Pathophysiology of anal incontinence, constipation, and defecatory dysfunction.

abstract：:Interstitial cystitis, or painful bladder syndrome, can present with lower abdominal pain/discomfort and dyspareunia, and pain in any distribution of lower spinal nerves. Patients with this condition experience some additional symptoms referable to the bladder, such as frequency, urgency, or nocturia. It can occur acr...

journal_title：Obstetrics and gynecology clinics of North America

authors： McLennan MT

更新日期：2014-09-01 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：: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：: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：:Fecal incontinence (FI) has a significant social and economic impact on the patient and the community. In women, obstetric injury is commonly associated with the development of FI. Understanding FI is aided by a good knowledge of the pelvic floor anatomy and continence mechanisms. This same knowledge along with a good...

journal_title：Obstetrics and gynecology clinics of North America

authors： Hannaway CD,Hull TL

更新日期：2008-06-01 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：:The role of cytology in cervical cancer screening is rapidly evolving. Widespread implementation of The Bethesda System with its accompanying atlas has provided uniform terminology and criteria for reporting cervical pathology. The development of new methods for preparing cytologic specimens as well as many other scre...

journal_title：Obstetrics and gynecology clinics of North America

authors： Sherman ME,Kurman RJ

更新日期：1996-09-01 00:00:00

abstract：:Marihuana and tobacco smoking are two of the most commonly abused substances in pregnancy. Smoke from both agents contain a multitude of potentially active components, which make them difficult to study. Both have been associated with adverse effects in pregnancy in animal and human studies. Data on marihuana use duri...

journal_title：Obstetrics and gynecology clinics of North America

authors： Lee MJ

更新日期：1998-03-01 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：:Recognizing the enormous impact that quality breast screening mammography can have on reducing breast cancer deaths, we need to determine when women's and physician's perceived restrictions for mammography examination impede the progress of its use for early cancer detection. A uniform system should emphasize valid co...

journal_title：Obstetrics and gynecology clinics of North America

authors： Sierra AE,Potchen EJ

更新日期：1990-12-01 00:00:00

abstract：:The normal vaginal, or resident, flora is complex and easily includes over a dozen different organisms, many of them potential pathogens. The quantitative nature of the vaginal flora also is a factor in development of symptoms. This complex milieu is further varied by nature's changes over the years from birth to meno...

journal_title：Obstetrics and gynecology clinics of North America

authors： Hammill HA

更新日期：1989-06-01 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：: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：: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：:The frequency of early term birth varies depending on patient, provider, and system characteristics. Early term deliveries are associated with suboptimal neonatal outcomes without evidence of maternal benefit. Some early term births are either unavoidable or absolutely indicated for maternal and/or fetal benefit in th...

journal_title：Obstetrics and gynecology clinics of North America

authors： Wetta L,Tita AT

更新日期：2012-03-01 00:00:00

abstract：:This article evaluates the complicated scenario for physicians when they must advise pregnant oncology patients and their families. Included in this discussion are a review of literature that addresses both maternal and fetal rights and an analysis of metaphysical considerations unique to this situation. Additionally,...

journal_title：Obstetrics and gynecology clinics of North America

authors： Iseminger KA,Lewis MA

更新日期：1998-06-01 00:00:00

abstract：:The ever-increasing value of diagnostic and operative hysteroscopy for patients with AUB serves as an appropriate, although belated, tribute to Pantaleoni who in 1869 dared to look inside a woman's uterus. Future generations of women and their physicians will be indebted to this physician-pioneer. Contemporary instrum...

journal_title：Obstetrics and gynecology clinics of North America

authors： Cooper JM,Brady RM

更新日期：1999-03-01 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：:Women with unexplained recurrent pregnancy loss (RPL) represent a highly heterogeneous group of patients. Past studies have investigated systemic endocrine and immunologic mechanisms as potential causes for pregnancy loss in unexplained RPL, while exciting new work has focused on spermatozoal, embryonic, and endometri...

journal_title：Obstetrics and gynecology clinics of North America

authors： Saravelos SH,Regan L

更新日期：2014-03-01 00:00:00

abstract：:The concept of having an in-house obstetrician (serving as an obstetrics [OB] hospitalist) available 24 hours a day, 7 days a week provides a safety net for OB events that many need immediate intervention for a successful outcome. A key precept of risk management, that of loss prevention, fits perfectly with the addit...

journal_title：Obstetrics and gynecology clinics of North America

authors： Veltman L

更新日期：2015-09-01 00:00:00

abstract：:Dyspepsia with or without nausea is common during pregnancy. Known ulcer disease, gastritis, and GERD may improve during pregnancy. Many women have a stoic and long-suffering posture during pregnancy owing to an unrealistic expectation concerning the teratogenicity of commonly used drugs. It is appropriate in medicine...

journal_title：Obstetrics and gynecology clinics of North America

authors： Winbery SL,Blaho KE

更新日期：2001-06-01 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：: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：:Access to the fetus as a true patient is a recent development in maternal-fetal medicine. We review the major invasive techniques currently available for establishing diagnoses and providing treatments to the fetus. These include fetoscopy, fetal blood sampling, fetal transfusions, and fetal shunts. Indications, techn...

journal_title：Obstetrics and gynecology clinics of North America

authors： Copel JA,Cullen MT,Grannum PA,Hobbins JC

更新日期：1990-03-01 00:00:00

abstract：:Urinary tract abnormalities are fairly common in the perinatal period. Ultrasonography is an effective diagnostic tool for identifying fetal urinary tract anomalies and can be helpful in establishing prognosis and guiding treatment decisions. The sonographer is encouraged to characterize and localize the fetal urinary...

journal_title：Obstetrics and gynecology clinics of North America

authors： Stamilio DM,Morgan MA

更新日期：1998-09-01 00:00:00

abstract：:Implementing change is difficult; few people want to wade into this area because of the challenge. However, it is highly rewarding and does not have to be complicated. Success requires a clear understanding of health care context, patient safety, and behavioral psychology. To achieve its goal, this article is divided ...

journal_title：Obstetrics and gynecology clinics of North America

authors： Ruiter PJA

更新日期：2019-06-01 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：:Abnormal uterine bleeding occurs secondary to a wide variety of functional and structural abnormalities. Although there is clearly a place for surgery, medical therapy has enormous potential for most women, especially those with dysfunctional uterine bleeding. To provide women with appropriate options for therapy, the...

journal_title：Obstetrics and gynecology clinics of North America

authors： Munro MG

更新日期：2000-06-01 00:00:00

abstract：:Except in special circumstances, therapeutic insemination with a husband's sample has a low success rate. Couples in whom oligozoospermia has been identified as the principal cause of infertility do not benefit from therapeutic insemination by husband. Because of this low success rate, intrauterine insemination to pro...

journal_title：Obstetrics and gynecology clinics of North America

authors： Alexander NJ,Ackerman S

更新日期：1987-12-01 00:00:00