Imaging of Müllerian duct anomalies.

abstract：:Pregnancy is an opportune time to identify opioid dependence, facilitate conversion to opioid maintenance treatment, and coordinate care with specialists in addiction medicine, behavioral health, and social services. Comprehensive prenatal care for opioid-dependent women involves the evaluation and the management of c...

journal_title：Clinical obstetrics and gynecology

authors： Krans EE,Cochran G,Bogen DL

更新日期：2015-06-01 00:00:00

abstract：:The provision of hormone therapy, both estrogens and antiandrogens, to adult transgender females is well within the scope of practice of the obstetrician gynecologist. The goal is to induce feminizing changes and suppress previously developed masculinization. Estrogens in sufficient doses will usually achieve both goa...

journal_title：Clinical obstetrics and gynecology

authors： Randolph JF Jr

更新日期：2018-12-01 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：: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：: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：: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：: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：:Operative vaginal delivery has been maligned since the days of W.J. Little with the word "forceps" becoming nearly synonymous with "Birth Injury" and "Cerebral Palsy." However in his presentation to the Obstetrical Society of London in 1861, Little's emphasis was on difficult labors being the culprit in subsequent dis...

journal_title：Clinical obstetrics and gynecology

authors： Towner DR,Ciotti MC

更新日期：2007-09-01 00:00:00

abstract：:Laproscopic sterilization techniques and the diagnostic use of laparoscopy are discussed. In a series of 1000 laparoscopic sterilizations by the 2-incision technique, there was a total failure rate, surgical and operative, of .4%. In a similar series with the 1-incision technique and electrocagulation only, the total...

journal_title：Clinical obstetrics and gynecology

authors： Wheeless CR Jr

更新日期：1976-06-01 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：:This review provides an evidence-based approach to the management of fetal growth restriction (FGR). The management consists of the following components: appropriate fetal surveillance, timely intervention, and selective etiological management. Umbilical arterial (UA) Doppler sonography is the primary test. Supplement...

journal_title：Clinical obstetrics and gynecology

authors： Maulik D

更新日期：2006-06-01 00:00:00

abstract：:Most operative office surgery can be done easily. If, midway through a procedure in the office, the operator finds that a myoma is too large or deep to resect safely in the office, the procedure can be terminated and rescheduled for the operating room. Polyps, retained products, and the lost intrauterine device all ca...

journal_title：Clinical obstetrics and gynecology

authors： Gimpelson RJ

更新日期：1992-06-01 00:00:00

abstract：:The UK Confidential Enquiry into Maternal Deaths has been in operation for more than 60 years, during which time maternal mortality rates have fallen 10-fold. The program includes two aspects, surveillance and confidential case review, providing different information to aid quality improvement in maternity care. The e...

journal_title：Clinical obstetrics and gynecology

authors： Knight M,Tuffnell D

更新日期：2018-06-01 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：: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：: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：:Predelivery diagnosis of placenta accreta, increta, and percreta (from here referred to as placenta accreta, unless otherwise noted) has increasingly created opportunities to optimize antenatal management. Despite the increased frequency of placenta accreta today, occurring in as many as 1 in 533 to 1 in 272 deliverie...

journal_title：Clinical obstetrics and gynecology

authors： Haunschild C,Yeaton-Massey A,Lyell DJ

更新日期：2018-12-01 00:00:00

abstract：:Medical methods for pregnancy termination in early gestation offer women an alternative to surgical evacuation and have the potential to improve access globally to safe abortion. Several drug regimens are used with varying efficacy including mifepristone plus misoprostol, misoprostol alone, and methotrexate plus misop...

journal_title：Clinical obstetrics and gynecology

authors： Bartz D,Goldberg A

更新日期：2009-06-01 00:00:00

abstract：:Retrospective observational studies have suggested that delivery at or beyond 39 weeks has numerous neonatal benefits including less need for respiratory support, fewer neurodevelopmental delays and lower health care costs. This has lead governmental agencies, and professional organizations to endorse a policy of limi...

journal_title：Clinical obstetrics and gynecology

authors： Hoffman MK,Merriam AA,Ehrenthal DB

更新日期：2014-06-01 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：:Counseling regarding the options for aneuploidy risk assessment is complicated and requires thorough counseling with the patient. Second trimester serum risk assessment has been the gold standard because of widespread availability, low cost, and vast experience with counseling and performance. First trimester risk ass...

journal_title：Clinical obstetrics and gynecology

authors： Reddy UM,Wapner RJ

更新日期：2007-06-01 00:00:00

abstract：:The utility and effectiveness of screening mammography in diagnosing breast cancer at earlier stages and reducing disease-specific mortality remain controversial especially as to when to start and stop routine mammographic screening, and whether mammograms should be performed annually or biennially in average-risk wom...

journal_title：Clinical obstetrics and gynecology

authors： Swain M,Jeudy M,Pearlman MD

更新日期：2016-06-01 00:00:00

abstract：:In mammalian reproductive physiology, lactation follows pregnancy; growing evidence suggests that disruption of this physiology affects a woman's lifetime risk of metabolic disease. These differences may reflect lactation-induced mobilization of fat stores and modulation of maternal stress reactivity. In addition, con...

journal_title：Clinical obstetrics and gynecology

authors： Stuebe A

更新日期：2015-12-01 00:00:00

abstract：:Pregnancy failure is defined as a lack of sonographic evidence of current or expected viability. Technologic advances in ultrasound imaging continue to redefine diagnostic criteria of pregnancy failure or success. When evaluating a pregnancy, the first step is an assessment of maternal risk factors for failure. Imagin...

journal_title：Clinical obstetrics and gynecology

authors： Canavan TP

更新日期：2017-09-01 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：:Prevention of spontaneous preterm birth is an important public health priority. Pessary may be a potential therapy in cases of cervical insufficiency, in singleton and multiple gestations. Availability of transvaginal sonography for accurate assessment of cervical length is allowing for the tailoring of therapy to a m...

journal_title：Clinical obstetrics and gynecology

authors： Timofeev J

更新日期：2016-06-01 00:00:00

abstract：:Pregnant health care workers (HCW) may be exposed to pathogens during routine patient care duties. Although they do not seem to be at higher risk for infection compared with nonpregnant HCW, certain infections can be associated with increased maternal morbidity, mortality, and adverse perinatal outcomes. Primary preve...

journal_title：Clinical obstetrics and gynecology

authors： Bazan JA,Mangino JE

更新日期：2012-06-01 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 postpartum period in women with diabetes or GDM allows both the physician and mother to relax from the intensive medical and obstetric management that has permitted, in most cases, a successful and joyous outcome. The role of the physician, however, must switch to a proactive and preventive mode to formulate a rep...

journal_title：Clinical obstetrics and gynecology

authors： Kjos SL

更新日期：2000-03-01 00:00:00

abstract：:An "adnexal mass" is a common specimen encountered in the daily pathology practice. Although most are benign, the incidence of malignancy increases with age, and approximately 30% are malignant in postmenopausal females. Herein we describe the salient macroscopic and microscopic features of the most prevalent adnexal ...

journal_title：Clinical obstetrics and gynecology

authors： Bennett JA,Oliva E

更新日期：2015-03-01 00:00:00