High-grade cervical dysplasia: pathophysiology, diagnosis, and treatment.

abstract：:Medical treatment of ectopic pregnancy with methotrexate has been shown to be effective and safe in appropriate patients. When considering medical management, the definitive diagnosis of an ectopic pregnancy and the assurance that the patient is a candidate are of paramount concern. An understanding of the mechanism o...

journal_title：Obstetrics and gynecology clinics of North America

authors： Barnhart K,Esposito M,Coutifaris C

更新日期：2000-09-01 00:00:00

abstract：:Seizures and intracranial hemorrhage are possible medical diseases that any obstetrician may encounter. This article reviews the cause, treatment, and medical management in pregnancy for seizures and intracranial hemorrhage, and how the two can overlap into preeclampsia or eclampsia. This article also highlights some ...

journal_title：Obstetrics and gynecology clinics of North America

authors： Wilson KL,Alexander JM

更新日期：2013-03-01 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：:The number of women diagnosed with breast cancer continues to increase, but mortality rates have substantially declined. Much of the credit for this decline has been attributed to early detection from mammographic screening. However, there are significant controversies about the effectiveness of all screening tools fo...

journal_title：Obstetrics and gynecology clinics of North America

authors： Nelson AL

更新日期：2013-09-01 00:00:00

abstract：:Several clinical advances in the field of assisted reproductive technology have improved the success rates of IVF. These advances include improvements in ovulation induction protocols, the introduction of recombinant gonadotropins, GnRH agonists, and, most recently, GnRH antagonists. ICSI has proved to be the most suc...

journal_title：Obstetrics and gynecology clinics of North America

authors： Thornton KL

更新日期：2000-09-01 00:00:00

abstract：:A historical perspective and the physics and application of transvaginal imaging (TVI) for infertility investigation are presented. Pelvic anatomy, ovarian physiology, and reproductive endocrine changes as they relate to TVI for infertility processes are correlated with TVI. The transvaginal ultrasound approach for im...

journal_title：Obstetrics and gynecology clinics of North America

authors： Kerin JF,Surrey ES

更新日期：1991-12-01 00:00:00

abstract：:Electrosurgery is used on a daily basis in the operating room, but it remains poorly understood by those using it. In addition, the physics of electrosurgery are far more complicated than those of laser. Common belief notwithstanding, electrosurgery has an enormous capacity for patient injury if used incorrectly, even...

journal_title：Obstetrics and gynecology clinics of North America

authors： Lipscomb GH,Givens VM

更新日期：2010-09-01 00:00:00

abstract：:Gonorrhea is the most common sexually transmitted disease in the United States. This article discusses the epidemiology, pathogenesis of Neisseria gonorrhoeae, diagnosis, clinical manifestations, and treatment of this important disease. ...

journal_title：Obstetrics and gynecology clinics of North America

authors： McNeeley SG Jr

更新日期：1989-09-01 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：: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：:Hydatidiform moles are divided into two syndromes: those of complete and partial moles. Both forms are genetically, morphologically, and clinically distinct. Choriocarcinoma can be associated with the complete mole that has not been described for the partial syndrome. Residual trophoblastic disease, on the contrary, c...

journal_title：Obstetrics and gynecology clinics of North America

authors： Szulman AE

更新日期：1988-09-01 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：:Puerperal inversion of the uterus is an unusual and potentially life-threatening event occurring in the third stage of labor, but when managed promptly and aggressively inversion can result in minimal maternal morbidity and mortality. Once the diagnosis of inversion is made, measures should be undertaken to manage and...

journal_title：Obstetrics and gynecology clinics of North America

authors： Wendel PJ,Cox SM

更新日期：1995-06-01 00:00:00

abstract：:Management strategies for overweight and obese women with polycystic ovarian syndrome (PCOS) who desire fertility should include weight loss. Even a small reduction in body weight can improve ovulatory function and pregnancy rate and reduce adverse obstetric outcomes. New data suggest that letrozole should be consider...

