Abstract：
PURPOSE OF REVIEW:This article reviews the potential benefits and downsides of early anatomy screening. RECENT FINDINGS:There is increasing evidence that about 50% of severe fetal anomalies can be diagnosed prior to 14 weeks of gestation. 'Red flags' such as an increased nuchal or intracranial translucency, tricuspid valve regurgitation, a small biparietal diameter, a single umbilical artery or an abnormal retronasal triangle should raise the sonographer's suspicion of a congenital defect and warrant a more thorough fetal assessment, which often includes transvaginal scanning. Care should, however, be taken not to overinterpret first-trimester findings as false-positive rates of 3-4% have been reported. With more subtle findings, and especially if a heart defect is suspected, a sonographic reassessment after 15 weeks' gestation is indicated. Patients should be counseled that findings could worsen but also improve with time. SUMMARY:Basic fetal anomaly screening should be recommended, piggybacked on the routine first-trimester (aneuploidy screening) ultrasound, both for low and high-risk populations. First-trimester anatomy screening seems particularly useful in obese women, whose fetuses are difficult to screen at the midtrimester ultrasound and in multiple gestation. Noninvasive prenatal testing using cell-free fetal DNA can complement but should not replace first-trimester ultrasound.
journal_name
Curr Opin Obstet Gynecoljournal_title
Current opinion in obstetrics & gynecologyauthors
Van Mieghem T,Hindryckx A,Van Calsteren Kdoi
10.1097/GCO.0000000000000161subject
Has Abstractpub_date
2015-04-01 00:00:00pages
143-50issue
2eissn
1040-872Xissn
1473-656Xjournal_volume
27pub_type
杂志文章,评审abstract：:The principles of managed care are more difficult to apply to preventive medical treatments, such as hormone replacement therapy, than to the investigation and treatment of established disease. In addition to an ageing society with increased health demands, the use of hormone replacement therapy is increasing in most ...
journal_title：Current opinion in obstetrics & gynecology
pub_type： 杂志文章,评审
doi：
更新日期：1997-08-01 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：PURPOSE OF REVIEW:With over 50 million abortions annually and 25% of pregnancies ending in abortion worldwide, abortion is one of the most common medical procedures. Yet abortion-related topics are glaringly absent from medical school curricula in the USA with half of medical schools including no formal training or onl...
journal_title：Current opinion in obstetrics & gynecology
pub_type： 杂志文章
doi：10.1097/GCO.0000000000000663
更新日期：2020-12-01 00:00:00
abstract：PURPOSE OF REVIEW:To review recent literature on medical accuracy, program effectiveness, and ethical concerns related to abstinence-only policies for adolescent sexuality education. RECENT FINDINGS:The federal government invests over 175 million dollars annually in 'abstinence-only-until-marriage' programs. These pro...
journal_title：Current opinion in obstetrics & gynecology
pub_type： 杂志文章,评审
doi：10.1097/GCO.0b013e3282efdc0b
更新日期：2007-10-01 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：PURPOSE OF REVIEW:Fetal magnetic resonance imaging (MRI) is a relatively new clinical application but is becoming increasingly used in fetal medicine in combination with the established technique of antenatal ultrasound. A review of the literature to date provides information for clinicians to help assess which patient...
journal_title：Current opinion in obstetrics & gynecology
pub_type： 杂志文章,评审
doi：10.1097/GCO.0b013e32832947ab
更新日期：2009-04-01 00:00:00
abstract：:In the past decade, neoadjuvant and concomitant multimodality therapies have been studied in patients with cervical cancer. The past year has witnessed more pilot studies confirming the feasibility of multimodality therapy. It is now time to move to prospective randomized clinical trials to determine the effects on di...
journal_title：Current opinion in obstetrics & gynecology
pub_type： 杂志文章,评审
doi：
更新日期：1993-02-01 00:00:00
abstract：:Advances in perinatal and neonatal health care over the past few decades have resulted in a substantial reduction in perinatal mortality. Some of this improvement has been attributed to antepartum fetal surveillance techniques. The primary objective of antepartum fetal surveillance techniques is to avoid fetal deaths....
journal_title：Current opinion in obstetrics & gynecology
pub_type： 杂志文章,评审
doi：
更新日期：1997-04-01 00:00:00
abstract：PURPOSE OF REVIEW:The most appropriate surgical approach for uterine preservation still remains the subject of ongoing controversy. Uterine suspension procedures can be performed abdominally, vaginally, or laparoscopically. This article focuses on the three different laparoscopic approaches of uterine suspension for ut...
