Showing papers in "Obstetrics & Gynecology in 2004"

TL;DR: Rates of depression, especially during the second and third trimesters of pregnancy, are substantial, and clinical and economic studies to estimate maternal and fetal consequences are needed.

TL;DR: Maternal morbid obesity in early pregnancy is strongly associated with a number of pregnancy complications and perinatal conditions.

TL;DR: In vitro fertilization patients should be advised of the increased risk for adverse perinatal outcomes and should not only manage these pregnancies as high risk but also avoid iatrogenic harm caused by elective preterm labor induction or cesarean.

TL;DR: Sacrocolpopexy is a reliable procedure that effectively and consistently resolves vaginal vault prolapse and patients should be counseled about the low, but present risk, of reoperation for prolapse, stress incontinence, and complications.

TL;DR: Recommendation for diagnosis, management, and counseling of women with partial HELLP syndrome is provided based on results of recent studies and my own clinical experience.

TL;DR: Perinatal mortality was increased in women with intercurrent illness or pregnancy complications compared with women without these conditions, but there was no evidence that these factors became more important with increasing age.

TL;DR: The biology and the pathophysiology of uterine myomas are reviewed, focus on options for management, and emphasize principles that will render the decision-making process as logical as possible.

TL;DR: The conclusions of the workshop were that HPV DNA testing may be added to cervical cytology for screening in women aged 30 years or more and women whose results are negative by both HPV DNATesting and cytology should not be rescreened before 3 years.

TL;DR: Increased infertility in older couples is attributable primarily to declines in fertility rates rather than to absolute sterility, and many infertile couples will conceive if they try for an additional year.

TL;DR: The observed increase in yearly cumulative incidence of GDM was independent of changes in age and ethnicity of the study population, suggesting a true increase in GDM incidence might reflect or contribute to the increases in the prevalence of diabetes and obesity.

TL;DR: The medial pubococcygeus muscles undergo the largest stretch of any levator ani muscles during vaginal birth and are therefore at the greatest risk for stretch-related injury.

TL;DR: The increasing proportions of LGA births over time is explained by concurrent increases in maternal body mass index and decreases in maternal smoking, which may increase with the increasing prevalence of overweight among adolescents and young women.

TL;DR: Although primary prevention of unintended pregnancy is optimal, among women who choose to terminate their pregnancies, increased access to surgical and nonsurgical abortion services may increase the proportion of abortions performed at lower-risk, early gestational ages and help further decrease deaths.

TL;DR: There is an association between antenatal depressive and/or anxiety disorders and increased health care use (including cesarean deliveries) during pregnancy and delivery and increased number of visits to the obstetrician.

TL;DR: Labor progression in overweight and obese women was significantly slower than that of normal-weight women before 6 cm of cervical dilation, given that nearly one half of women of childbearing age are either overweight or obese.

TL;DR: Some degree of pelvic organ prolapse is nearly ubiquitous in older women, which should be considered in the development of clinically relevant definitions of prolapse.

TL;DR: The tension-free vaginal tape procedure for treatment of female urinary stress incontinence is effective over a period of 7 years, with both objective and subjective cure rates above 90%.

TL;DR: There appears to be bidirectional transfer of IL-6 in the healthy-term human placental perfusion model, and concentrations in the study placentas were higher than the concentrations found in the controls.

TL;DR: Low back pain during pregnancy is a common problem that causes hardship in this population of pregnant women and further studies are indicated in the areas of prevention and treatment.

TL;DR: In this paper, the authors evaluated outcomes and predictors of neonatal survival in pregnancies complicated by vasa previa and compared outcomes in prenatally diagnosed cases of VVS with those not diagnosed pre-natally.

TL;DR: Singletons born after ART remain at increased risk for adverse perinatal outcomes; however, risk for term LBW declined from 1996 to 2000, whereas preterm LBW was stable.

TL;DR: Compared with spontaneous vaginal delivery, cesarean delivery is associated with increased risks of endometritis, the need for transfusion, and pneumonia; however, these rates are lower than reported previously.

TL;DR: The available evidence suggests that phytoestrogens available as soy foods, soy extracts, and red clover extracts do not improve hot flushes or other menopausal symptoms.

TL;DR: Ipsilateral salpingectomy, previous ectopic pregnancy, and in vitro fertilization are predisposing factors for interstitial pregnancy and, contrary to previous belief, rupture of interstitialregnancy occurs relatively early in pregnancy.

TL;DR: The sources of data used to conduct this review included the computerized databases MEDLINE, EMBASE, Popline, CINAHL, and LILACS plus.

TL;DR: The 2 classic symptoms of bacterial vaginosis discharge and odor are each reported by a minority of women with bacterialvaginosis and are only slightly more prevalent than among women without bacterial vag inosis.

TL;DR: The bolus dose of oxytocin used at elective cesarean deliveries in nonlaboring women can be significantly reduced while maintaining effective uterine contraction, but may require modification of the techniques to remove the placenta.

TL;DR: Error in estimating blood loss is dependent on actual blood loss volume, and medical students and experienced faculty demonstrate similar errors, and both can be improved significantly with limited instruction.

TL;DR: Postmenopausal treatment with low-dose, unopposed estradiol increased bone mineral density and decreased markers of bone turnover without causing endometrial hyperplasia.

TL;DR: The minimal rise in serial hCG values for women with a viable intrauterine pregnancy is “slower” than previously reported, suggesting that intervention to diagnosis and treat an abnormal gestation should be more conservative.