journal_title：Obstetrics and gynecology clinics of North America

authors： Ecklund LC,Usadi RS

更新日期：2015-03-01 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：:Crew resource management (CRM), adapted from aviation for the practice of medicine, offers the potential of reducing medical errors, increasing employee retention, and improving patient satisfaction. CRM, however, requires a culture that promotes teamwork and acceptance of new concepts. Leadership is needed to transfo...

journal_title：Obstetrics and gynecology clinics of North America

authors： Nielsen P,Mann S

更新日期：2008-03-01 00:00:00

abstract：:The colposcope, basically binoculars on a stand, is used for the evaluation of the genital tract. Its optics, although complicated in theory, are easy to use in practice. Certain adjustments are necessary for stereoscopic viewing. Other adjustments adapt the optics for high viewing and either adapt the optics for high...

journal_title：Obstetrics and gynecology clinics of North America

authors： Wright VC

更新日期：1993-03-01 00:00:00

abstract：:Proper use of postmenopausal hormone replacement has been the subject of debate for decades. Prevailing medical opinion has swung between enthusiastic endorsement and extreme caution. The wave of optimism over estrogen's beneficial effects on menopausal symptoms and skeletal health was temporarily set back by the evid...

journal_title：Obstetrics and gynecology clinics of North America

authors： Ettinger B

更新日期：1990-12-01 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：: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：:The study of multiple gestations in older mothers has been furthered by the analyses of large data sets published in recent years. These initial analyses are counterintuitive in that the obstetric and neonatal outcomes of the older mothers (>40 years) are better than those of their younger counterparts (aged 25-29). C...

journal_title：Obstetrics and gynecology clinics of North America

authors： Oleszczuk JJ,Keith LG,Oleszczuk AK

更新日期：2005-03-01 00:00:00

abstract：:Standard terminology for the gestational trophoblastic diseases has been defined by the World Health Organization. An anatomic staging system has also been adopted by FIGO, but it has not yet been widely utilized by American and European centers which prefer to determine therapy and report results based on risk groupi...

journal_title：Obstetrics and gynecology clinics of North America

authors： Miller DS,Lurain JR

更新日期：1988-09-01 00:00:00

abstract：:Hysteroscopy and hysterography approach the uterine cavity in different ways and each has advantages and limitations. Hysteroscopy is more accurate for the diagnosis of abnormalities that project into the uterine cavity such as polyps, submucous myomas, endometrial hyperplasia, and endometrial adenocarcinoma. Contrast...

journal_title：Obstetrics and gynecology clinics of North America

authors： Barbot J

更新日期：1995-09-01 00:00:00

abstract：:Post-traumatic stress disorder (PTSD) accompanies miscarriage, intrauterine fetal demise, and preterm birth. Levels of PTSD may be higher for women who experience acute, life-threatening events during labor and delivery. Severe maternal morbidities or near misses for maternal death disproportionately impact African Am...

journal_title：Obstetrics and gynecology clinics of North America

authors： Small MJ,Gondwe KW,Brown HL

更新日期：2020-09-01 00:00:00

abstract：:Acute pulmonary dysfunction and distress is not uncommon in the obstetric patient. In these situations, however, a quick assessment and intervention is necessary in many cases. This article familiarizes the practicing obstetrician with the physiology and therapy to evaluate and effectively treat these patients. ...

journal_title：Obstetrics and gynecology clinics of North America

authors： Nolan TE,Hankins GD

更新日期：1995-03-01 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：: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：:To ensure the integrity of gynecologic surgical practices and patient safety, changes need to be made in the training of gynecologic surgeons, both in residency and continuing surgical education. Although society demands competency in the training and continuing education of airline pilots, little is done in compariso...

journal_title：Obstetrics and gynecology clinics of North America

authors： Julian TM,Rogers RM Jr

更新日期：2006-06-01 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：:Desire and arousal disorders are very common. These disorders can cause significant distress to a patient. A successful approach depends on an accurate diagnosis, which is dependent on history. Laboratory evaluation is usually not helpful, whereas psychosexual therapy is helpful in many cases. Although there is some e...

journal_title：Obstetrics and gynecology clinics of North America

authors： Carey JC

更新日期：2006-12-01 00:00:00