy postmenopausal women, which is significantly higher on tests of immediate and delayed paragraph recall compared to the scores of non-users.

364 citations


Journal Article
TL;DR: Lack of control of hyperthyroidism during pregnancy significantly increases the risk of low birth weight infants and severe preeclampsia.

342 citations


Journal Article
TL;DR: The results of this study suggest that Papanicolaou tests should be effective for detecting cervical disease in this population of HIV-infected women.

308 citations


Journal Article
TL;DR: Laparoscopic sacral colpopexy can be used to treat vaginal vault and genital prolapse and the vaginal apex is attached to the sacrum over the third and fourth sacral vertebrae using mesh.

285 citations


Journal Article
TL;DR: Increased cytokine concentrations may contribute to the endothelial damage that occurs with preeclampsia and may explain the mechanism underlying leukocyte activation in this disorder.

Journal Article
TL;DR: In this article, the prevalence of the symptom of urinary incontinence during athletic endeavors among a group of nulliparous, elite college varsity female athletes was found to be high.

Journal Article
R A North1, C. Ferrier, David Long, K Townend, P Kincaid-Smith 
TL;DR: Although abnormal uterine artery Doppler is associated with an increased risk of preeclampsia and FGR, the positive predictive values do not support its introduction as a routine screening test in nulliparous women.

Journal ArticleDOI
TL;DR: Labor after previous cesarean delivery has a 75% success rate, with a risk of uterine rupture of less than 1%, and with careful supervision, trial of labor eliminates the need for a large proportion of repeat cesAREan operations.

Journal Article
TL;DR: Substantial reduction in the cesarean rate is achieved safely and efficiently by encouraging a trial of labor in women with a single previous cesAREan delivery.

Journal Article
TL;DR: A questionnaire was sent to all individuals on a mailing list from the American Association of Gynecologic Laparoscopists to estimate the risk factors for and incidence of post-laparoscopy incisional hernia as mentioned in this paper.

Journal Article
TL;DR: In this article, Isosulfan blue was injected intradermally at the junction of tumor and normal skin in nine patients and the sentinel node was identified in seven of 12 patients.

Journal Article
TL;DR: Using cautious management and strict guidelines, laparoscopic diagnosis of adnexal masses appears reliable and safe, allowing immediate and adequate surgical treatment.

Journal Article
TL;DR: Women with chronic pelvic pain were found to have a higher lifetime prevalence of sexual abuse, involving penetration or other contact with the unclothed genitals or anus, than either comparison group.

Journal Article
TL;DR: Almost half of the women who took the continuous combined conjugated estrogens‐MPA regimens had amenorrhea, and the incidence tended to increase during the study.

Journal Article
TL;DR: Elevated levels in women with endometriosis could be important in the pathophyslology of this disease and demonstrate the presence of transforming growth factor-β in peritoneal fluid.

Journal ArticleDOI
TL;DR: Three strategies emerge from this decision analysis as most optimal for the prevention of early‐onset neonatal group B streptococcal sepsis: universal treatment, treatmentbased on risk factors, and treatment based on preterm delivery and 36‐week culture status.

Journal Article
TL;DR: Cervical sonography was especially useful in selecting women with preterm labor who would not deliver prematurely, ie, a high negative predictive value, and a cervical length of at least 30 mm predicted a low likelihood of preterm birth.

Journal ArticleDOI
TL;DR: Many women with leiomyomas, abnormal bleeding, and chronic pelvic pain report improved symptoms over time with nonsurgical management, and hysterectomy remains an important alternative when conservative treatment fails.

Journal Article
TL;DR: Severe obesity and a history of preeClampsia are the only maternal risk factors identified for the development of severe preeclampsia.

Journal ArticleDOI
TL;DR: In this article, the prevalence of anal and cervical infection with human papillomavirus (HPV) and cytologic abnormalities and the relation among HPV infection, cytologic abnormality, and human immunodeficiency virus (HIV) serostatus was examined.

Journal Article
TL;DR: Inadequate weight gain during the third trimester as opposed to excessive gain, defined specifically for each pre-pregnancy weight status, was predictive of preterm birth.

Journal Article
TL;DR: Metabolic levels were not affected adversely by the addition of MPA to conjugate estrogens, but some beneficial changes were greater with conjugated estrogens alone.

Journal Article
TL;DR: Tumor implantation at the abdominal-wall puncture site is an infrequent occurrence after laparoscopy in patients with intra peritoneal and retroperitoneal carcinoma.

Journal Article
TL;DR: Reports of the supine hypotensive syndrome are reviewed with reference to clinical presentation, suggestions on the mechanism of onset, and the possibility of advance detection to define a cutoff point at which the syndrome occurs.