Showing papers in "Obstetrics & Gynecology in 2007"

TL;DR: In this paper, the authors estimate the prevalence and course of antenatal anxiety and depression across different stages of pregnancy, risk factors at each stage, and the relationship between antenatal depression and postpartum depression.

TL;DR: Despite a shorter length of stay, vaginal and laparoscopic hysterectomies remain far less common than abdominal hystEREctomy for benign disease.

TL;DR: Women with prolapse more often have defects in the levator ani and generate less vaginal closure force during a maximal contraction than controls.

TL;DR: Gestational weight gain incidence for overweight or obese pregnant women, less than the currently recommended 15 lb, was associated with a significantly lower risk of preeclampsia, cesarean delivery, and large for gestational age birth and higher risk of small for gestations age birth.

TL;DR: Group prenatal care resulted in equal or improved perinatal outcomes at no added cost and was significantly less likely to have preterm births.

TL;DR: Although the risks of pregnancy loss are relatively low, lack of adequate controls tends to underestimate the true added risk of prenatal invasive procedures.

TL;DR: This study provides neonatal outcomes specific for early-onset placenta-based fetal growth restriction quantifying the impact of gestational age, birth weight, and fetal cardiovascular parameters.

TL;DR: Bacterial vaginosis is a common condition among U.S. women, and the prevalence is similar to that in many treatment-seeking populations, and further studies are needed to disentangle the interactions between race or ethnicity and other sociodemographic characteristics.

TL;DR: A predictive nomogram, which incorporates six variables easily ascertainable at the first prenatal visit, has been developed that allows the determination of a patient-specific chance for successful VBAC for those women who undertake trial of labor.

TL;DR: This national physician survey suggests that physicians can struggle with work–life balance yet remain highly satisfied with their career, and Burnout is an important predictor of career satisfaction, and control over schedule and work hours are the most important predictors of work– life balance and burnout.

TL;DR: Although preliminary results of bariatric surgery are encouraging, the procedure is expensive and not for all obese women, and long-term follow-up data on offspring of obese women who have undergone bariatric operations before pregnancy are lacking, it is needed to encourage obese women to lose weight before conception, using lifestyle changes if possible.

TL;DR: Following a “fertility diet” pattern may favorably influence fertility in otherwise healthy women, and the majority of infertility cases due to ovulation disorders may be preventable through modifications of diet and lifestyle.

TL;DR: Women undergoing magnetic resonance–guided focused ultrasound surgery for symptomatic uterine leiomyomata have durable symptom relief, as measured by the symptom severity score at 24 months, with significantly greater improvement with more complete ablation.

TL;DR: The Adverse Outcome Index could be an important tool for comparing obstetric outcomes within and between institutions to help guide quality improvement.

TL;DR: Clinicians should be aware of the increased risk for maternal rehospitalization after cesarean deliveries to low-risk mothers when counseling women about their choices.

TL;DR: Symptomatic prolapse is less common among African-American women and more common among women with a prior vaginal delivery, poor health status, constipation, or irritable bowel syndrome and nearly one half of women with symptomatic Prolapse are substantially bothered by their symptoms.

TL;DR: The procedure-related fetal loss rate after midtrimester amniocentesis performed on patients in a contemporary prospective clinical trial was 0.06%, and there was no significant difference in loss rates between those undergoing amziocentesis and those not undergoing amNIocentesis.

TL;DR: The study highlights the role of menopausal stages for some symptoms of midlife women and indicates that stages in the transition to menopause are associated with hot flushes; aches, joint pain, and stiffness; and depressed mood.

TL;DR: Anterior colporrhaphy, reinforced with, tailored mesh significantly reduced the rate of recurrence of anterior vaginal wall prolapse compared with the traditional operation, but was associated more often with stress urinary incontinence.

TL;DR: Pregnancy intention, specifically unwanted and ambivalent, may be an indicator of increased risk for some poor birth and maternal outcomes and should be considered in interventions aimed at improving the health of the mother and child.

TL;DR: It is shown that adherence to the current Institute of Medicine guidelines results in lower risks for adverse pregnancy, labor, and delivery outcomes when comparing all outcomes collectively.

TL;DR: Although it is not possible to separate ART-related risks from those secondary to the underlying reproductive pathology, the overall increased frequency of obstetric complications, including preterm birth and small for gestational age neonates, should be discussed with the couple.

TL;DR: The gestational weight gain limits for BMI categories determined in this large population-based cohort study from Swedish Medical Registers showed that a decreased risk of adverse obstetric and neonatal outcomes was associated with lower gestationalWeight gain limits than was earlier recommended, especially among obese women.

TL;DR: There was a low prevalence of thyroid peroxidase antibodies and no correlation between TSH and free T4 levels in women with hypothyroxinemia, leading us to question its biological significance.

TL;DR: Evidence is provided that chronic psychosocial stress may be associated with low birth weight neonates in a low-income population of women.

TL;DR: Increased access to emergency contraceptive pills enhances use but has not been shown to reduce unintended pregnancy rates, and further research is needed to explain this finding.

TL;DR: Total laparoscopic radical hysterectomy reduces operative blood loss, postoperative infectious morbidity, and postoperative length of stay without sacrificing the size of radical hySterectom specimen margins; however, total Laparoscopicradical hysteretomy is associated with increased operative time.

TL;DR: Results from the ongoing trials of cerclage as an interventional therapy and omega-3 fatty acid supplementation as a preventive therapy will provide additional knowledge for the optimal management of high-risk women with a history of spontaneous preterm birth.

TL;DR: All ART pregnancies are associated with an increased risk of multiple pregnancy, cesarean delivery, and congenital abnormality, and compared with IVF and ICSI, IVM is not associated with any additional risk.

TL;DR: Higher early pregnancy levels of sFlt-1 and PlGF were associated with a decreased risk of adverse perinatal outcome, and were minimally affected by adjustment for maternal characteristics.