Abstract：
PURPOSE OF REVIEW:The prevalence and impact of elective deliveries occurring prior to 39 weeks' gestation has been the focus of several important studies published in recent medical literature. Defined as scheduled deliveries in the absence of medical or obstetrical indications, concern has been raised that many of these procedures are not performed within the parameters of existing clinical guidelines. RECENT FINDINGS:The American College of Obstetricians and Gynecologists (ACOG) recommends that no elective delivery should be performed before the gestational age of 39 weeks; however, studies report rates of 28-35.8% of elective deliveries occurring before 39 weeks and reveal that they also contribute to increased rates of late-preterm births (34 0/7-36 6/7 weeks). These deliveries are associated with increased neonatal morbidity, neonatal intensive care unit admissions, and associated hospital costs compared to deliveries (37 0/7-38 6/7 weeks) occurring at 39-40 weeks. Prevention of early-term elective deliveries has not demonstrated an increased risk for stillbirth. The implementation of hospital quality improvement programs has successfully reduced the occurrence of elective early-term and late-preterm deliveries, as well as associated neonatal morbidity and mortality. SUMMARY:Improved compliance with ACOG recommendations and a reduction in elective deliveries before 39 weeks can be achieved through the use of quality improvement processes involving education, tracking of data, and strict enforcement of clinical practice policies.
journal_name
Curr Opin Obstet Gynecoljournal_title
Current opinion in obstetrics & gynecologyauthors
Ashton DMdoi
10.1097/GCO.0b013e3283404eb4subject
Has Abstractpub_date
2010-12-01 00:00:00pages
506-10issue
6eissn
1040-872Xissn
1473-656Xjournal_volume
22pub_type
杂志文章,评审abstract：PURPOSE OF REVIEW:Examine recent evidence of randomized controlled trials and meta-analyses regarding the effect of maternal vitamin D status and supplementation over obstetrical and offspring outcomes. RECENT FINDINGS:Maternal serum 25-hydroxyvitamin [25(OH)D] progressively declines during pregnancy because of fetal ...
journal_title：Current opinion in obstetrics & gynecology
pub_type： 杂志文章
doi：10.1097/GCO.0000000000000641
更新日期：2020-10-01 00:00:00
abstract：PURPOSE OF REVIEW:Currently, a number of different stress urinary incontinence (SUI) procedures exist. The relatively recent adoption of the midurethral sling into clinical practice has changed the surgical management of SUI. This critical evaluation of the trends in SUI surgery emphasizes the public health burden of S...
journal_title：Current opinion in obstetrics & gynecology
pub_type： 杂志文章,评审
doi：10.1097/GCO.0b013e3283648cdd
更新日期：2013-10-01 00:00:00
abstract：:Laparoscopic oophorectomy is one of the most controversial and challenging areas of endoscopic surgery. Judicious preoperative evaluation along with careful patient selection can reduce the risk of operating on an unsuspected ovarian malignancy. Appropriate patient consent and planning should be obtained before the pr...
journal_title：Current opinion in obstetrics & gynecology
pub_type： 杂志文章,评审
doi：
更新日期：1995-08-01 00:00:00
abstract：PURPOSE OF REVIEW:Borderline tumors of the ovary are seen commonly in obstetrics and gynecology practices. This review will outline the most recent information regarding the epidemiology, molecular pathogenesis, pathology, and clinical management of these tumors. RECENT FINDINGS:In the past, borderline ovarian tumors ...
journal_title：Current opinion in obstetrics & gynecology
pub_type： 杂志文章,评审
doi：10.1097/00001703-200302000-00006
更新日期：2003-02-01 00:00:00
abstract：PURPOSE OF REVIEW:Noninvasive prenatal testing (NIPT) through the analysis of cell-free DNA in maternal plasma has rapidly changed screening for fetal chromosome abnormalities. We review practical and ethical challenges associated with the transition, progress in their resolution, and identify new emerging difficulties...
journal_title：Current opinion in obstetrics & gynecology
pub_type： 杂志文章,评审
doi：10.1097/GCO.0000000000000254
更新日期：2016-04-01 00:00:00
abstract：:Human papillomavirus testing has been evaluated as an adjunct to cervical cytologic screening. There is a well-established association between high-risk malignant subtypes of human papillomavirus infection and the development of neoplastic change. Although human papillomavirus infection is a necessary condition for ma...
journal_title：Current opinion in obstetrics & gynecology
pub_type： 杂志文章,评审
doi：10.1097/00001703-200002000-00002
更新日期：2000-02-01 00:00:00
abstract：:Vaginal birth has been recognized as being potentially traumatic to the pelvic floor. It is important that contributory obstetric factors are identified and their occurrence minimized. Women who have sustained significant anal sphincter injury are at greater risk of further damage and faecal incontinence with subseque...
journal_title：Current opinion in obstetrics & gynecology
pub_type： 杂志文章,评审
doi：10.1097/00001703-200012000-00005
更新日期：2000-12-01 00:00:00
abstract：:During the past year much effort has been focused on defining the DNA content of gestational trophoblastic tumors. Flow cytometric and image analysis studies of molar pregnancies confirmed that the majority of partial hydatidiform moles were triploid, and, as expected, most complete hydatidiform moles were diploid or ...
