Breast cancer in pregnancy.

abstract：:In the 50 years since pelvic muscle exercises were introduced for the nonsurgical management of pelvic floor dysfunction related to parturition, a variety of approaches have been introduced and the scope of indications has grown. This article describes the evaluation of patients with pelvic floor complaints, discusses...

journal_title：Obstetrics and gynecology clinics of North America

authors： Visco AG,Figuers C

更新日期：1998-12-01 00:00:00

abstract：:There is approximately a 50% decrease in the fertility rate of unselected women attempting pregnancy at age 40 or older compared with younger women and a two to three fold increased rate of spontaneous abortion. Approximately 45% of older women achieve a term outcome, however. Proper counseling of the older patient sh...

journal_title：Obstetrics and gynecology clinics of North America

authors： Toner JP,Flood JT

更新日期：1993-06-01 00:00:00

abstract：:Except in special circumstances, therapeutic insemination with a husband's sample has a low success rate. Couples in whom oligozoospermia has been identified as the principal cause of infertility do not benefit from therapeutic insemination by husband. Because of this low success rate, intrauterine insemination to pro...

journal_title：Obstetrics and gynecology clinics of North America

authors： Alexander NJ,Ackerman S

更新日期：1987-12-01 00:00:00

abstract：:Advancements in cancer screening techniques have allowed for earlier detection of cancer at premalignant or early stages of disease. Several organizations have guidelines for screening strategies for breast, cervical, colon, and lung cancer. Ovarian cancer remains the deadliest cancer of the female reproductive tract;...

journal_title：Obstetrics and gynecology clinics of North America

authors： Vogell A,Evans ML

更新日期：2019-09-01 00:00:00

abstract：:Robotic-assisted laparoscopic hysterectomies are being performed at higher rates since the da Vinci Surgical System (Intuitive Surgical, Inc, Sunnyvale, CA, USA) received US Food and Drug Administration approval in 2005 for gynecologic procedures. Despite the technological advancements over traditional laparoscopy, a ...

journal_title：Obstetrics and gynecology clinics of North America

authors： Simpson KM,Advincula AP

更新日期：2016-09-01 00:00:00

abstract：:This article reviews the general approach for assessing teratogenic risks related to fetal exposure, concentrating on the specific patterns associated with anticonvulsant usage and maternal epilepsy. Major anomalies that might be detected prenatally are presented, as well as the patterns of minor anomalies (syndromes)...

journal_title：Obstetrics and gynecology clinics of North America

authors： Sharony R,Graham JM Jr

更新日期：1991-12-01 00:00:00

abstract：:Reproductive health can be a reflection of overall health. It follows that abnormalities of reproductive milestones may be a manifestation of unhealthy aging. Since 1994, the Study of Women's Health Across the Nation (SWAN) has assessed how menopause and the process of that transition may affect future health. Themes ...

journal_title：Obstetrics and gynecology clinics of North America

authors： Santoro N,Sutton-Tyrrell K

更新日期：2011-09-01 00:00:00

abstract：:The fluorinated quinolones are synthetic derivatives of nalidixic acid. They are well absorbed when administered orally and have an extended duration of action. They are of primary value in treating gonorrhea and complicated urinary tract infections in nonpregnant women. ...

journal_title：Obstetrics and gynecology clinics of North America

authors： Saravanos K,Duff P

更新日期：1992-09-01 00:00:00

abstract：:Obesity has increased dramatically in the United States over the last several decades, with approximately 40% of pregnant women now considered overweight or obese. Obesity has been shown to be associated with numerous poor pregnancy outcomes, including increased rates of preeclampsia, gestational diabetes, fetal macro...

journal_title：Obstetrics and gynecology clinics of North America

authors： Mission JF,Marshall NE,Caughey AB

更新日期：2015-06-01 00:00:00

abstract：:Since its introduction more than 20 years ago, continuous electronic FHR monitoring has become the standard in most modern obstetric units. Practitioners well versed in FHR pattern interpretation do not question the value of fetal monitoring. Not only does this modality detect hypoxia early in its evolution, but also ...

