Uterine rupture as a source of obstetrical hemorrhage.

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：:The avoidance of neonatal medical and neurologic sequelae resulting from a compromised pregnancy, labor, or delivery is the goal of all members of the health care team. Correct identification of those patients at risk for fetal distress prior to as well as during labor is most important as a major step in achieving th...

journal_title：Clinical obstetrics and gynecology

authors： Nageotte MP

更新日期：1985-12-01 00:00:00

abstract：:Because it is known that antibiotics given to the mother may reach and affect the fetus, when prescribing antibiotics during pregnancy, one must take into consideration both maternal and fetal well-being. Therapy should be directed toward the maternal disease but also be safe for the fetus. The volume of distribution ...

journal_title：Clinical obstetrics and gynecology

authors： Hedstrom S,Martens MG

更新日期：1993-12-01 00:00:00

abstract：:The responsibility of the physician for viral infections in pregnancy has changed dramatically in the last 15 years. Genital herpes infections have become much more frequent, and the recognition of these infections in women near term is particularly important. Cytomegaloviruses have been found to be the most commom ca...

journal_title：Clinical obstetrics and gynecology

authors： Sever JL

更新日期：1978-06-01 00:00:00

abstract：:Endometriomas are common in reproductive-aged women, but controversy exists regarding their management. PubMed was searched to identify pertinent studies on outcomes of medical and surgical management of endometrioma, with focus on randomized controlled trials and meta-analyses. Surgical excision is more effective tha...

journal_title：Clinical obstetrics and gynecology

authors： Johnstone EB,Link MH

更新日期：2015-12-01 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：:Shoulder dystocia complicates ∼1% of vaginal births. Although fetal macrosomia and maternal diabetes are risk factors for shoulder dystocia, for the most part its occurrence remains largely unpredictable and unpreventable. ...

journal_title：Clinical obstetrics and gynecology

authors： Ouzounian JG

更新日期：2016-12-01 00:00:00

abstract：:Cost-effectiveness analyses are an important tool for the evaluation and modification of many health care services. Given the variety of screening tests and treatments available for cervical cancer screening and prevention, the costs associated with these options and with their alternatives, and the differences in res...

journal_title：Clinical obstetrics and gynecology

authors： Esselen KM,Feldman S

更新日期：2013-03-01 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：:In the last 10 years, expanded preconception carrier screening has become widely available and helps patients/couples make more informed decisions with regard to their reproductive options and facilitates more effective preconception planning, prenatal diagnosis, condition-specific counseling, and condition-specific c...

journal_title：Clinical obstetrics and gynecology

authors： Zhang T,Madeira J,Lu Y,Sun Y,Mertes H,Pennings G,Lindheim SR

更新日期：2019-06-01 00:00:00

abstract：:Serous tubal intraepithelial carcinoma is considered the precursor lesion of high-grade serous carcinoma, and found in both low-risk and high-risk populations. Isolated serous tubal intraepithelial carcinomas in patients with BRCA1/2 mutations are detected in ∼2% of patients undergoing risk-reducing bilateral salpingo...

journal_title：Clinical obstetrics and gynecology

authors： Patrono MG,Corzo C,Iniesta M,Ramirez PT

更新日期：2017-12-01 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：:This chapter will review the current modalities available to the clinician to screen for premalignant and malignant cervical lesions, which cast a broad net. The majority who test positive are not destined to suffer from or die from cervical cancer. Many who undergo screening and are triaged are young and subsequently...

journal_title：Clinical obstetrics and gynecology

authors： Lonky NM,Penner KR,Diedrich JT

更新日期：2014-06-01 00:00:00

abstract：:OC (oral contraception) can cause hypertension in a small minority, about 5%, of users. There does not seem to be a relationship between estrogen dosage and hypertension, while a relationship between progesterone and hypertension seems more possible. Hypertensive reaction to OC has been primarily seen in patients ov...

journal_title：Clinical obstetrics and gynecology

authors： Beck WW Jr

更新日期：1981-09-01 00:00:00

abstract：:Many otherwise healthy women will experience a significant disruption in lifestyle from abnormal uterine bleeding. Most of those seeking medical attention will not be at risk for developing anemia. In each case, a thorough search for underlying systemic, hormonal, and organic causes should be instituted. The use of bl...

journal_title：Clinical obstetrics and gynecology

authors： Brill AI

更新日期：1995-06-01 00:00:00

abstract：:Minimally invasive surgery continues to transform the field of gynecologic oncology and has now become the standard of care for many early-stage malignancies. The proven benefits of minimally invasive surgery are driving the rapid introduction and dissemination of novel technologies and the increasing ability to perfo...

