Operative vaginal delivery: a cause of birth injury or is it?

abstract：:Chronic pelvic is a multifaceted condition that often has both peripheral and central generators of pain. Despite its high prevalence, the evaluation and management of a pelvic pain patient often present many challenges to the practicing gynecologist. As with many other chronic pain conditions, pain severity does not ...

journal_title：Clinical obstetrics and gynecology

authors： Carey ET,Moore K

更新日期：2019-12-01 00:00:00

abstract：:Increasingly, patients are expecting to be more involved than they traditionally have been in medical and surgical decision making. The unilateral process of informed consent is evolving into one of informed collaborative choice. Hysterectomy is a procedure that is frequently performed when reasonable surgical and non...

journal_title：Clinical obstetrics and gynecology

authors： Gambone JC,Reiter RC

更新日期：1997-12-01 00:00:00

abstract：:Although perinatal mortality rates have fallen considerably in the past several decades, the fetal component of this statistic has not decreased as rapidly as the neonatal portion. Syphilis, a significant cause of fetal death at the beginning of this century, has been eliminated and other conditions such as erythrobla...

journal_title：Clinical obstetrics and gynecology

authors： Kochenour NK

更新日期：1987-06-01 00:00:00

abstract：:Urinary tract infection in women has its origin, predominantly, via ascending bacteria from the periurethral microflora. Asymptomatic bacteriuria, except for the pregnant patient, need not be treated. E. coli is the most common bacterium to cause UTIs, and is usually susceptible to oral antibiotics. Patients who are h...

journal_title：Clinical obstetrics and gynecology

authors： Faro S,Fenner DE

更新日期：1998-09-01 00:00:00

abstract：:In gestational diabetes (GDM), achieving euglycemia through treatment decreases the risk of adverse outcomes associated with hyperglycemia. Treatment starts with diet and nutritional counseling; however, up to 50% of women will require pharmacologic therapy to meet glucose goals. Although insulin remains the only Fede...

journal_title：Clinical obstetrics and gynecology

authors： Berggren EK,Boggess KA

更新日期：2013-12-01 00:00:00

abstract：:Uterine leiomyomas pose a significant health issue to reproductive-age women. Many women desire uterine conservation, and previously safe and efficacious therapies have been limited. Magnetic resonance-guided focused ultrasound surgery is a new noninvasive therapy that has been proven to be both safe and efficacious i...

journal_title：Clinical obstetrics and gynecology

authors： Hudson SB,Stewart EA

更新日期：2008-03-01 00:00:00

abstract：:The ideal weight gain or energy intake for an individual woman cannot be determined from research studies. Current guidelines for maternal gain, however, combined with individualized assessment and follow-up, can provide the clinician and the pregnant women with a meaningful target and plan for achieving a healthy wei...

journal_title：Clinical obstetrics and gynecology

authors： Abrams B

更新日期：1994-09-01 00:00:00

abstract：:Minimally invasive surgery continues to transform the field of gynecologic oncology and has now become the standard of care for many early-stage malignancies. The proven benefits of minimally invasive surgery are driving the rapid introduction and dissemination of novel technologies and the increasing ability to perfo...

journal_title：Clinical obstetrics and gynecology

authors： Stewart KI,Fader AN

更新日期：2017-06-01 00:00:00

abstract：:Accurate assessment of uterine activity during labor is essential to promote optimal patient outcomes. This review provides clinicians with information to develop an evidence-based, standardized approach to the evaluation and management of uterine activity during labor including identification and treatment of excessi...

journal_title：Clinical obstetrics and gynecology

authors： Simpson KR,Miller L

更新日期：2011-03-01 00:00:00

abstract：:Nothing improves the subsequent care of a woman with endometrial cancer more than the accurate determination of the extent of her disease. A significant number of women whose malignancy is apparently confined to the uterus will have extrauterine disease after careful, complete surgical staging. The failure to detect a...

journal_title：Clinical obstetrics and gynecology

authors： Orr JW Jr,Orr PF,Taylor PT

更新日期：1996-09-01 00:00:00

abstract：:Cardiac disease is a leading cause of morbidity and mortality in pregnant women. An increased prevalence of the cardiovascular disease has been found in women of childbearing age, in which the responsibility of the treating physician extends to the mother and to the unborn fetus. As a result, care of these high-risk p...

journal_title：Clinical obstetrics and gynecology

authors： Chan A,Wolfe DS,Zaidi AN

更新日期：2020-12-01 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：:With the increased use and quality of ultrasound in pregnancy, adenxal masses are being encountered with greater frequency. Fortunately, most of such masses are benign and resolve on their own. However, complications such as ovarian torsion can occur. In addition, a malignancy can be present in a small minority of cas...

