Role of clinician involvement in patient safety in obstetrics and gynecology.

abstract：:Hemorrhage is the most common cause of maternal mortality worldwide, and represents the third most common obstetrical cause of maternal death in the United States. Although uterine atony was previously a major cause of peripartum hemorrhage, more recently, it appears that abnormal placentation is the leading etiology ...

journal_title：Clinical obstetrics and gynecology

authors： Saad A,Costantine MM

更新日期：2014-12-01 00:00:00

abstract：:Preterm premature rupture of the membranes remains difficult to predict accurately. The majority of those suffering preterm premature rupture of the membrane lack risk factors that might lead to preventative treatments. Its management is centered on an evaluation of the risks and benefits of attempted pregnancy prolon...

journal_title：Clinical obstetrics and gynecology

authors： Waters TP,Mercer B

更新日期：2011-06-01 00:00:00

abstract：:Significant advances have been made in the last 20 years in our knowledge about the subcellular events occurring during myometrial contractions and cervical ripening and in the mechanism of action of oxytocin and prostaglandins. These advances have been instrumental in furthering our understanding of the mechanism of ...

journal_title：Clinical obstetrics and gynecology

authors： Arias F

更新日期：2000-09-01 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：: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：: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：:The majority of ectopic pregnancies can be diagnosed on transvaginal scan before treatment. Diagnosis should be based on positive visualization of an ectopic pregnancy rather the inability to visualize an intrauterine pregnancy. The majority of ectopic pregnancies will be visible on the initial transvaginal scan perfo...

journal_title：Clinical obstetrics and gynecology

authors： Kirk E

更新日期：2012-06-01 00:00:00

abstract：:The addition of the human papillomavirus vaccination and the 2006 national guidelines for the management of abnormal cervical cytology have led to significant changes in the management of cervical disease among adolescents. This article reviews recommendations for prevention, screening, diagnosis, and management of ce...

journal_title：Clinical obstetrics and gynecology

authors： Guido R

更新日期：2008-06-01 00:00:00

abstract：:A recent review of the literature on thrombophilia and adverse pregnancy outcome (APO) reveals contradictory findings. We have limited our review of literature mostly to the most recent decade. On the basis of our review, screening for thrombophilias with a history of APO (preeclampsia, abruptio placenta, intrauterine...

journal_title：Clinical obstetrics and gynecology

authors： Stella CL,Sibai BM

更新日期：2006-12-01 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：: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：:Recent rise in rates of opiate replacement therapy among pregnant women have resulted in increasing number of infants requiring treatment for neonatal abstinence syndrome (NAS). Short-term and long-term developmental outcomes associated with prenatal opiate exposure are discussed, including symptoms and severity of NA...

journal_title：Clinical obstetrics and gynecology

authors： Logan BA,Brown MS,Hayes MJ

更新日期：2013-03-01 00:00:00

abstract：:More than 1 million abortions are performed annually in the United States. Women presenting for abortion care are often motivated by the pregnancy to use effective contraception; they are also at high risk for repeat unintended pregnancy. For these reasons, abortion represents an optimal time to initiate effective con...

journal_title：Clinical obstetrics and gynecology

authors： Micks E,Prager S

更新日期：2014-12-01 00:00:00

abstract：:The foregoing discussion is consistent with the following conclusions: First structural differentiation of the gonads, consonant with chromosomal sex of human fetuses, requires complex interactions of primordial germ cells with coelomic and mesonephric epithelial cells and mesenchymal cells in the genital ridge. The m...

journal_title：Clinical obstetrics and gynecology

authors： diZerega GS,Ross GT

更新日期：1980-09-01 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：:It is a commonly held belief that labor induction increases the risk of cesarean delivery; women who are induced are at higher risk of cesarean as compared with those in spontaneous labor. This comparison group is inaccurate, however, as women and providers cannot choose spontaneous labor as the alternative to labor i...

journal_title：Clinical obstetrics and gynecology

authors： Little SE,Caughey AB

更新日期：2015-06-01 00:00:00

abstract：:The timely onset of labor and birth is an important determinant of perinatal outcome. Prolonged (postterm) pregnancy--defined as delivery at or beyond 42 weeks' gestation--complicates 10% of all gestations and is associated with increased risks to both fetus (stillbirth, macrosomia, birth injury, meconium aspiration s...

journal_title：Clinical obstetrics and gynecology

authors： Norwitz ER,Snegovskikh VV,Caughey AB

更新日期：2007-06-01 00:00:00

abstract：:There has been a steady decline in breast cancer mortality that has led to a significant increase in the number of patients surviving breast cancer. We will review in this manuscript the evidence and guidelines for posttreatment surveillance of patients with breast cancer as well as the management options for patients...