journal_title：Current opinion in obstetrics & gynecology
pub_type： 杂志文章,评审
doi：
更新日期：1994-08-01 00:00:00
abstract：:Doppler ultrasound velocimetry of uteroplacental, umbilical, and fetal vessels provides the clinician with important information on the hemodynamics of the vascular area under study. Transvaginal color Doppler is a new technique that allows precise investigation of fetomaternal circulation in early pregnancy. Doppler ...
journal_title：Current opinion in obstetrics & gynecology
pub_type： 杂志文章,评审
doi：
更新日期：1994-10-01 00:00:00
abstract：PURPOSE OF REVIEW:Although there is effective screening for cervical cancer, it continues to be a healthcare problem in developing countries. To increase survival rates, different strategies with neoadjuvant chemotherapy have been developed. Nearly all trials that analysed neoadjuvant chemotherapy plus surgery demonstr...
journal_title：Current opinion in obstetrics & gynecology
pub_type： 杂志文章,评审
doi：10.1097/00001703-200502000-00008
更新日期：2005-02-01 00:00:00
abstract：PURPOSE OF REVIEW:The last several years have seen a number of important clinical and academic advances in long-acting reversible contraceptive (LARC) methods, such that many professional medical organizations now recommend these methods as first-line contraception for all women. RECENT FINDINGS:Recent data support th...
journal_title：Current opinion in obstetrics & gynecology
pub_type： 杂志文章,评审
doi：10.1097/GCO.0000000000000227
更新日期：2015-12-01 00:00:00
abstract：:Congenital heart disease in pregnancy is increasingly common because of the advances in surgery and medical therapy which have taken place over the last 30 years, which means that more affected women are surviving into the reproductive age. Antenatal counselling needs to be tailored to the specific lesion, with pulmon...
journal_title：Current opinion in obstetrics & gynecology
pub_type： 杂志文章,评审
doi：10.1097/00001703-200204000-00006
更新日期：2002-04-01 00:00:00
abstract：:Recent publications about emergency and implantable contraception focused on increasing the awareness about emergency contraceptive methods and on updating readers about the controversies surrounding Norplant. Both emergency and implantable contraception have excellent safety and efficacy profiles, yet neither has rea...
journal_title：Current opinion in obstetrics & gynecology
pub_type： 杂志文章,评审
doi：
更新日期：1997-06-01 00:00:00
abstract：:During the period under review (December 1990 through January 1992), the revised World Health Organization Histological Classification of Ovarian Neoplasms and Tumor-like Lesions was completed, and it is presented herein. This system of classification incorporates recent advances and includes newly recognized entities...
journal_title：Current opinion in obstetrics & gynecology
pub_type： 杂志文章,评审
doi：
更新日期：1992-08-01 00:00:00
abstract：:In 1991, the abortion literature was characterized by articles relating to 1) epidemiologic issues in abortion care, 2) advances in knowledge and experience with medical abortifacients such as mifepristone (RU 486), and 3) cervical ripening prior to abortion with the use of both mifepristone and prostaglandins. Techni...
journal_title：Current opinion in obstetrics & gynecology
pub_type： 杂志文章,评审
doi：
更新日期：1992-08-01 00:00:00
abstract：PURPOSE OF REVIEW:Expanded carrier screening, which detects carriers for a large number of autosomal recessive and X-linked diseases, is increasing in clinical utilization. A recent joint statement from multiple professional societies, in addition to a growing literature base, offers perspective on rationale, decision ...
journal_title：Current opinion in obstetrics & gynecology
pub_type： 杂志文章,评审
doi：10.1097/GCO.0000000000000256
更新日期：2016-04-01 00:00:00
abstract：PURPOSE OF REVIEW:The purpose of this review is to discuss the diagnosis, medical complications, and treatment of eating disorders as defined by the newly released Diagnostic and Statistical Manual, 5th edition. RECENT FINDINGS:With the introduction of the Diagnostic and Statistical Manual, 5th edition, the diagnostic...
journal_title：Current opinion in obstetrics & gynecology
pub_type： 杂志文章,评审
doi：10.1097/GCO.0000000000000317
更新日期：2016-10-01 00:00:00
abstract：:Urinary incontinence remains a common problem that adversely affects the quality of life of millions of women. In detrusor instability, treatment measures often lack efficacy or are accompanied by unacceptable side effects. In this review, standard treatments are discussed, together with recent pharmacologic advances ...
journal_title：Current opinion in obstetrics & gynecology
pub_type： 杂志文章,评审
doi：
更新日期：1991-08-01 00:00:00
abstract：:Child sexual abuse is being recognized as a common and serious problem which affects children regardless of their age, sex, socio-economic class, or geographic location. Children of all ages, from infancy to young adulthood, have been victims of abuse. It is well accepted that the number of reported incidents of child...
