Recurrent risk of adverse pregnancy outcome.

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：:The surgical procedures used for the treatment of chronic pelvic pain, their indications, and success rates are reviewed. A thorough preoperative evaluation is presented that will enable the physician to detect patients at high risk for surgical failure and those who will be more appropriately managed with nonsurgical...

journal_title：Obstetrics and gynecology clinics of North America

authors： Parsons LH,Stovall TG

更新日期：1993-12-01 00:00:00

abstract：:It is now widely accepted that cancer of the breast is a systemic disease and that some patients will not be cured even with the most extensive local treatment. This acceptance has resulted in a more conservative approach and participation of the patient in treatment planning. A number of factors influence the definit...

journal_title：Obstetrics and gynecology clinics of North America

authors： Marchant DJ

更新日期：1994-12-01 00:00:00

abstract：:Despite the problems associated with coitus-dependent methods of contraception, barrier methods have an important role. The fact that they work as contraceptives without systemic effects makes them particularly appropriate for women with medical conditions that prevent the use of hormonal contraception. In addition, c...

journal_title：Obstetrics and gynecology clinics of North America

authors： Gilliam ML,Derman RJ

更新日期：2000-12-01 00:00:00

abstract：:Periviable deliveries (less than 26 weeks) are a small percentage of deliveries but account for a disproportionately high number of long-term morbidities. Few studies describe interventions and outcomes for periviable preterm premature rupture of membranes (PPROM). The available reports may include only those neonates...

journal_title：Obstetrics and gynecology clinics of North America

authors： Gibson KS,Brackney K

更新日期：2020-12-01 00:00:00

abstract：:The history of the medical success in treatment of the pregnant diabetic woman and her infant in the twentieth century illustrates how the combined efforts of dedicated clinicians and researchers have resulted in dramatic improvements in outcome for this patient group. This article discusses fetal growth, metabolic co...

journal_title：Obstetrics and gynecology clinics of North America

authors： Tyrala EE

更新日期：1996-03-01 00:00:00

abstract：:The ultrasound assessment of the cervix has contributed to the understanding of the pathways to preterm birth. Transvaginal ultrasound measurement of the cervix provides an objective and noninvasive tool for the evaluation of cervical status. Despite widespread use of this procedure, standardization of measurement ind...

journal_title：Obstetrics and gynecology clinics of North America

authors： Doyle NM,Monga M

更新日期：2004-03-01 00:00:00

abstract：:This article summarizes and critically evaluates the scientific literature for the annual and lifetime medical care costs of obesity in women in the United States. Studies involving actual and projected costs are reviewed. Studies were favored that included large, nationally representative samples; accounted for the i...

journal_title：Obstetrics and gynecology clinics of North America

authors： Gavard JA

更新日期：2009-06-01 00:00:00

abstract：:Sepsis is a leading cause of death in pregnancy and results in significant perinatal mortality. These deaths occur despite the younger age of pregnant patients, the low rate of comorbid conditions and the potential for effective interventions that should result in rapid resolution of illness. To date, no "evidence-bas...

journal_title：Obstetrics and gynecology clinics of North America

authors： Guinn DA,Abel DE,Tomlinson MW

更新日期：2007-09-01 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：: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：:The term sickle cell disease (SSD) encompasses several different sickle hemoglobinopathies. The ability to predict the clinical course of SSD during pregnancy is difficult. This article examines pregnancy-associated complications in SSD and the management of sickle cell disorders in pregnant women. Outcomes have impro...

journal_title：Obstetrics and gynecology clinics of North America

authors： Rogers DT,Molokie R

更新日期：2010-06-01 00:00:00

abstract：:All the existing data show that combination estrogen/progestogen therapy is mandatory if any replacement therapy is to be given to the woman over age 40. Sufficient evidence has indicated that estrogen alone is inadequate; progestogen must be given to prevent endometrial hyperplasia, lower the risk of breast cancer, a...

journal_title：Obstetrics and gynecology clinics of North America

authors： Upton GV

更新日期：1987-03-01 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：:The use of fetal blood sampling has been advocated widely to improve the specificity of fetal heart rate monitoring, but it remains a clinically unpopular procedure. This article considers its physiologic rationale and evidence base. It includes descriptions of the technique with suggestions for improved clinical inte...

journal_title：Obstetrics and gynecology clinics of North America

authors： Greene KR

更新日期：1999-12-01 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：:The information available concerning the effects of chemotherapy administered during pregnancy is limited and consists of case reports and small series. A registry has been established at the National Cancer Institute, but there are currently only several hundred cases of neonates exposed to chemotherapy registered. A...