journal_title：Current opinion in obstetrics & gynecology
pub_type： 杂志文章,评审
doi：10.1097/01.gco.0000179664.83154.9c
更新日期：2005-10-01 00:00:00
abstract：PURPOSE OF REVIEW:To describe the current consensus regarding the modern management of ovarian endometriosis and summarize the recent evidence that led to a shift in the management recommendations. RECENT FINDINGS:The vast majority of the recent studies demonstrate an adverse effect of surgery on ovarian reserve marke...
journal_title：Current opinion in obstetrics & gynecology
pub_type： 杂志文章,评审
doi：10.1097/GCO.0000000000000078
更新日期：2014-08-01 00:00:00
abstract：PURPOSE OF REVIEW:Prolonged (postterm) pregnancies are associated with both fetal and maternal complications. A variety of management practices can be utilized to mitigate the risk of these complications. RECENT FINDINGS:In addition to routine induction of labor at 41 weeks, a number of alternative management strategi...
journal_title：Current opinion in obstetrics & gynecology
pub_type： 杂志文章,评审
doi：10.1097/gco.0b013e328314b6f8
更新日期：2008-12-01 00:00:00
abstract：:Transvaginal ultrasonography is emerging as the newest method for the early detection of structural malformations and markers of chromosomal aberrations. According to a multicenter registry on the onset of fetal anomalies, many defects are potentially detectable at an early transvaginal scan. Moreover, cystic hygroma ...
journal_title：Current opinion in obstetrics & gynecology
pub_type： 杂志文章,评审
doi：10.1097/00001703-199504000-00008
更新日期：1995-04-01 00:00:00
abstract：PURPOSE OF REVIEW:We review the techniques recently tested in both animal models and humans to provide a state-of-the-art on adult stem cell ovarian transplant to achieve ovarian rejuvenation in patients with diminished ovarian reserves. RECENT FINDINGS:As the firsts reports of spontaneous pregnancies achieved after b...
journal_title：Current opinion in obstetrics & gynecology
pub_type： 杂志文章,评审
doi：10.1097/GCO.0000000000000531
更新日期：2019-06-01 00:00:00
abstract：PURPOSE OF REVIEW:The purpose of this article is to provide an update for the GP on selected common vulvar concerns in prepubertal girls. Presentation, diagnostic criteria, and management of common vulvar conditions will be described. The following conditions are frequently encountered and may pose diagnostic or manage...
journal_title：Current opinion in obstetrics & gynecology
pub_type： 杂志文章,评审
doi：10.1097/GCO.0000000000000309
更新日期：2016-10-01 00:00:00
abstract：PURPOSE OF REVIEW:To review basic techniques and recent advances in endourology for the practicing gynecologist. RECENT FINDINGS:New ureteral stent designs are available to improve comfort and reduce some of the complications of indwelling ureteral stents. A large prospective study failed to show a significant benefit...
journal_title：Current opinion in obstetrics & gynecology
pub_type： 杂志文章,评审
doi：10.1097/GCO.0b013e32832fd23a
更新日期：2009-10-01 00:00:00
abstract：PURPOSE OF REVIEW:To provide clinicians with a review of recent research and clinically applicable tools regarding teen pregnancy. RECENT FINDINGS:Teen pregnancy rates have declined but still remain a significant problem in the USA. Teen pregnancy prevention was identified by Centers for Disease Control and Prevention...
journal_title：Current opinion in obstetrics & gynecology
pub_type： 杂志文章,评审
doi：10.1097/GCO.0000000000000102
更新日期：2014-10-01 00:00:00
abstract：PURPOSE OF REVIEW:Robotic surgery is rapidly taking the place of laparoscopy in many gynecologic oncology practices. Numerous practitioners have published their experience with this new technology. A review of their findings is timely and relevant. RECENT FINDINGS:The majority of case series of robotic surgery for hys...
journal_title：Current opinion in obstetrics & gynecology
pub_type： 杂志文章,评审
doi：10.1097/GCO.0b013e32831ffe8e
更新日期：2009-02-01 00:00:00
abstract：:Ultrasound prenatal diagnosis of structural anomalies has become almost a separate branch of obstetrics. The advantages of performing ultrasound in pregnancies at high risk for fetal structural anomalies are clear. Patients and the news media have placed ever-increasing expectations on persons performing diagnostic ul...
journal_title：Current opinion in obstetrics & gynecology
pub_type： 杂志文章,评审
doi：
更新日期：1993-04-01 00:00:00
abstract：:Examination of the placenta may be viewed as a diary of the pregnancy. Apart from its immediate diagnostic value, it can also broadly serve two purposes: 1) it provides a method of auditing antenatal clinical judgment by clinicopathologic correlation, and 2) it makes an important contribution in the context of unsolve...