journal_title：Clinical obstetrics and gynecology

authors： Schwartz N,Timor-Tritsch IE,Wang E

更新日期：2009-12-01 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：:The telephone will become the centerpiece of ambulatory care services. As such, a pertinent aspect of office procedures will necessarily include a protocol to manage and document telephone calls. Encourage your office staff to use good telephone manners, as listed in Table 5. The net result should be a reduction in te...

journal_title：Clinical obstetrics and gynecology

authors： Phelan JP

更新日期：1998-09-01 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：:The timely onset of labor and birth is an important determinant of perinatal outcome. Prolonged (postterm) pregnancy--defined as delivery at or beyond 42 weeks' gestation--complicates 10% of all gestations and is associated with increased risks to both fetus (stillbirth, macrosomia, birth injury, meconium aspiration s...

journal_title：Clinical obstetrics and gynecology

authors： Norwitz ER,Snegovskikh VV,Caughey AB

更新日期：2007-06-01 00:00:00

abstract：:In the United States, roughly half of women are either overweight (24.5%) or obese (21.4%) when they become pregnant. Women who are obese before pregnancy are at increased risk for a number of pregnancy complications relative to normal-weight women. Specifically, obesity is associated with significantly increased mate...

journal_title：Clinical obstetrics and gynecology

authors： Simhan HN

更新日期：2016-03-01 00:00:00

abstract：:Ovarian cancer accounts for approximately 22,000 cases annually in the United States. Although the vast majority of ovarian cancers occur in postmenopausal women and are of advanced stage, a significant subset occurs in young women. Among those subtypes having a predisposition for young women are malignant ovarian ger...

journal_title：Clinical obstetrics and gynecology

authors： Gershenson DM

更新日期：2012-03-01 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：:In our proof-of-concept study of 1 patient with stage IIIC carcinosarcoma of the ovary, we discovered a rare mutation in the tumor suppressor, TP53, that results in the deletion of N131. Immunofluorescence imaging of the organoid culture revealed hyperstaining of p53 protein. Computational modeling suggests this resid...

journal_title：Clinical obstetrics and gynecology

authors： Bi J,Thiel KW,Litman JM,Zhang Y,Devor EJ,Newtson AM,Schnieders MJ,Gonzalez Bosquet J,Leslie KK

更新日期：2020-03-01 00:00:00

abstract：:Both CT and MRI may play an important role in the initial assessment and subsequent management of patients with gynecologic cancer. The different capabilities of these examinations make the choice of test dependent on what portion of the body is visualized (e.g., chest, upper abdomen, or pelvis) and what information i...

journal_title：Clinical obstetrics and gynecology

authors： Russell AH,Anderson M,Walter J,Kinney W,Smith L,Scudder S

更新日期：1992-03-01 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：:Mothers with gestational diabetes mellitus (GDM) are at high lifetime risk of developing type 2 diabetes mellitus. The magnitude of risk for cardiovascular disease after GDM is less well established. Recently, intervention trials using lifestyle modification or medications used to treat type 2 DM have successfully pre...

journal_title：Clinical obstetrics and gynecology

authors： Metzger BE

更新日期：2007-12-01 00:00:00

abstract：:Bacterial vaginitis is responsible for approximately 10 million office visits per year. This condition may disrupt marriages and cause psychologic stress that may be reflected in the individual's work and social life. Bacterial vaginitis also has been thought to lead to postpartum endometritis, pelvic cellulitis, pelv...

journal_title：Clinical obstetrics and gynecology

authors： Faro S

更新日期：1991-09-01 00:00:00

abstract：:The vaginal contraceptive ring is comprised of ethinyl vinyl acetate that releases ethinyl estradiol and the third-generation progestin, etonorgestrel. It was approved by the Food and Drug Administration in 2001. The vaginal contraceptive ring is highly efficacious with a Pearl Index of 1.18 and an efficacy of 99.1%. ...

journal_title：Clinical obstetrics and gynecology

authors： Madden T,Blumenthal P

更新日期：2007-12-01 00:00:00

abstract：:In summary, ultrasound plays an important role in the evaluation of the postterm pregnancy, and its use should be considered in the following situations: 1) estimation of fetal weight in the potentially macrosomic infant before vaginal delivery is attempted; 2) frequent evaluation for oligohydramnios using the amnioti...

journal_title：Clinical obstetrics and gynecology

authors： Rodriguez MH

更新日期：1989-06-01 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：:We live in a turbulant period with regard to interpersonal relationships. Individuals place great emphasis on their ability to form good relationships. It is a time of desiring and searching; desiring to be engaged in a rewarding relationship and searching for any principles which might promote such involvement. Obste...

journal_title：Clinical obstetrics and gynecology

authors： Burchell RC

更新日期：1978-03-01 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