Pharmacology of oxytocin and prostaglandins.

abstract：:Counseling regarding the options for aneuploidy risk assessment is complicated and requires thorough counseling with the patient. Second trimester serum risk assessment has been the gold standard because of widespread availability, low cost, and vast experience with counseling and performance. First trimester risk ass...

journal_title：Clinical obstetrics and gynecology

authors： Reddy UM,Wapner RJ

更新日期：2007-06-01 00:00:00

abstract：:Removal of the fallopian tubes and ovaries at the time of vaginal hysterectomy is a skill that must be acquired if one is to be a competent vaginal surgeon. Various techniques have been described and will be reviewed in this chapter. A single technique or series of steps often must be modified depending on the descent...

journal_title：Clinical obstetrics and gynecology

authors： Shepherd JP,Zyczynski HM

更新日期：2010-03-01 00:00:00

abstract：:More than 1 million abortions are performed annually in the United States. Women presenting for abortion care are often motivated by the pregnancy to use effective contraception; they are also at high risk for repeat unintended pregnancy. For these reasons, abortion represents an optimal time to initiate effective con...

journal_title：Clinical obstetrics and gynecology

authors： Micks E,Prager S

更新日期：2014-12-01 00:00:00

abstract：:In summary, accurate identification of fetal growth disorders remains a difficult clinical challenge. Many diagnostic parameters have been devised to diagnose these conditions, however, no single test alone allows a confident antenatal diagnosis of IUGR or macrosomia to be established. Until new criteria or new method...

journal_title：Clinical obstetrics and gynecology

authors： Mintz MC,Landon MB

更新日期：1988-03-01 00:00:00

abstract：:Information generated from the various tests of fetal well-being must be interpreted correctly to avoid unnecessary intervention for assumed fetal distress. This applies to both the intrapartum and antenatal period. The presence of normal data (e.g., reassuring fetal heart rate tracing) allows the woman to continue co...

journal_title：Clinical obstetrics and gynecology

authors： Nageotte MP

更新日期：1987-12-01 00:00:00

abstract：:There is compelling data and a rationale for embarking on screening to identify pregnant women with some of the multiple classes of subclinical thyroid dysfunction. However, the evidence to support such screening and treatment is lacking. Several important trials are underway or undergoing peer review that may provide...

journal_title：Clinical obstetrics and gynecology

authors： Casey BM

更新日期：2011-09-01 00:00:00

abstract：:The UK Confidential Enquiry into Maternal Deaths has been in operation for more than 60 years, during which time maternal mortality rates have fallen 10-fold. The program includes two aspects, surveillance and confidential case review, providing different information to aid quality improvement in maternity care. The e...

journal_title：Clinical obstetrics and gynecology

authors： Knight M,Tuffnell D

更新日期：2018-06-01 00:00:00

abstract：:The avoidance of neonatal medical and neurologic sequelae resulting from a compromised pregnancy, labor, or delivery is the goal of all members of the health care team. Correct identification of those patients at risk for fetal distress prior to as well as during labor is most important as a major step in achieving th...

journal_title：Clinical obstetrics and gynecology

authors： Nageotte MP

更新日期：1985-12-01 00:00:00

abstract：:Embolic phenomena in pregnancy demand rapid investigation and treatment. Regardless, some patients will not survive due to the enormity of the insult. Optimally, such patients should be treated in tertiary care centers, but this is not always possible. ...

journal_title：Clinical obstetrics and gynecology

authors： Chatelain SM,Quirk JG Jr

更新日期：1990-09-01 00:00:00

abstract：:Hypothyroidism during pregnancy occurs in 1/1600-2000 deliveries, according to the most recent publications. The most common causes are chronic autoimmune thyroid disease, radiodine-131 treatment, or surgical removal. The diagnosis is difficult to make on clinical grounds alone, even in advanced cases, and a high inde...