journal_title：Current opinion in obstetrics & gynecology
pub_type： 杂志文章,评审
doi：
更新日期：1992-04-01 00:00:00
abstract：:Early ectopic pregnancy screening using vaginal ultrasonographic technology together with measurement of beta human chorionic gonadotropin (beta-hCG) and human chorionic somatomammotropin is possible within the first 2 weeks of the missing menses, prior to the appearance of symptoms. This article summarizes the main a...
journal_title：Current opinion in obstetrics & gynecology
pub_type： 杂志文章,评审
doi：
更新日期：1991-06-01 00:00:00
abstract：PURPOSE OF REVIEW:To evaluate the role of fluorodeoxyglucose (FDG) PET/CT as cancer response testing in gynecological malignancies. RECENT FINDINGS:The application of FDG PET/CT in patients with endometrial and ovarian cancer to evaluate treatment response was found to have no clinical benefits.Patients with cervical ...
journal_title：Current opinion in obstetrics & gynecology
pub_type： 杂志文章,评审
doi：10.1097/GCO.0b013e32835a7e96
更新日期：2013-02-01 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：:In the past year, new data have been published on the molecular biology of human papillomavirus infections and their relationship to cervical neoplasia. As molecular techniques have become more sophisticated and as the molecular knowledge of human papilloma-virus infections has been pursued in greater depth, it is inc...
journal_title：Current opinion in obstetrics & gynecology
pub_type： 杂志文章,评审
doi：
更新日期：1992-10-01 00:00:00
abstract：:Ovarian stimulation is applied during infertility management either alone or in conjunction with intrauterine insemination and assisted reproductive technologies. At the present time, the two main medications used for ovarian stimulation include an oral antiestrogen, clomiphene citrate, and injectable gonadotropins. I...
journal_title：Current opinion in obstetrics & gynecology
pub_type： 杂志文章,评审
doi：10.1097/00001703-200206000-00003
更新日期：2002-06-01 00:00:00
abstract：PURPOSE OF REVIEW:Therapeutics targeting the ErbB protein family receptors have not always yielded favorable or successful results in present cancer therapy. This review discusses the possibility of the clinical adaptation of targeting against heparin-binding epidermal growth factor-like growth factor (HB-EGF), one of ...
journal_title：Current opinion in obstetrics & gynecology
pub_type： 杂志文章,评审
doi：10.1097/GCO.0b013e3283409c91
更新日期：2011-02-01 00:00:00
abstract：:Many different disease processes can result in a phenotype of hirsutism, anovulation, and oligomenorrhea or amenorrhea. An important goal of reproductive endocrinologists is to identify specific genetic diseases that can produce the hyperandrogenic phenotype. Two genetic disorders that can result in the hyperandrogeni...
journal_title：Current opinion in obstetrics & gynecology
pub_type： 杂志文章
doi：
更新日期：1991-06-01 00:00:00
abstract：:Selective oestrogen receptor modulators are a range of compounds which mimic some, but not all, agonist actions of oestrogen in different tissues. They were developed with the aim of maximizing the benefits of oestrogen-like drugs in a number of important conditions whilst reducing adverse side-effects. The molecular ...
journal_title：Current opinion in obstetrics & gynecology
pub_type： 杂志文章,评审
doi：10.1097/00001703-199806000-00002
更新日期：1998-06-01 00:00:00
abstract：PURPOSE OF REVIEW:Neonatal herpes simplex virus infection is often severe, if not fatal. What is our understanding of the epidemiology of this disease? How is it diagnosed? Would maternal screening for herpes simplex virus-2 (HSV-2) in pregnancy make a difference? Does maternal HSV alter transmission of HIV vertically ...
journal_title：Current opinion in obstetrics & gynecology
pub_type： 杂志文章,评审
doi：10.1097/GCO.0b013e3283294840
更新日期：2009-04-01 00:00:00
abstract：:This paper reviews psychologic aspects of sexual abuse in female adolescents. It documents that sexual abuse is widespread, occurring at an alarming rate at all socioeconomic levels of society. It is perpetrated principally by adult men in the victim's family. Often its effects are tragic. Adolescent female sexual abu...
journal_title：Current opinion in obstetrics & gynecology
pub_type： 杂志文章,评审
doi：
更新日期：1991-12-01 00:00:00
abstract：PURPOSE OF REVIEW:Recently some studies have reinforced the arguments supporting the laparoscopic management of early ovarian cancer. These studies and reports questioning the use of laparoscopy in patients with early ovarian cancer will be reviewed. RECENT FINDINGS:Advances in laparoscopic techniques have enabled the...
journal_title：Current opinion in obstetrics & gynecology
pub_type： 杂志文章,评审
doi：10.1097/01.gco.0000175352.95436.fc
更新日期：2005-08-01 00:00:00
