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Showing papers in "Obstetrics & Gynecology in 2003"


Journal ArticleDOI
TL;DR: There is an urgent need to conduct randomized trials to determine the efficacy and safety of antihypertensive drugs in women with mild hypertension-preeclampsia and the benefits and risks of magnesium sulfate during labor and postpartum in Women with mild preeClampsia.

1,025 citations


Journal ArticleDOI
TL;DR: Abnormalities in the levator ani muscle are present on MRI after a vaginal delivery but are not found in nulliparas.

594 citations


Journal ArticleDOI
TL;DR: Electrosurgical bipolar vessel sealer is an effective alternative to sutures in vaginal hysterectomy, resulting in significantly reduced operative time and blood loss.

560 citations


Journal ArticleDOI
TL;DR: It is not clear that tocolysis in the setting of preterm PROM remote from term reduces infant morbidity, and review of evaluable data indicates that antenatal corticosteroid administration in this setting enhances neonatal outcome without increasing the risk of perinatal infection.

536 citations


Journal ArticleDOI
TL;DR: Treatment of chronic pain as well as treatment of four of the more common disorders associated with chronic pelvic pain (endometriosis, adhesions, irritable bowel syndrome, and interstitial cystitis) are discussed in this review.

479 citations


Journal ArticleDOI
TL;DR: The reported pregnancy-related mortality ratio has increased and black women continue to have an almost four-fold increased risk of pregnancy- related death, the greatest disparity among the maternal and child health indicators.

405 citations


Journal ArticleDOI
TL;DR: Prematurity, whether examined by gestational age or birth weight, is associated with significant neonatal hospital costs, all of which decrease exponentially with advancing gestational Age and birth weight.

388 citations


Journal ArticleDOI
TL;DR: The data show that the TVT procedure is a safe procedure with an acceptable complication rate when performed by surgeons who have experience with retropubic and transvaginal antiincontinence procedures.

332 citations


Journal ArticleDOI
TL;DR: According to numbers needed to treat, intensive pelvic floor muscle training during pregnancy prevented urinary incontinence in about one in six women during pregnancy and one in eight women after delivery.

312 citations


Journal ArticleDOI
TL;DR: The multidose regimen is more effective than the single-dose regimen and women who experienced side effects were more likely to have successful treatment regardless of regimen.

311 citations


Journal ArticleDOI
TL;DR: Gabapentin is effective in reducing hot flash frequency and severity in postmenopausal women.

Journal ArticleDOI
TL;DR: After adjusting for other risk factors, active maternal periodontal disease during pregnancy is associated with an increased risk for the development of preeclampsia.


Journal ArticleDOI
TL;DR: The slow but steady progression toward defining the pathogenesis and pathophysiology of neonatal encephalopathy and cerebral palsy is covered.

Journal ArticleDOI
TL;DR: A maternal history of genital warts in pregnancy is the strongest risk factor for respiratory papillomatosis in the child, and future studies should examine the efficacy of genital wart treatment for the prevention of disease.

Journal ArticleDOI
TL;DR: This study demonstrates that hysteroscopic interval tubal sterilization with microinserts is well tolerated and results in rapid recovery, high patient satisfaction, and effective permanent contraception.

Journal ArticleDOI
TL;DR: After dissemination of federal recommendations, pregnant women in this cohort reported reduced consumption of fish, including tuna, dark meat fish, and white meatFish, because these fish may confer nutritional benefits to mother and infant, public health implications remain unclear.

Journal ArticleDOI
TL;DR: The continued burden of illicit drug use during pregnancy calls for policy efforts to enable primary care providers to identify and refer women who use substances to treatment and support services.

Journal ArticleDOI
TL;DR: The increased maternal morbidity in elective cesarean delivery compared with spontaneous onset of labor is limited to puerperal febrile morbidity.

Journal ArticleDOI
TL;DR: In this article, the authors hypothesize that higher intake of docosahexaenoic acid, an n-3 long chain polyunsaturated fatty acid, would increase duration of gestation and birth weight in US women.

Journal ArticleDOI
TL;DR: Persistent occiput posterior position is associated with a higher rate of complications during labor and delivery, and in this population, the chances that a laboring woman with persistent occipUT posterior position will have a spontaneous vaginal delivery are only 26% for nulliparas and 57% for multiparas.

Journal ArticleDOI
TL;DR: There is no role for routine use of either cervical sonography or fibronectin to screen pregnant women for preterm birth risk, but women thought to be at increased risk may be reassured by negative test results.

Journal ArticleDOI
TL;DR: The goal of the educational programs should be not only to improve pregnancy outcome but also to promote healthy lifestyle changes for the mother that will last long after delivery.

Journal ArticleDOI
TL;DR: Group prenatal care results in higher birth weight, especially for infants delivered preterm, and has implications for design of sustainable prenatal services that might contribute to reduction of racial disparities in adverse perinatal outcomes.

Journal ArticleDOI
TL;DR: Combined analysis of placental growth factor and vascular endothelial growth factor is potentially useful as a tool for early identification of patients at risk for developing severe, early-onset preeclampsia.

Journal ArticleDOI
TL;DR: Overall, although hirsutism is a frequent and distressing abnormality often signaling an underlying endocrine disorder, a systematic approach to evaluation will uncover the etiology, and combination therapy will provide satisfactory treatment for most patients.

Journal ArticleDOI
TL;DR: No effect of asthma symptoms or severity on preterm delivery but observed increased risks associated with use of oral steroid and theophylline, which possibly reflects a hypoxic fetal effect.

Journal ArticleDOI
TL;DR: The adverse outcomes associated with excessive weight underline the urgency of weight loss interventions before pregnancy and suggest that research is needed on rapidly growing racial or ethnic subgroups most at risk for obesity.

Journal ArticleDOI
TL;DR: A policy of labor induction at 41 weeks' gestation for otherwise uncomplicated singleton pregnancies reduces cesarean delivery rates without compromising perinatal outcomes.

Journal ArticleDOI
TL;DR: The risk of spontaneous preterm birth increased with increasing levels of pregnancy glycemia, independent of perinatal complications that could have triggered early delivery.