journal_title：Clinical obstetrics and gynecology

authors： Karam AK

更新日期：2016-12-01 00:00:00

abstract：:HBC is common, accounting for approximately 9% of the total breast cancer burden. Given 142,000 cases of breast cancer expected to occur in 1989, this would represent 12,780 cases of HBC patients. Soberingly, each patient represents a family with a variable number of inordinately high risk patients. HBC's natural hist...

journal_title：Clinical obstetrics and gynecology

authors： Lynch HT,Watson P,Lynch JF

更新日期：1989-12-01 00:00:00

abstract：:Magnetic resonance imaging has a complementary role in obstetrical imaging to ultrasound (US). Although US has advantages as an initial imaging technique, there are significant numbers of patients who cannot be adequately evaluated for a variety of reasons including calvarial calcification, oligoanhydramnios, or simpl...

journal_title：Clinical obstetrics and gynecology

authors： Hibbeln JF,Shors SM,Byrd SE

更新日期：2012-03-01 00:00:00

abstract：:Ovulation induction is the principal infertility treatment for women with polycystic ovarian syndrome (PCOS). Among PCOS patients who are overweight or obese, weight loss is the most physiologic method of inducing ovulation. For women in whom weight loss is not possible, or for lean women with PCOS, clomiphene citrate...

journal_title：Clinical obstetrics and gynecology

authors： Guzick DS

更新日期：2007-03-01 00:00:00

abstract：:Influenza infection during pregnancy imparts disproportionate morbidity and mortality. This has been primarily noted during occasional influenza pandemics but also during seasonal epidemics. The majority of pregnant women who contract influenza appear to have a mild, self-limited course. However, influenza produces a ...

journal_title：Clinical obstetrics and gynecology

authors： Beigi RH

更新日期：2012-12-01 00:00:00

abstract：:The final decision to perform a certain method of hysterectomy customarily mirrors experience and level of comfort with a particular surgical approach in the context of the patient's condition and indication for surgery. Given the morbidity and recovery associated with a laparotomic incision, every effort should be ma...

journal_title：Clinical obstetrics and gynecology

authors： Brill AI

更新日期：2006-12-01 00:00:00

abstract：:In 1988 the International Federation of Gynecologists and Obstetricians (FIGO) developed a surgical staging system for endometrial cancer. The FIGO staging system was recently revised in 2009 to reflect our growing understanding of the natural history of endometrial cancer. In this review, we describe the revised 2009...

journal_title：Clinical obstetrics and gynecology

authors： Lewin SN

更新日期：2011-06-01 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：:Accurate assessment of uterine activity during labor is essential to promote optimal patient outcomes. This review provides clinicians with information to develop an evidence-based, standardized approach to the evaluation and management of uterine activity during labor including identification and treatment of excessi...

journal_title：Clinical obstetrics and gynecology

authors： Simpson KR,Miller L

更新日期：2011-03-01 00:00:00

abstract：:Although there are fairly wide variations AFV normally undergoes characteristic changes across gestation in which it increases from 10-20 ml at 10 weeks gestation to average 800 ml at 24 weeks. Little change occurs from then until near term when AFV begins to decrease, and large decreases can occur in postterm pregnan...

journal_title：Clinical obstetrics and gynecology

authors： Brace RA

更新日期：1997-06-01 00:00:00

abstract：:Rectovaginal fistulas and chronic anal sphincter lacerations are uncommon complications that are most often secondary to vaginal delivery, gynecologic surgery, and inflammatory bowel disease. In this chapter, we will review the pertinent anatomy, focusing on the 6 structures that should be considered during the repair...

journal_title：Clinical obstetrics and gynecology

authors： Delancey JO,Berger MB

更新日期：2010-03-01 00:00:00

abstract：:The importance of nutrition during pregnancy with regard to pregnancy outcome has long been acknowledged. This importance has only been further emphasized by the recent changes in food quality and availability, lifestyle changes, and a new understanding of fetal programming on adult outcomes. The impact of the recent ...

journal_title：Clinical obstetrics and gynecology

authors： Mehta SH

更新日期：2008-06-01 00:00:00

abstract：:A variety of changes in the eye can occur during pregnancy. These can be physiological, pathologic related to the pregnancy, or pathologic unrelated to the pregnancy. Pregnancy also can affect preexisting conditions. Pregnant women often discuss changes in their health first with their obstetrician; therefore, knowled...

journal_title：Clinical obstetrics and gynecology

authors： Grant AD,Chung SM

更新日期：2013-06-01 00:00:00