Showing papers in "Obstetrics & Gynecology in 2010"

TL;DR: Low-dose aspirin initiated in early pregnancy is an efficient method of reducing the incidence of preeclampsia and intrauterine growth restriction and IUGR.

TL;DR: The reasons for the reported increase in pregnancy-related mortality are unclear; possible factors include an increase in the risk of women dying, changed coding with the International Classification of Diseases, 10thRevision, and the addition by states of pregnancy checkboxes to the death certificate.

TL;DR: There is a relatively high likelihood that a woman in Western Australia will undergo surgery for POP during her lifetime, and there is justification for a stronger evidence base for prevention, early detection and intervention to reduce the personal and societal costs of these gynecological conditions.

TL;DR: The CONSORT (Consolidated Standards of Reporting Trials) statement as discussed by the authors is used worldwide to improve the reporting of randomized, controlled trials. Schulz and colleagues describe the latest version, CONSORT 2010, which updates the reporting guideline based on new methodological evidence and accumulating experience.

TL;DR: In a large, contemporary population, the rate of cervical dilation accelerated after 6 cm, and progress from 4 cm to 6 cm was far slower than previously described.

TL;DR: High rates of gestational weight gain, especially early in pregnancy, may increase a woman's risk of GDM, and the association was stronger in overweight or obese and nonwhite women.

TL;DR: Conservative treatment for placenta accreta can help women avoid hysterectomy and involves a low rate of severe maternal morbidity in centers with adequate equipment and resources.

TL;DR: Predelivery diagnosis of placenta accreta is associated with decreased maternal hemorrhagic morbidity and Planned delivery at 34–35 weeks of gestation in this cohort did not significantly increase neonatal morbidity.

TL;DR: Sleep disturbances are prevalent among healthy nulliparous women and increase significantly during pregnancy, and overall poor sleep quality became significantly more common as pregnancy progressed.

TL;DR: A systematic review of the literature on the effectiveness of multidisciplinary teamwork training in a simulation setting for the reduction of medical adverse outcomes in obstetric emergency situations is presented in this article.

TL;DR: Antenatal major and minor depressive disorders are common and significantly associated with clinically relevant and identifiable risk factors and clinicians can potentially improve the diagnosis and treatment rates of serious depressive disorders in pregnant women by understanding the high point prevalence and associated factors.

TL;DR: Antidepressant use in pregnancy is well studied, but available research has not yet adequately controlled for other factors that may influence birth outcomes including maternal illness or problematic health behaviors that can adversely affect pregnancy.

TL;DR: Overall the best evidence suggests that VBAC is a reasonable choice for the majority of women and definitive studies are lacking to identify patients who are at greatest risk for adverse outcomes.

TL;DR: The findings highlight the potential for severe illness and adverse neonatal outcomes among pregnant 2009 H1N1 influenza-infected women and suggest the benefit of early oseltamivir treatment.

TL;DR: Previous meta-analyses on endometrial thickness measurement probably have overestimated its diagnostic accuracy in the detection of endometrian carcinoma, and advise the use of cutoff level of 3 mm for exclusion ofendometrial carcinoma in women with postmenopausal bleeding.

TL;DR: The 2009 FIGO staging system for uterine corpus cancer is highly prognostic, and the reduction in stage I substages and the separation of stage III will further clarify important prognostic features.

TL;DR: A case of stillbirth caused by Fusobacterium nucleatum that originated in the mother's mouth is reported, which sheds light on patient management for those with pregnancy-associated gingivitis.

TL;DR: Inflammatory cytokine IL- 6 in cervicovaginal fluid and IL-6 and CRP in amniotic fluid but not in plasma are strongly associated with spontaneous preterm birth in asymptomatic women, suggesting that inflammation at the maternal-fetal interface, rather than systemic inflammation, may play a major role in the etiology of such spontaneous pre term births.

TL;DR: The high regression rate of CIN 2 supports clinical observation of this lesion in adolescents and young women, and the behavioral and biologic factors associated with regression and progression are examined.

TL;DR: A relatively brief intervention during pregnancy had discernible effects on intimate partner violence and pregnancy outcomes and incorporating similar interventions in prenatal care is strongly recommended.

TL;DR: The significant association of clinical or histological chorioamnionitis with cerebral palsy suggested that clinical strategies to prevent or reduce chorioamsionitis would lead to a reduction in cerebral palsies.

TL;DR: periodontal therapy did not reduce the incidence of preterm delivery and there were no significant differences when comparing women in the treatment group with those in the control group with regard to the adverse event rate or the major obstetric and neonatal outcomes.

TL;DR: The preferred strategy for timing of delivery in individuals with ultrasonographic evidence of placenta previa and placente accreta under a variety of circumstances is delivery at 34 weeks of gestation, suggesting amniocentesis for verification of fetal lung maturity does not assist in the management of such individuals.

TL;DR: Recent decreases in fetal growth among U.S., term, singleton neonates were not explained by trends in maternal and neonatal characteristics, changes in obstetric practices, or concurrent decreases in gestational length.

TL;DR: The use of administrative claims data are likely the most feasible method for estimating the rate and monitoring trends of ectopic pregnancy in the United States.

TL;DR: The active phase of labor may not start until 5 cm of cervical dilation in multiparas and even later in nulliparas, and a graduated approach based on levels of cervicaldilation to diagnose labor protraction and arrest is proposed.

TL;DR: To preserve the option of forceps delivery, residency training programs must incorporate detailed instruction in forceps techniques and related skills into their curricula.

TL;DR: New guidelines for gestational weight gain and recommendations for action and research that call for “a radical change in the care provided to women of childbearing age” consider the outcomes of both mother and child during and after delivery and the trade-offs between them.

TL;DR: Women at highest risk of emergency hysterectomy are those who are multiparous, had a cesarean delivery in either a previous or the present pregnancy, or had abnormal placentation.

TL;DR: A new oral tranexamic acid treatment was well tolerated and significantly improved both menstrual blood loss and health-related quality of life in women with heavy menstrual bleeding.