journal_title：Obstetrics and gynecology clinics of North America

authors： Penning S,Garite TJ

更新日期：1999-06-01 00:00:00

abstract：:A review of all relevant randomized controlled trials provides strong evidence that corticosteroid therapy causes a significant reduction in respiratory distress syndrome (RDS) in preterm babies overall. This reduction in RDS is accompanied by a reduced incidence of neonatal death, intraventricular hemorrhages, and ne...

journal_title：Obstetrics and gynecology clinics of North America

authors： Crowley P

更新日期：1992-06-01 00:00:00

abstract：:During the last century, there were two breakthroughs in diabetes management and monitoring that changed the course of treatment: the discovery of insulin and the progress in the understanding of glucose monitoring. As technology evolved, glucose monitoring and insulin administration can now be achieved in a continuou...

journal_title：Obstetrics and gynecology clinics of North America

authors： Yogev Y,Hod M

更新日期：2007-06-01 00:00:00

abstract：:Endometriosis is defined by the presence of endometrial tissue outside the uterus. Clinical and basic research in endometriosis has been hampered severely by the lack of accurate noninvasive diagnostic techniques. Transvaginal ultrasonography, MRI, and endometrial and serum markers have the potential to facilitate the...

journal_title：Obstetrics and gynecology clinics of North America

authors： Brosens J,Timmerman D,Starzinski-Powitz A,Brosens I

更新日期：2003-03-01 00:00:00

abstract：:Mobile apps and mobile health interventions have the potential to alter the landscape of medicine significantly, from how care is provided at the bedside to the ability to recruit patients and conduct medical research. Mobile apps have the potential to be used for prenatal care, postsurgical follow-ups, informing pati...

journal_title：Obstetrics and gynecology clinics of North America

authors： DeNicola N,Marko K

更新日期：2020-06-01 00:00:00

abstract：:The clinical integration of prenatal genetic technologies raises a series of important medical and ethical considerations for patients, families, health care providers, health care systems, and society. It is critical to recognize, understand, and address these issues in conjunction with the continued development of n...

journal_title：Obstetrics and gynecology clinics of North America

authors： Farrell RM,Allyse MA

更新日期：2018-03-01 00:00:00

abstract：:As the health care system transforms to accommodate an increased need for primary care services and more patients, new models of health care delivery are needed that can provide quality health care services efficiently. An integrated collaborative practice of certified nurse-midwives, obstetrician-gynecologists, and p...

journal_title：Obstetrics and gynecology clinics of North America

authors： King TL,Laros RK Jr,Parer JT

更新日期：2012-09-01 00:00:00

abstract：:Growing attention is being paid to obstetric quality of care as patients are pressing the health care system to measure and improve quality. There is also an increasing recognition of persistent racial and ethnic disparities prevalent in obstetric outcomes. Yet few studies have linked obstetric quality of care with ra...

journal_title：Obstetrics and gynecology clinics of North America

authors： Howell EA,Zeitlin J

更新日期：2017-03-01 00:00:00

abstract：:The appropriate use of screening mammography can significantly decrease deaths from breast cancer. Physicians and patients must become more vigilant in using available diagnostic modalities if we are to improve upon the survival of patients with breast cancer. ...

journal_title：Obstetrics and gynecology clinics of North America

authors： Potchen EJ,Sierra AE

更新日期：1987-09-01 00:00:00

abstract：:The use of antiretroviral agents to treat patients infected with HIV has become increasingly complex. Obstetricians caring for the pregnant woman infected with HIV must, no less than the HIV specialist, be familiar with the various medications now available. This article profiles each of the antiretroviral agents curr...

journal_title：Obstetrics and gynecology clinics of North America

authors： Augenbraun M,Minkoff HL

更新日期：1997-12-01 00:00:00

abstract：:It appears that both laparoscopic and laparotomy approaches to myomectomy are viable surgical procedures. Both surgeries can be performed with minimal risk. Pregnancy rates after either procedure are high. The advantage of laparotomy over laparoscopy is that it is technically easier. On the other hand, laparoscopy ena...

