Abstract:
OBJECTIVE:To determine the accuracy of clinical criteria relative to Nugent's criteria for diagnosing bacterial vaginosis (BV) in the pregnant patient. METHODS:This prospective study was conducted in pregnant patients requiring a speculum examination in an ER triage system. Determination was made of vaginal pH, whiff test, clue cells and discharge for use with Amsel's criteria. Diagnosis of BV was made using Nugent's criteria. Data were analyzed with Student's t and chi square statistics. RESULTS:Samples by Nugent's criteria were positive for 32 women out of a sample size of 193 (16.6%). There were no significant differences in chief complaints between women with and without BV. Significantly more women with BV reported odor, but there were no other significant differences in symptoms between women with and without BV. Patients with BV were significantly less likely to have a white discharge. The whiff test was not reported in many cases, however, when a test was recorded, women with BV were significantly more likely to have a positive test. Approximately 50% of the women with BV had either >or=20% clue cells or pH>4.5; only 25% had both. Sensitivities of pH>4.5, pH >or= 4.5, >or=20% clue cells, whiff test and the combination of high pH and clue cells were low (22-81%). Specificities of individual and combined criteria ranged from 68 to 99%. The negative predictive power of pH<4.5 was 95%; 113 women had a pH less than 4.5 and of these women, 107 did not have BV. DISCUSSION:The negative predictive power of a pH<4.5 is very high, and the majority of women fell into this category. An algorithm for pregnant women could therefore be constructed that would call for pH to be tested. Women with a pH < 4.5 would not receive treatment or undergo further testing. The minority of women with a pH >or= 4.5 would then undergo testing with the Gram stain using Nugent's criteria.
journal_name
Arch Gynecol Obstetjournal_title
Archives of gynecology and obstetricsauthors
Rouse AG,Gil KM,Davis Kdoi
10.1007/s00404-008-0766-5subject
Has Abstractpub_date
2009-04-01 00:00:00pages
545-9issue
4eissn
0932-0067issn
1432-0711journal_volume
279pub_type
杂志文章abstract:PURPOSE:Laparoscopy has become the standard of care in the management of ovarian benign mucinous cystadenomas. One concern of the operative approach is the risk of recurrence. A previous study has found intraoperative cyst rupture and cystectomy to be the risk factors for recurrence. Our objective was to assess the inc...
journal_title:Archives of gynecology and obstetrics
pub_type: 杂志文章
doi:10.1007/s00404-014-3543-7
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journal_title:Archives of gynecology and obstetrics
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journal_title:Archives of gynecology and obstetrics
pub_type: 杂志文章,评审
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journal_title:Archives of gynecology and obstetrics
pub_type: 杂志文章
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journal_title:Archives of gynecology and obstetrics
pub_type: 杂志文章,评审
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abstract:BACKGROUND:The Cancer Genome Atlas (TCGA) identified four prognostic subgroups of endometrial carcinoma: copy-number-low/p53-wild-type (p53wt), POLE-mutated/ultramutated (POLEmt), microsatellite-instability/hypermutated (MSI), and copy-number-high/p53-mutated (p53mt). However, it is still unclear if they may be integra...
journal_title:Archives of gynecology and obstetrics
pub_type: 杂志文章,meta分析
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journal_title:Archives of gynecology and obstetrics
pub_type: 临床试验,杂志文章
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abstract::To compare the safety and efficacy of two different regimens of misoprostol for labor induction at term, we conducted a randomized controlled trial on women presenting for induction of labor at > or =37 weeks' gestation. Eligible women were randomized to receive intravaginal misoprostol 50 microg every 4 h or 100 micr...