journal_title：Obstetrics and gynecology clinics of North America

authors： Sorosky JI,Sood AK,Buekers TE

更新日期：1997-09-01 00:00:00

abstract：:Ovarian remnant syndrome has become increasingly recognized as a cause of pelvic pain after extirpative surgery. Surgical removal of the ovarian remnant is the optimal treatment. Laparoscopy is safe and effective in managing ovarian remnant syndrome when performed by an experienced laparoscopist. ...

journal_title：Obstetrics and gynecology clinics of North America

authors： Mahdavi A,Berker B,Nezhat C,Nezhat F,Nezhat C

更新日期：2004-09-01 00:00:00

abstract：:Providers of obstetric and gynecologic care are often the most commonly seen medical providers for adult women, providing primary and reproductive care. Even where psychiatric care is readily available, obstetricians/gynecologists are frequently the front line for recognition, education, and initial management of many...

journal_title：Obstetrics and gynecology clinics of North America

authors： Fitelson E,McGibbon C

更新日期：2016-06-01 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：:Puberty is the sequence of events that culminates in the ability to procreate. It is widely accepted that the onset of puberty in girls occurs on average at 8 years of age and that onset prior to 8 years of age is precocious puberty. As a result of the cross-sectional study by the American Association of Pediatrics, a...

journal_title：Obstetrics and gynecology clinics of North America

authors： Lalwani S,Reindollar RH,Davis AJ

更新日期：2003-06-01 00:00:00

abstract：:Hematologic disorders in pregnancy are relatively common and encompass a wide spectrum of clinical conditions. The treatment and obstetric management of the majority of these diseases are well established, although controversy exists in areas such as sickle cell disease and ITP. Once the diagnosis of a specific disord...

journal_title：Obstetrics and gynecology clinics of North America

authors： Perry KG Jr,Morrison JC

更新日期：1992-12-01 00:00:00

abstract：:Emergency contraception is used after unprotected sex, inadequately protected sex, or sexual assault to reduce the risk of pregnancy. Of emergency contraceptive methods available in the United States, the copper intrauterine device has the highest efficacy, followed by ulipristal acetate, levonorgestrel-containing eme...

journal_title：Obstetrics and gynecology clinics of North America

authors： Bullock H,Salcedo J

更新日期：2015-12-01 00:00:00

abstract：:Sleep and metabolism are essential components of health. Metabolic health depends largely on individual's lifestyle. Disturbances in sleep health, such as changes in sleep patterns that are associated with menopause/reproductive aging and chronologic aging, may have metabolic health consequences. Sleep restriction and...

journal_title：Obstetrics and gynecology clinics of North America

authors： Kravitz HM,Kazlauskaite R,Joffe H

更新日期：2018-12-01 00:00:00

abstract：:Early diagnosis, treatment, and appropriate prophylaxis may prevent serious maternal sequelae of thromboembolism. Objective techniques for diagnosis should be used aggressively, using noninvasive methods such as Doppler or IPG when possible for DVT. 125I-fibrinogen should be avoided. The possible consequences of failu...

journal_title：Obstetrics and gynecology clinics of North America

authors： Rutherford SE,Phelan JP

更新日期：1991-06-01 00:00:00

abstract：:As many as 50% of spontaneous preterm births are infection-associated. Intrauterine infection leads to a maternal and fetal inflammatory cascade, which produces uterine contractions and may also result in long-term adverse outcomes, such as cerebral palsy. This article addresses the prevalence, microbiology, and manag...

journal_title：Obstetrics and gynecology clinics of North America

authors： Klein LL,Gibbs RS

更新日期：2005-09-01 00:00:00

abstract：:Voiding dysfunction in women results from either a failure of the bladder to contract appropriately or a failure of the urethra or bladder neck to relax during attempts at micturition. Complaints of urinary frequency and urgency most often accompany voiding dysfunction. Associated symptoms, which are not always presen...

journal_title：Obstetrics and gynecology clinics of North America

authors： Bowen LW

更新日期：1989-12-01 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：:Hormone replacement therapy should be discussed with every postmenopausal woman and should be the first therapy offered to treat hot flashes owing to its high efficacy and other beneficial properties. Women who are ineligible for or uncomfortable with estrogen replacement therapy and who suffer from hot flashes that i...

journal_title：Obstetrics and gynecology clinics of North America

authors： Ginsburg ES

更新日期：1994-06-01 00:00:00

abstract：:The diagnosis of ectopic pregnancy remains a challenge to the clinician, despite advances in sonographic and biochemical technology. Contemporary practice requires an understanding of the normal sonographic features and hormonal profiles for normal pregnancy as well as the pathogenesis of an ectopic nidation. Frequent...

journal_title：Obstetrics and gynecology clinics of North America

authors： Cartwright PS

更新日期：1991-03-01 00:00:00