Showing papers in "Obstetrics & Gynecology in 1999"

TL;DR: In this article, the prevalence of stress, urge, and mixed urinary incontinence and associated risk factors in postmenopausal women was found to be higher in white than black women (odds ratio [OR] 2.8, 95% confidence interval [CI] 1.6, 5.4).

TL;DR: The data support the concept of a hyperdynamic disease model for preeclampsia, with a subsequent hemodynamic crossover to low cardiac output and high resistance circulation coinciding with the onset of the clinical syndrome.

TL;DR: Although tocolytics prolong pregnancy, they have not been shown to improve perinatal or neonatal outcomes and have adverse effects on women in preterm labor.

TL;DR: The incidence of pregnancy-related venous thromboembolic events was 13 per 10,000 and provided new insights to important risk factors such as age, cesarean delivery, smoking, and preeclampsia.

TL;DR: The incidence of venous thromboembolism during pregnancy is lower than has been previously described, with the risk of deep venousThrombosis appearing to begin even before the second trimester.

TL;DR: Nulliparous women age 40 or over have a higher risk of operative delivery (cesarean, forceps, and vacuum deliveries: 61%) than do younger nulliparos women (35%).

TL;DR: Elective induction of labor is associated with a significantly increased risk of cesarean delivery in nulliparous women at term, and avoiding labor induction in settings of unproved benefit may aid efforts to reduce the primary ces Harean delivery rate.

TL;DR: Physical violence during the 12 months before delivery is common and is associated with adverse maternal conditions, and the findings support the need for research on how to screen for physical violence early in pregnancy and to prevent its consequences.

TL;DR: Administration of single and repeated courses of corticosteroids to pregnant sheep retarded fetal brain growth and whole-brain weight was significantly reduced.

TL;DR: The long-lasting and continuously increasing uterine contractility after vaginal administration can be explained only in part by a direct effect of misoprostol.

TL;DR: Although most women expressed no regret after tubal sterilization, women 30 years of age and younger at the time of sterilization had an increased probability of expressing regret during follow-up interviews within 14 years after the procedure.

TL;DR: Both hysteroscopic polypectomy and hysteroscopic myomectomy appeared to enhance fertility compared with infertile women with normal cavities, and despite concern that hysteroscopic resection of a large myoma might ablate a large surface area of the endometrial cavity, the reproductive benefit appears greater than the risk.

TL;DR: S Sphincter tear at vaginal delivery is a serious complication, and it is frequently associated with anal incontinence, so special attention should be directed toward risk factors for this complication.

TL;DR: Greater efforts are required to improve medical advice about weight gain during pregnancy, as advice to gain less than recommended and to gain more than recommended were associated strongly with actual weight gain.

TL;DR: A modified pharmacologic echocardiographic stress test is described that might be useful in determining left ventricular contractile reserve in women believed to be recovered by routine echOCardiographic studies, and the data may be useful when counseling women on future childbearing.

TL;DR: A meta-analysis of the joint effects of smoking and hypertension during pregnancy on the development of abruption showed an increased risk for placental abruption in relation to both cigarette smoking and hypertensive disorders during pregnancy.

TL;DR: It is unlikely that a clinically significant teratogenic risk exists with the use of an inhaled glucocorticoid, budesonide, in early pregnancy.

TL;DR: In macrosomic newborns, shoulder dystocia was associated with brachial plexus injury, but in low- and normal-weight infants, "other malpresentation" was diagnosed more frequently than shoulder dyStocia, which might result from an abnormality during the antepartum or intrapartum period.

TL;DR: Induction of labor, epidural anesthesia, failure to progress, and abnormal fetal heart rate pattern are all associated with failure of a trial of labor and uterine rupture, which significantly elevates the risks for mother and child in future deliveries.

TL;DR: The risk-of-malignancy index strategy in a practical setting was showed to be able to centralize primary surgery for advanced ovarian cancer from local hospitals to a subspecialty unit and identified women with malignant pelvic masses efficiently.

TL;DR: In this paper, the safety and efficacy of leuprolide versus placebo in managing chronic pelvic pain in women with clinically suspected endometriosis was evaluated and compared in a randomized trial.

TL;DR: In this paper, the incidence and severity of adverse events in postmenopausal women treated with raloxifene compared with placebo, hormone replacement therapy (HRT), or unopposed estrogen.

TL;DR: Pregravid BMI and hypercholesterolemia could identify women at higher risk for hypertensive disorders during pregnancy.

TL;DR: Risk factors for placenta accreta include placentA previa, abnormally elevated second-trimester AFP and free beta-hCG levels, and advanced maternal age.

TL;DR: The risk of colon cancer may be decreased among recent postmenopausal HRT users, and the risk of death from Colon cancer may also be lower in H RT users.

TL;DR: Intracavitary lesions and intramural myomas are more prevalent in women with abnormal uterine bleeding than in asymptomatic women, suggesting a causative relationship.

TL;DR: In this article, the authors examined recent figures on major laparoscopic complications in Finland and found that most of the major complications occurred during hysterectomies, whereas other major complications were decreasing until 1996.

TL;DR: Transcervical resection of submucous myomas is a safe and effective treatment for patients with a normal sized uterus and not more than two myomas and it is an acceptable alternative for selected other patients.

TL;DR: Ovarian cancer patients face an appreciable risk of recurrence in the first 5 years after second-look laparotomy with negative findings after platinum-based chemotherapy, but those who remain disease free at 5 years have excellent long-term survival rates.

TL;DR: The CDC-recommended regimens for the prevention of congenital syphilis and treatment of maternal infection are effective, but the highest risk of fetal treatment failure exists with maternal secondary syphilis.