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Showing papers in "Obstetrics & Gynecology in 1998"


Journal ArticleDOI
TL;DR: Soy protein isolate added daily to the diet substantially reduced the frequency of hot flushes in climacteric women.

453 citations


Journal ArticleDOI
TL;DR: The findings for borderline and low-grade abnormal cervical cytologic results suggest a relatively low risk of invasive cervical cancer with observation up to 24 months and support the clinical policy of early colposcopy for high-grade lesions.

423 citations


Journal ArticleDOI
TL;DR: It is estimated that approximately one of eight women with class A1 gestational diabetes mellitus delivers an LGA infant attributable to glucose intolerance, leading to increased risk of difficult labor and delivery.

420 citations


Journal ArticleDOI
TL;DR: Estrogen is efficacious in the treatment of urogenital atrophy and low-dose vaginal estradiol preparations are as effective as systemic estrogen therapy in the Treatment of Urogenitalatrophy in postmenopausal women.

365 citations


Journal ArticleDOI
TL;DR: In this article, a meta-analysis of colposcopy for diagnosis of squamous intraepithelial lesions (SIL) was carried out to quantify the performance of the method against other medical diagnostic tests.

338 citations


Journal ArticleDOI
TL;DR: Instrumental delivery and a second stage of labor prolonged by epidural analgesia are the obstetric factors that pose the greatest risk of injury to the anal sphincter mechanism in primiparous vaginal delivery.

336 citations


Journal ArticleDOI
TL;DR: Gestation weight gain was not associated with adverse perinatal outcome, but it did influence neonatal outcome and to reduce the risk of delivery of an LGA newborn, the optimal gestational weight gain for morbidly obese women should not exceed 25%.

331 citations


Journal ArticleDOI
TL;DR: These results confirm the usefulness of postmenopausal hormone therapy for hot flashes, show convincingly that estrogen plus progestin causes breast discomfort, and demonstrate little influence of post menopausal hormones on anxiety, cognition, or affect.

307 citations


Journal ArticleDOI
TL;DR: The risk of ureteral injury is higher after laparoscopic hysterectomy compared with traditional hysteretomy, and the convalescence times after a bladder injury were 51 days, 118 days, 71 days, and 99 days after Laparoscopic, abdominal, supracervical abdominal, and vaginal hystmerectomy.

302 citations


Journal ArticleDOI
TL;DR: Recognition of the importance of equivocal and mild Papanicolaou test abnormalities in the subsequent diagnosis of high-grade cervical neoplasia emphasizes the need for accurate and cost-effective triage of the large population of women with minimally abnormal PapanIColaou diagnoses.

271 citations


Journal ArticleDOI
TL;DR: Substantial bladder neck hypermobility was present together with diminished functional urethral length and intravaginal and intra-anal pressures, and only 22% of patients with stress urinary incontinence during pregnancy had suchincontinence after delivery.

Journal ArticleDOI
TL;DR: The results suggest that the trafficking of fetal cells into the maternal periphery is disturbed in patients with preeclampsia, and may lead to interesting new concepts regarding the development of preeClampsia and possibly the associated syndrome of hemolysis, elevated liver enzymes, and low platelets.

Journal ArticleDOI
TL;DR: Practice of pelvic muscle exercise by primiparas results in fewer urinary incontinence symptoms during late pregnancy and postpartum, and a significant effect of initial pelvic muscle strength was demonstrated.

Journal ArticleDOI
TL;DR: The data support a high success rate with all three modalities for treatment of squamous intraepithelial lesions, and no significant difference in success rates was observed between the three treatments in the population.

Journal ArticleDOI
TL;DR: An algorithm based on symptoms, signs, and selective use of wet mounts and cultures would have provided prompt treatment to 150 of 167 (90%) women with vulvovaginal candidiasis while minimizing the number of cultures performed.

Journal ArticleDOI
TL;DR: According to the low frequency of para-aortic involvement when tumor size is below 2 cm, such a procedure should be performed up to the level of the left renal vein in patients with small tumors.

Journal ArticleDOI
TL;DR: The apparent superiority of sonographic EFW over clinical EFW applies principally to preterm pregnancies and the prediction limitation calculation suggests that either method, for any particular estimate between 500 and 4500 g, has limited value in the estimation of actual birth weight.

Journal ArticleDOI
TL;DR: The use of leuprolide acetate depot in combination with norethindrone acetate 5 mg alone, or with noredouble acetate and conjugated equine estrogens 0.625 mg, provides effective suppression of pelvic pain symptoms associated with endometriosis while protecting against bone loss.

Journal ArticleDOI
TL;DR: Increasing pelvic organ prolapse is associated with increasing urogenital hiatus size; the hiatus is larger after several failed operations than after successful surgery or single failure.

Journal ArticleDOI
TL;DR: Low sensitivity and low positive predictive value limit its usefulness in screening low-risk obstetric populations, however, in identifying many patients at significant risk for prematurity.

Journal ArticleDOI
TL;DR: More than one-third of the adolescent and nearly one-fourth of the adult women reported abuse in the past year and/or during pregnancy, and abused women were at greater risk for poor obstetric history, vaginal/cervical infection duringregnancy, smoking, and alcohol and drug use.

Journal ArticleDOI
TL;DR: When misoprostol is used in women with previous cesareans, there is a high frequency of disruption of prior uterine incisions.

Journal ArticleDOI
TL;DR: Prolonged use of hormone therapy by post-menopausal women may be associated with an increased risk of developing epithelial carcinoma of the ovary.

Journal ArticleDOI
TL;DR: The results suggest a link between clinical chorioamnionitis and several indices of neonatal morbidity in the very low birth weight infant, which appears to make the veryLow Birth Weight infant particularly vulnerable to neurologic damage.

Journal ArticleDOI
TL;DR: The prevalence of abuse reported by women in this population suggests that many women seeking abortion services may have abuse histories and may have different reasons for pregnancy termination than nonabused women and may be more likely to make the abortion decision without partner involvement.

Journal ArticleDOI
TL;DR: The increasing prevalence ofalcohol use among pregnant women calls for increased ascertainment of alcohol use among preconceptional and pregnant women.

Journal ArticleDOI
TL;DR: The overall distribution of tumor stage and survival were the same for the younger and older women; this finding contradicts previous reports that suggest that young women with endometrial cancer are at lower risk.

Journal ArticleDOI
TL;DR: Cognitive performance decreased with age: older women were slower and made errors than younger women, and short-term estrogen replacement therapy did not provide any advantage over the placebo in terms of improving the performance.

Journal ArticleDOI
TL;DR: In the treatment of dysfunctional uterine bleeding, uterine balloon therapy is as efficacious as hysteroscopic rollerball ablation and may be safer.

Journal ArticleDOI
TL;DR: The evidence to date confirms the efficacy of magnesium sulfate therapy for women with eClampsia and severe preeclampsia, but there is a need for a randomized controlled trial to determine efficacy of Magnesium sulfate Therapy for Women with mild preeclampia and gestational hypertension.