Long-term outcomes in mothers diagnosed with gestational diabetes mellitus and their offspring.

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：:A recent review of the literature on thrombophilia and adverse pregnancy outcome (APO) reveals contradictory findings. We have limited our review of literature mostly to the most recent decade. On the basis of our review, screening for thrombophilias with a history of APO (preeclampsia, abruptio placenta, intrauterine...

journal_title：Clinical obstetrics and gynecology

authors： Stella CL,Sibai BM

更新日期：2006-12-01 00:00:00

abstract：:Causative factors in cerebral palsy (CP) vary to some degree according to gestational age group and clinical CP subtype. Such catastrophes of birth as placental abruption, cord prolapse, and uterine rupture sharply heighten risk of CP. These conditions are fortunately uncommon, and are sometimes not survived; individu...

journal_title：Clinical obstetrics and gynecology

authors： Nelson KB

更新日期：2008-12-01 00:00:00

abstract：:Detrusor instability is a urodynamic diagnosis made when the detrusor is shown objectively to contract, spontaneously or on provocation, during the filling phase of a cystometrogram while the patient is attempting to inhibit micturition. It often is responsible for symptoms of urgency, frequency, nocturia, urge incont...

journal_title：Clinical obstetrics and gynecology

authors： Wall LL

更新日期：1990-06-01 00:00:00

abstract：:Norgestimate (NGM) is one of a class of newer, more selective progestins. The authors describe its structure and biologic activity, contraceptive effectiveness, cycle control, metabolic effects, carbohydrate metabolism, coagulation factors, and clinical side effects. NGM-containing oral contraceptives (OC), either a...

journal_title：Clinical obstetrics and gynecology

authors： Corson SL

更新日期：1995-12-01 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：: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：:Abdominal myomectomy and hysterectomy remain the traditional treatment of large symptomatic uterine myomas. The preoperative indications for abdominal myomectomy or hysterectomy must be clearly evaluated and delineated avoid unnecessary intervention. There appears to be an increasing trend toward expectant management ...

journal_title：Clinical obstetrics and gynecology

authors： Guarnaccia MM,Rein MS

更新日期：2001-06-01 00:00:00

abstract：:Stroke risk is 3 times higher in pregnancy than in the general young adult population and carries high morbidity and mortality risks. The recognition of signs and symptoms of stroke and other serious cerebrovascular disorders in pregnant and postpartum patients is important for the obstetrician to be able to initiate ...

journal_title：Clinical obstetrics and gynecology

authors： Barghouthi T,Bushnell C

更新日期：2018-06-01 00:00:00

abstract：:Polycystic ovarian syndrome (PCOS) presents as a constellation of clinical manifestations that can be varied among patients; however, the hormonal derangement associated with PCOS is uniformly characterized by excess androgens and abnormal insulin activity. The alteration in the normal hormonal milieu in these patient...

journal_title：Clinical obstetrics and gynecology

authors： Lindner PG

更新日期：2021-03-01 00:00:00

abstract：:Technologic advances and clinical research have been extending the scope of Doppler sonography and have resulted in the emergence of new diagnostic tools that show significant promise in clinical applications. This article aims to review some of these developments that are relevant for obstetrical practice. One of the...

journal_title：Clinical obstetrics and gynecology

authors： Maulik D,Heitmann E,Maulik D

更新日期：2010-12-01 00:00:00

abstract：:Higher-order multiple gestations have increased since the advent of advanced reproductive technologies. These pregnancies present unique risks to both mothers and fetuses. It is imperative that early diagnosis of chronicity be determined and that proper counseling is performed, so patients understand the risks, evalua...

journal_title：Clinical obstetrics and gynecology

authors： Stone J,Kohari KS

更新日期：2015-09-01 00:00:00

abstract：:American College of Obstetricians and Gynecologists' guidelines on vaginal birth after cesarean had both intended and unintended consequences for anesthesiologists. Epidural analgesia continues to play an important role in patient acceptance of a trial of labor after prior cesarean delivery. It does not impact the suc...

journal_title：Clinical obstetrics and gynecology

authors： Hawkins JL

更新日期：2012-12-01 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：: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：:The importance of nutrition during pregnancy with regard to pregnancy outcome has long been acknowledged. This importance has only been further emphasized by the recent changes in food quality and availability, lifestyle changes, and a new understanding of fetal programming on adult outcomes. The impact of the recent ...