journal_title：Clinical obstetrics and gynecology

authors： Montoro MN

更新日期：1997-03-01 00:00:00

abstract：:During the past decade, prophylactic doses of low-molecular-weight heparin (LMWH) have been suggested to decrease the risk of placental-mediated complications. Herein, we review the prospective randomized trials that addressed the usefulness of LMWH in preventing placental-mediated complications in high-risk women. In...

journal_title：Clinical obstetrics and gynecology

authors： Haddad B,Lecarpentier E,Touboul C,Sibai BM

更新日期：2017-03-01 00:00:00

abstract：:Ovarian neoplasms are common in women of all ages. As many as 10% of women in the United States will undergo surgical removal of an adnexal mass sometime in their lifetime. Gynecologic surgeons have pioneered laparoscopic surgery, developing what was originally a diagnostic tool into a safe and effective approach to m...

journal_title：Clinical obstetrics and gynecology

authors： Hilger WS,Magrina JF,Magtibay PM

更新日期：2006-09-01 00:00:00

abstract：:Patient safety is a significant concern for healthcare providers. Involving physicians in clinical quality activities in obstetrics and gynecology can be difficult for many reasons including time demands, lack of knowledge of process improvement activities, or change fatigue due to failure of adequate implementation o...

journal_title：Clinical obstetrics and gynecology

authors： Mann S,Pratt S

更新日期：2010-09-01 00:00:00

abstract：:Pregnancy is an opportune time to identify opioid dependence, facilitate conversion to opioid maintenance treatment, and coordinate care with specialists in addiction medicine, behavioral health, and social services. Comprehensive prenatal care for opioid-dependent women involves the evaluation and the management of c...

journal_title：Clinical obstetrics and gynecology

authors： Krans EE,Cochran G,Bogen DL

更新日期：2015-06-01 00:00:00

abstract：:Care of the endometriosis patient today can be complex and difficult. Once medical management has been exhausted and symptoms persist patients desire further treatment options. This chapter takes an evidence-based approach at discussion of patient surgcical options for treatment of endometriosis symptoms. Surgical tec...

journal_title：Clinical obstetrics and gynecology

authors： Zanelotti A,Decherney AH

更新日期：2017-09-01 00:00:00

abstract：:The relationship between the clinical state of the cervix and spontaneous onset of labor has long been known. The cervix can be characterized by evaluating five parameters: effacement, dilatation, firmness, position, and level of the presenting part. The relative associations between successful labor induction and the...

journal_title：Clinical obstetrics and gynecology

authors： Fuentes A,Williams M

更新日期：1995-06-01 00:00:00

abstract：:Operative vaginal delivery has been maligned since the days of W.J. Little with the word "forceps" becoming nearly synonymous with "Birth Injury" and "Cerebral Palsy." However in his presentation to the Obstetrical Society of London in 1861, Little's emphasis was on difficult labors being the culprit in subsequent dis...

journal_title：Clinical obstetrics and gynecology

authors： Towner DR,Ciotti MC

更新日期：2007-09-01 00:00:00

abstract：:The development of GnRH agonists has had a major impact on the practice of gynecology and reproductive endocrinology. The clinical usefulness of GnRH agonists will increase as modes of administration are improved and indications become better defined. GnRH agonists and, potentially, antagonists will provide a prompt, ...

journal_title：Clinical obstetrics and gynecology

authors： Schriock ED

更新日期：1989-09-01 00:00:00

abstract：:The recent clinical trials indicate that EA is feasible. The use of ancillary tools, such as ultrasound, requires only a slight modification of the previously established techniques for MA. The amniotic fluid can be obtained and cultured. Combining the reported populations sampled, the procedural and cytogenetic failu...

journal_title：Clinical obstetrics and gynecology

authors： Johnson A,Godmilow L

更新日期：1988-06-01 00:00:00

abstract：:Women with gestational diabetes mellitus require a continuum of care before, during, and after pregnancy for optimal management of hyperglycemia. Postpartum education and lifestyle modification should begin during pregnancy, and should continue during the postpartum period. Women should receive education on the long-t...