journal_title：Obstetrics and gynecology clinics of North America

authors： Miller CE

更新日期：2000-06-01 00:00:00

abstract：:Vaginal bleeding in early childhood, regardless of its duration and quantity, is always of clinical importance. This article discusses the examination of the child and adolescent and reviews the various causes of vaginal bleeding in these patient groups. ...

journal_title：Obstetrics and gynecology clinics of North America

authors： Muram D

更新日期：1990-06-01 00:00:00

abstract：:Uterine fibroids are a major gynecologic problem in American women, and several alternatives have been developed. Conservative treatment, with the goal of treating the fibroid but retaining the uterus, is a frequent choice among women who require therapy during their early to middle reproductive years. A variety of co...

journal_title：Obstetrics and gynecology clinics of North America

authors： Olive DL,Lindheim SR,Pritts EA

更新日期：2006-03-01 00:00:00

abstract：:Ultimately, the timely diagnosis of ovarian cancer will rely on clinical judgment and careful analysis of presenting symptoms within the context of a thoughtful dialogue between the patient and her physician. Symptoms most typical of ovarian cancer include bloating, abdominal or pelvic pain, and difficulty eating. In ...

journal_title：Obstetrics and gynecology clinics of North America

authors： Goff BA

更新日期：2012-06-01 00:00:00

abstract：:This article discusses the role of ultrasound in assessing endometrial and uterine factors affecting the implantation of the embryo. Modern ultrasound equipment includes advanced Doppler and three-dimensional facilities that refine our understanding of factors that affect implantation such as endometrial blood flow. T...

journal_title：Obstetrics and gynecology clinics of North America

authors： Campbell S

更新日期：2019-12-01 00:00:00

abstract：:It is undeniable that most patients with advanced ovarian cancer derive benefit from primary cytoreductive surgery, with relief of symptoms, prolonged survival, improved quality of life, and establishment of a definitive diagnosis. Several questions, however, remain unanswered, including the relative effects of surgic...

journal_title：Obstetrics and gynecology clinics of North America

authors： Gershenson DM

更新日期：1994-03-01 00:00:00

abstract：:In less than two decades, hysteroscopy has evolved into a practical technique for the evaluation of the uterine cavity, with well-established indications such as evaluation of abnormal uterine bleeding and abnormal hysterograms as well as the treatment of intrauterine adhesions or the septate uterus, the removal of mi...

journal_title：Obstetrics and gynecology clinics of North America

authors： Valle RF

更新日期：1988-03-01 00:00:00

abstract：:Women with unexplained recurrent pregnancy loss (RPL) represent a highly heterogeneous group of patients. Past studies have investigated systemic endocrine and immunologic mechanisms as potential causes for pregnancy loss in unexplained RPL, while exciting new work has focused on spermatozoal, embryonic, and endometri...

journal_title：Obstetrics and gynecology clinics of North America

authors： Saravelos SH,Regan L

更新日期：2014-03-01 00:00:00

abstract：:The immediate postpartum period is a favorable time for initiating contraception because women who have recently given birth are often highly motivated to use contraception, pregnancy is excluded, and the hospital setting offers convenience for patients and providers. This article addresses immediate postpartum intrau...

journal_title：Obstetrics and gynecology clinics of North America

authors： Prager SW,McCoy EE

更新日期：2015-12-01 00:00:00

abstract：:As the understanding of cancer biology expands, a wider array of treatment options has become available in the field of gynecologic cancer. Therapies that target specific molecular pathways are now being used. Drugs that target cancer angiogenesis, signal transduction, DNA repair, and immune evasion mechanisms are cur...

journal_title：Obstetrics and gynecology clinics of North America

authors： Rojas C,Casablanca Y

更新日期：2019-03-01 00:00:00

abstract：:Women who use tobacco, alcohol and drugs during pregnancy are at increased risk of maternal and fetal morbidity. Universal screening using empirically validated approaches can improve identification of substance-using pregnant women and facilitate comprehensive assessment of treatment needs. There is strong evidence f...

journal_title：Obstetrics and gynecology clinics of North America

authors： Haug NA,Duffy M,McCaul ME

更新日期：2014-06-01 00:00:00