journal_title：Current opinion in obstetrics & gynecology
pub_type： 杂志文章,评审
doi：
更新日期：1993-12-01 00:00:00
abstract：PURPOSE OF REVIEW:The utility of positron emission tomography (PET) in gynecologic malignancy has increased rapidly in recent years. This review examines publications in this area. RECENT FINDINGS:PET scans are mostly performed using 18-fluorodeoxyglucose (FDG-PET). It is valuable in primary staging of untreated advan...
journal_title：Current opinion in obstetrics & gynecology
pub_type： 杂志文章,评审
doi：10.1097/GCO.0b013e32801195c9
更新日期：2007-02-01 00:00:00
abstract：:During the past few years enormous progress has been made in the understanding of the molecular mechanisms involved in parturition; however, the answer to the fundamental question of how labor is initiated remains elusive. This is a very important question because alterations in the timing of birth (preterm and post-t...
journal_title：Current opinion in obstetrics & gynecology
pub_type： 杂志文章,评审
doi：
更新日期：1993-10-01 00:00:00
abstract：PURPOSE OF REVIEW:Fetal magnetic resonance imaging is becoming more used in the evaluation of complex fetal abnormalities. Rapid advances in the technology and application of fetal magnetic resonance imaging necessitate a review of this subject. RECENT FINDINGS:Diffusion-weighted imaging, magnetic resonance spectrosco...
journal_title：Current opinion in obstetrics & gynecology
pub_type： 杂志文章,评审
doi：10.1097/01.gco.0000247394.94592.a5
更新日期：2006-12-01 00:00:00
abstract：:Treatment of invasive vulvar malignancy has become more individualized during the past decade. In the past, radical vulvectomy with bilateral inguinofemoral lymphadenectomy was the standard therapy for invasive squamous cell carcinoma and melanoma of the vulva. This is no longer always the case. The treatment of stage...
journal_title：Current opinion in obstetrics & gynecology
pub_type： 杂志文章,评审
doi：
更新日期：1991-02-01 00:00:00
abstract：PURPOSE OF REVIEW:Understanding the cause of tubal ectopic pregnancy (tEP) remains incomplete. We aim to summarize the latest advances in laboratory models of tEP that we believe will, ultimately, contribute to improving the diagnosis and management of the condition. RECENT FINDINGS:Progress in proteome prefractionati...
journal_title：Current opinion in obstetrics & gynecology
pub_type： 杂志文章,评审
doi：10.1097/GCO.0b013e3283481212
更新日期：2011-08-01 00:00:00
abstract：PURPOSE OF REVIEW:Antenatal fetal surveillance is a field of increasing importance in modern obstetrics, especially as results in perinatal care have recently made dramatic progress. It is an evolving field, and it is no longer acceptable just to wait and see when problems arise in pregnancy. During the past few decade...
journal_title：Current opinion in obstetrics & gynecology
pub_type： 杂志文章,评审
doi：10.1097/00001703-200404000-00005
更新日期：2004-04-01 00:00:00
abstract：PURPOSE OF REVIEW:Many minimally invasive techniques have recently been introduced for the management of uterine fibroids. The purpose of this review is to analyse recent data for techniques that are used to manage uterine fibroids. RECENT FINDINGS:Laparoscopic myomectomy has provided a minimally invasive alternative ...
journal_title：Current opinion in obstetrics & gynecology
pub_type： 杂志文章,评审
doi：10.1097/00001703-200208000-00007
更新日期：2002-08-01 00:00:00
abstract：:This review discusses studies documenting an increase in birth rate associated with in vitro fertilization and gamete intrafallopian transfer. The results of zygote intrafallopian transfer are also encouraging. The rates of chromosomal and congenital abnormalities in assisted reproduction are similar to the rates at w...
journal_title：Current opinion in obstetrics & gynecology
pub_type： 杂志文章,评审
doi：
更新日期：1991-10-01 00:00:00
abstract：PURPOSE OF REVIEW:Surgery can be an important treatment option for women with symptomatic endometriosis. This review summarizes the recommended preoperative work up and techniques in minimally invasive surgery for treatment of deeply infiltrating endometriosis (DIE) involving the obliterated posterior cul-de-sac, bowel...
journal_title：Current opinion in obstetrics & gynecology
pub_type： 杂志文章,评审
doi：10.1097/GCO.0000000000000291
更新日期：2016-08-01 00:00:00
abstract：:Recent advances in seemingly remote areas of investigation, i.e. yeast cell cycle research and DNA amplifications, have opened spectacular avenues for understanding reproduction. The new insights on the single cell and subcellular level of processes, such as egg maturation, sperm-egg interaction and implantation enhan...
journal_title：Current opinion in obstetrics & gynecology
pub_type： 杂志文章,评审
doi：
更新日期：1994-04-01 00:00:00
abstract：PURPOSE OF REVIEW:The review aims to summarize recent data about vascular endothelial growth factor and its implications in the normal endometrium during the menstrual cycle, implantation window and early pregnancy. RECENT FINDINGS:Angiogenesis is crucial for the development of endometrium as well as for embryo implan...
journal_title：Current opinion in obstetrics & gynecology
pub_type： 杂志文章,评审
doi：10.1097/01.gco.0000175362.12470.e0
更新日期：2005-08-01 00:00:00