journal_title：Clinical obstetrics and gynecology

authors： Mehta SH

更新日期：2008-06-01 00:00:00

abstract：:Osteoporosis is frequently called the silent disease because it lacks symptoms or signs until a fracture has occurred. Osteoporosis is common in aging women because of progressive postmenopausal bone loss. Fractures related to bone loss can result in reduced quality of life, lengthy hospital stays, long-term instituti...

journal_title：Clinical obstetrics and gynecology

authors： Pollycove R,Simon JA

更新日期：2012-09-01 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：:In this review I have briefly outlined some of the cellular and molecular reasons for dystocia. I have described the myogenic, that may control the normal progression of labor and explain inadequate uterine contractility associated with dystocia. I have placed particular emphasis on our studies of gap junctions and th...

journal_title：Clinical obstetrics and gynecology

authors： Garfield RE

更新日期：1987-03-01 00:00:00

abstract：:The development of the fetal adrenal medulla can be considered an integral part of the complex process of maturation and preparation of the fetus for extrauterine life. Our understanding of the fetal sympathoadrenal function is facilitated by the relative separation that exists between the maternal and fetal catechola...

journal_title：Clinical obstetrics and gynecology

authors： Artal R

更新日期：1980-09-01 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：:The pharmacology and potential uses of RU-486, the only anti- progesterone to reach clinical trials, including luteolytic, abortifacient, menstrual regulator, postcoital contraceptive, oral contraceptive and other uses, are reviewed. RU-486 acts on the progesterone receptors in the endometrium, specifically the decid...

journal_title：Clinical obstetrics and gynecology

authors： Spitz IM,Bardin CW

更新日期：1989-06-01 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：:Recurrent pregnancy loss affects up to 5% of couples trying to establish a family. Evaluation classically begins after 3 consecutive miscarriages of less than 10 weeks of gestation but may be warranted earlier if a prior miscarriage was found to be euploid, or if there is concomitant infertility and/or advancing mater...

journal_title：Clinical obstetrics and gynecology

authors： Stephenson M,Kutteh W

更新日期：2007-03-01 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：:Cost-effectiveness analyses are an important tool for the evaluation and modification of many health care services. Given the variety of screening tests and treatments available for cervical cancer screening and prevention, the costs associated with these options and with their alternatives, and the differences in res...

journal_title：Clinical obstetrics and gynecology

authors： Esselen KM,Feldman S

更新日期：2013-03-01 00:00:00

abstract：:The role of Interventional radiologic procedures for the management of suspected placenta accreta spectrum (PAS) has evolved considerably over last 3 decades. In this article, the authors describe the various techniques of vascular occlusion for the management of PAS and provide a brief review of the literature examin...

journal_title：Clinical obstetrics and gynecology

authors： Shrivastava VK,Nageotte MP

更新日期：2018-12-01 00:00:00

abstract：:Physicians and other health care providers requesting dual-energy x-ray bone density studies must be able to critically review and interpret such studies. This requires an understanding of the computerized result components of the studies and how such data can be applied in clinical practice. The timing and interpreta...

journal_title：Clinical obstetrics and gynecology

authors： Bonnick SL

更新日期：2013-12-01 00:00:00

abstract：:Several advantages are apparent in the use of self-monitored or automatic ambulatory blood pressure monitoring by pregnant patients who appear to have borderline or mild hypertension. Home recordings, combined with conventional office measurements, can give a more accurate picture of the patient's dynamic blood pressu...

journal_title：Clinical obstetrics and gynecology

authors： Rayburn WF,Zuspan FP

更新日期：1992-06-01 00:00:00

abstract：:Fetal glucocorticoid overexposure is a key potential mechanism underlying the link between low birthweight and later life diseases. The fetus is protected from high maternal glucocorticoid levels by the placental enzyme 11β-hydroxysteroid dehydrogenase type 2. Antenatal glucocorticoid administration to women at threat...

journal_title：Clinical obstetrics and gynecology

authors： Reynolds RM

更新日期：2013-09-01 00:00:00