journal_title：Clinical obstetrics and gynecology

authors： Stewart KI,Fader AN

更新日期：2017-06-01 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：: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：: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：:Information generated from the various tests of fetal well-being must be interpreted correctly to avoid unnecessary intervention for assumed fetal distress. This applies to both the intrapartum and antenatal period. The presence of normal data (e.g., reassuring fetal heart rate tracing) allows the woman to continue co...

journal_title：Clinical obstetrics and gynecology

authors： Nageotte MP

更新日期：1987-12-01 00:00:00

abstract：:Embolic phenomena in pregnancy demand rapid investigation and treatment. Regardless, some patients will not survive due to the enormity of the insult. Optimally, such patients should be treated in tertiary care centers, but this is not always possible. ...

journal_title：Clinical obstetrics and gynecology

authors： Chatelain SM,Quirk JG Jr

更新日期：1990-09-01 00:00:00

abstract：:This article reviews the sonographic manifestations of fetal infection and the role of ultrasound in the evaluation of the fetus at risk for congenital infection. Several ultrasound findings have been associated with in utero fetal infections. For the patient with a known or suspected fetal infection, sonographic iden...

journal_title：Clinical obstetrics and gynecology

authors： Crino JP,Driggers RW

更新日期：2018-03-01 00:00:00

abstract：:Sonography has a major role in the evaluation of children with gynecologic disorders. The size, consistency, and origin of pelvic masses and the status of the internal genitalia can be evaluated. Sonography is useful in evaluation of children with precocious puberty because it can demonstrate adult-size ovaries in tru...

journal_title：Clinical obstetrics and gynecology

authors： Fleischer AC,Shawker TH

更新日期：1987-09-01 00:00:00

abstract：:A brief review of cervical intraepithelial neoplasia has been presented. Attempts have been made to identify the high-risk patient, and etiologic considerations have been detailed. The conservative management of cervical intraepithelial neoplasia is available and applicable to many patients. Regardless of the definiti...

journal_title：Clinical obstetrics and gynecology

authors： Creasman WT,Weed JC Jr

更新日期：1980-03-01 00:00:00

abstract：:Cardiac arrest is a rare event during pregnancy. The pregnant population represents a unique subset of cardiac arrest victims. Not only are there unique causes of circulatory collapse during the pregnant state, but the physiological modifications to the maternal physiology during pregnancy require specific modificatio...

journal_title：Clinical obstetrics and gynecology

authors： Montufar-Rueda C,Gei A

更新日期：2014-12-01 00:00:00

abstract：:State Perinatal Quality Collaboratives (PQCs) represent a major advance for scaling up quality improvement efforts for reducing maternal mortality and severe maternal morbidity. The critical roles of partners, rapid-cycle low-burden data systems, and linkage to maternal mortality review committees are reviewed. The ch...

journal_title：Clinical obstetrics and gynecology

authors： Main EK

更新日期：2018-06-01 00:00:00

abstract：:Nothing improves the subsequent care of a woman with endometrial cancer more than the accurate determination of the extent of her disease. A significant number of women whose malignancy is apparently confined to the uterus will have extrauterine disease after careful, complete surgical staging. The failure to detect a...

journal_title：Clinical obstetrics and gynecology

authors： Orr JW Jr,Orr PF,Taylor PT

更新日期：1996-09-01 00:00:00

abstract：:Abdominal myomectomy and hysterectomy remain the traditional treatment of large symptomatic uterine myomas. The preoperative indications for abdominal myomectomy or hysterectomy must be clearly evaluated and delineated avoid unnecessary intervention. There appears to be an increasing trend toward expectant management ...

journal_title：Clinical obstetrics and gynecology

authors： Guarnaccia MM,Rein MS

更新日期：2001-06-01 00:00:00

abstract：:The purpose of this review was to assist obstetricians and gynecologists in considering the most appropriate conservative treatment option to manage women with placenta accreta spectrum according to their individual need and local expertise of the heath care team. The issue is challenging, as the quality of evidence w...

journal_title：Clinical obstetrics and gynecology

authors： Sentilhes L,Kayem G,Silver RM

更新日期：2018-12-01 00:00:00

abstract：:Fetal glucocorticoid overexposure is a key potential mechanism underlying the link between low birthweight and later life diseases. The fetus is protected from high maternal glucocorticoid levels by the placental enzyme 11β-hydroxysteroid dehydrogenase type 2. Antenatal glucocorticoid administration to women at threat...

journal_title：Clinical obstetrics and gynecology

authors： Reynolds RM

更新日期：2013-09-01 00:00:00