journal_title:Archives of gynecology and obstetrics
pub_type: 临床试验,杂志文章,随机对照试验
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journal_title:Archives of gynecology and obstetrics
pub_type: 杂志文章
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journal_title:Archives of gynecology and obstetrics
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journal_title:Archives of gynecology and obstetrics
pub_type: 历史文章,杂志文章
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journal_title:Archives of gynecology and obstetrics
pub_type: 杂志文章
doi:10.1007/s004040050201
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journal_title:Archives of gynecology and obstetrics
pub_type: 杂志文章
doi:10.1007/s00404-003-0590-x
更新日期:2005-01-01 00:00:00
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journal_title:Archives of gynecology and obstetrics
pub_type: 杂志文章
doi:10.1007/s00404-009-1091-3
更新日期:2010-01-01 00:00:00
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journal_title:Archives of gynecology and obstetrics
pub_type: 杂志文章
doi:10.1007/s00404-018-4884-4
更新日期:2018-11-01 00:00:00
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journal_title:Archives of gynecology and obstetrics
pub_type: 杂志文章,评审
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journal_title:Archives of gynecology and obstetrics
pub_type: 杂志文章
doi:10.1007/s00404-011-1873-2
更新日期:2011-12-01 00:00:00
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journal_title:Archives of gynecology and obstetrics
pub_type: 杂志文章,评审
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journal_title:Archives of gynecology and obstetrics
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journal_title:Archives of gynecology and obstetrics
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journal_title:Archives of gynecology and obstetrics
pub_type: 杂志文章
doi:10.1007/s00404-020-05536-z
更新日期:2020-05-01 00:00:00
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journal_title:Archives of gynecology and obstetrics
pub_type: 杂志文章
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更新日期:2020-09-03 00:00:00
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journal_title:Archives of gynecology and obstetrics
pub_type: 杂志文章,随机对照试验
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更新日期:2013-01-01 00:00:00
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journal_title:Archives of gynecology and obstetrics
pub_type: 临床试验,杂志文章
doi:10.1007/s00404-012-2476-2
更新日期:2012-12-01 00:00:00
abstract:PURPOSE:Zygote intrafallopian transfer (ZIFT) is an effective option for patients who have experienced repeated implantation failures (RIF) in assisted reproductive technology (ART) treatment. However, advance planning for the day of the operation can be problematic. Using a hormone replacement cycle (HRC) makes it pos...
journal_title:Archives of gynecology and obstetrics
pub_type: 杂志文章
doi:10.1007/s00404-014-3324-3
更新日期:2014-11-01 00:00:00
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journal_title:Archives of gynecology and obstetrics
pub_type: 杂志文章,评审
doi:10.1007/s00404-020-05724-x
更新日期:2020-11-01 00:00:00
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journal_title:Archives of gynecology and obstetrics
pub_type: 杂志文章
doi:10.1007/s00404-007-0515-1
更新日期:2008-06-01 00:00:00
abstract::Primary malignant melanoma (MM) of the uterine cervix is a rare neoplasm. Historically all MMs of the cervix were thought to be metastatic. But after the discovery of melanocytes in the cervix in 1959, it was recognized that primary MM of the cervix exists as a separate entity. The treatment of this condition is not y...
journal_title:Archives of gynecology and obstetrics
pub_type: 杂志文章,评审
doi:10.1007/s00404-008-0912-0
更新日期:2009-09-01 00:00:00
abstract::Hysterosalpingography (HSG) to assess tubal patency in the postoperative evaluation of the infertile patient has been well described. However, the sensitivity and specificity of HSG after tubal surgery has not been reported. We correlated HSG and laparoscopic findings in 25 patients who had tubal surgery (microsurgica...
journal_title:Archives of gynecology and obstetrics
pub_type: 杂志文章
doi:10.1007/BF02718383
更新日期:1992-01-01 00:00:00
abstract:AIMS:K-Ras transcripts comprise two main isoforms: K-Ras 4A and K-Ras 4B, which act differently. The expression of both isoforms was reported in many human tissues. However, K-Ras 4B was the major expressed transcript variant. An increased expression of K-Ras 4B mRNA was reported in eutopic endometrium of endometriosis...
journal_title:Archives of gynecology and obstetrics
pub_type: 杂志文章
doi:10.1007/s00404-014-3596-7
更新日期:2015-07-01 00:00:00