Showing papers in "Obstetrics & Gynecology in 2005"

TL;DR: To better delineate periods of peak prevalence and incidence for perinatal depression and identify high risk subpopulations, studies with larger and more representative samples are needed.

TL;DR: It is speculated that the previously reported reduction in intelligence quotient of offspring of women with subclinical hypothyroidism may be related to the effects of prematurity.

TL;DR: It is concluded that increasing maternal age is independently associated with specific adverse pregnancy outcomes and is a continuum rather than a threshold effect.

TL;DR: Recommendations for diagnosis, prevention, management, and counseling of women with a history of eclampsia are provided based on results of recent studies and my own clinical experience.

TL;DR: In the subgroup analysis of singleton gestations with short cervical length, especially those with a prior pre term birth, cerclage may reduce preterm birth, and a well-powered trial should be carried out in this group of patients.

TL;DR: Avulsion of the inferomedial aspects of the levator ani from the pelvic sidewall occurred in approximately one third of all women delivered vaginally and was associated with stress incontinence 3 months after childbirth.

TL;DR: The incidence, mortality and disability from pregnancy related-stroke are higher than previously reported, and African-American women are at an increased risk, as are women aged 35 years and older.

TL;DR: Preregnancy maternal obesity increases the risk of pregnancy-induced hypertension, antepartum venous thromboembolism, labor induction, cesarean delivery, and wound infection.

TL;DR: Despite the decline in pregnancy-related mortality rates, almost one half of these deaths could potentially be prevented, mainly through improved quality of medical care.

TL;DR: In contrast to severe systolic hypertension, severe diastolic hypertension does not develop before stroke in most patients with severe preeclampsia and eClampsia, and a paradigm shift is needed toward considering antihypertensive therapy for severely preeclamptic and eclampptic patients when syStolic blood pressure reaches or exceeds 155–160 mm Hg.

TL;DR: Compared with spontaneous onset of labor, medical and elective induction of labor in nulliparous women at term with a single fetus in cephalic presentation is associated with an increased risk of cesarean delivery, predominantly related to an unfavorable Bishop score at admission.

TL;DR: In surgically menopausal women with hypoactive sexual desire disorder, a 300 μg/d testosterone patch significantly increased satisfying sexual activity and sexual desire, while decreasing personal distress, and was well tolerated through up to 24 weeks of use.

TL;DR: A biofilm comprised of confluent G vaginalis with other bacterial groups incorporated in the adherent layer is a prominent feature of bacterial vaginosis.

TL;DR: Older maternal age is associated with relatively higher risks of perinatal mortality/morbidity, although the absolute rate of such outcomes is low.

TL;DR: Temporal trends in preterm birth varied substantially based on underlying subtype and maternal race, and the recent increase in medically indicated pre term birth was associated with a favorable reduction in perinatal mortality.

TL;DR: Prepregnancy obesity was associated with an increasing excess risk of fetal death with advancing gestation, and placental dysfunction may be a possible contributing factor.

TL;DR: In this large series of women with hereditary nonpolyposis coloreCTal cancer syndrome who developed 2 primary colorectal/gynecologic cancers, endometrial cancer/ovarian cancer was the “sentinel cancer,” preceding the development of colon cancer, in half of the cases.

TL;DR: Serum triglyceride/high density lipoprotein cholesterol (TG/HDL-C) ratio correlated with insulin resistance in this population and has a high sensitivity and specificity for the detection of metabolic syndrome in women with PCOS.

TL;DR: Excess pregnancy weight gain and failure to lose weight in an appreciable time are indicators of obesity in midlife, although pregnancy-related weight changes alone are not directly related.

TL;DR: The pattern of labor progression differs substantially for women with an electively induced labor compared with those with spontaneous onset of labor, and elective induction in nulliparous women with a unfavorable cervix has a high rate of labor arrest and a substantially increased risk of cesarean delivery.

TL;DR: Patients who undergo IVF are at increased risk for several adverse pregnancy outcomes, although many of these risks are not seen in patients undergoing ovulation induction, several adverse pregnancies outcomes are still increased in this group.

TL;DR: Women are able to achieve pregnancies after uterine artery embolization, and most resulted in term deliveries and appropriately grown newborns; close monitoring of placental status, however, is recommended.

TL;DR: It was found that the majority of patients diagnosed with endometrial cancer at a young age were obese and nulliparous, and a high incidence of synchronous primary ovarian cancers in this cohort of young, premenopausal women.

TL;DR: A 24/4 regimen of drospirenone 3 mg and ethinyl estradiol 20 &mgr;g improves symptoms associated with premenstrual dysphoric disorder.

TL;DR: Sexual assault is experienced by most physically abused women and associated with significantly higher levels of PTSD compared with women physically abused only, and the risk of reassault is decreased if contact is made with health or justice agencies.

TL;DR: Estrogen plus progestin relieved some menopausal symptoms, such as vasomotor symptoms and vaginal or genital dryness, but contributed to treatment-related effects,such as bleeding, breast tenderness, and an increased likelihood of gynecologic surgery.

TL;DR: Experts recommend screening and eradication of these silent infections as a routine prenatal practice because they usually arise from preexisting covert bacteriuria.

TL;DR: Acute MI during pregnancy remains a rare event, with significant maternal, fetal, and neonatal morbidity and mortality and maternal mortality limited to the antepartum and intrapartum period.

TL;DR: Many functional noncommunicating horns present during or after the third decade of life with acute obstetric uterine rupture are present, and surgical removal before pregnancy is recommended.

TL;DR: In select cases, close observation is a reasonable alternative to antepartum surgery in patients with an adnexal mass during pregnancy, and in select cases the delay of surgery impacts the risk of adverse maternal and fetal outcomes.