journal_title：Clinical obstetrics and gynecology

authors： Castorino K,Jovanovič L

更新日期：2013-12-01 00:00:00

abstract：:Using oral agents for induction of labor would reduce the need for repeated vaginal examinations; this is more acceptable to women and could reduce infection rates. A systematic review was conducted of 41 randomized trials comparing oral misoprostol to other induction agents. Oral misoprostol is effective at achieving...

journal_title：Clinical obstetrics and gynecology

authors： Weeks A,Alfirevic Z

更新日期：2006-09-01 00:00:00

abstract：:Influenza infection during pregnancy imparts disproportionate morbidity and mortality. This has been primarily noted during occasional influenza pandemics but also during seasonal epidemics. The majority of pregnant women who contract influenza appear to have a mild, self-limited course. However, influenza produces a ...

journal_title：Clinical obstetrics and gynecology

authors： Beigi RH

更新日期：2012-12-01 00:00:00

abstract：:Although there are fairly wide variations AFV normally undergoes characteristic changes across gestation in which it increases from 10-20 ml at 10 weeks gestation to average 800 ml at 24 weeks. Little change occurs from then until near term when AFV begins to decrease, and large decreases can occur in postterm pregnan...

journal_title：Clinical obstetrics and gynecology

authors： Brace RA

更新日期：1997-06-01 00:00:00

abstract：:Retrospective observational studies have suggested that delivery at or beyond 39 weeks has numerous neonatal benefits including less need for respiratory support, fewer neurodevelopmental delays and lower health care costs. This has lead governmental agencies, and professional organizations to endorse a policy of limi...

journal_title：Clinical obstetrics and gynecology

authors： Hoffman MK,Merriam AA,Ehrenthal DB

更新日期：2014-06-01 00:00:00

abstract：:Once the decision to perform a hysterectomy has been made, the type and route of hysterectomy must be chosen, and efforts made to accomplish the surgery as safely as possible. Hysterectomy can be performed vaginally, abdominally with laparoscopic or robotic assistance, or open. The main goal of gynecologic surgeons sh...

journal_title：Clinical obstetrics and gynecology

authors： Walters MD,Ridgeway BM

更新日期：2017-06-01 00:00:00

abstract：:Periventricular-intraventricular hemorrhage is an important problem, resulting in significant mortality and morbidity. Attempts to reduce this complication require an understanding of its pathogenesis. In this chapter a model was proposed, consisting of a series of events resulting in rapid changes of cerebral blood f...

journal_title：Clinical obstetrics and gynecology

authors： Morales WJ

更新日期：1991-06-01 00:00:00

abstract：:HBC is common, accounting for approximately 9% of the total breast cancer burden. Given 142,000 cases of breast cancer expected to occur in 1989, this would represent 12,780 cases of HBC patients. Soberingly, each patient represents a family with a variable number of inordinately high risk patients. HBC's natural hist...

journal_title：Clinical obstetrics and gynecology

authors： Lynch HT,Watson P,Lynch JF

更新日期：1989-12-01 00:00:00

abstract：:The American College of Obstetricians and Gynecologists and the American Association of Gynecologic Laparoscopists confirm advantages of conventional minimally invasive surgery over laparotomy for benign gynecological procedures; however, adoption remains low for the general gynecologist. A systematic search for gynec...

journal_title：Clinical obstetrics and gynecology

authors： Payne TN,Pitter MC

更新日期：2011-09-01 00:00:00

abstract：:Methods of analyzing errors and proactively preventing errors are discussed. A framework for using these concepts is presented. ...

journal_title：Clinical obstetrics and gynecology

authors： Mulligan MA,Nechodom P

更新日期：2008-12-01 00:00:00

abstract：:There are many problems in the diagnosis and treatment of vaginitis. Often, the patient is not examined (telephone treatment) or examined improperly with lack of attention to the wet prep. In patients with recurrent vaginitis, it should not be assumed that the current infection is the same as a previous infection with...

journal_title：Clinical obstetrics and gynecology

authors： Haefner HK

更新日期：1999-06-01 00:00:00