Assessment and optimization of uterine activity during labor.

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 excessive uterine activity. Common terminology is defined in an effort to enhance clear and direct communication and accurate assessment. The latest evidence regarding normal labor is presented along with physiology related to uterine activity and fetal oxygenation. Suggestions for managing excessive uterine activity are offered as well as a synopsis of risk reduction strategies for clinical practice.

journal_name

Clin Obstet Gynecol

authors

Simpson KR,Miller L

doi

10.1097/GRF.0b013e31820a06aa

subject

Has Abstract

pub_date

2011-03-01 00:00:00

pages

40-9

issue

1

eissn

0009-9201

issn

1532-5520

pii

00003081-201103000-00007

journal_volume

54

pub_type

杂志文章,评审
  • Prevention and Management of Stroke in Obstetrics and Gynecology.

    abstract::Stroke risk is 3 times higher in pregnancy than in the general young adult population and carries high morbidity and mortality risks. The recognition of signs and symptoms of stroke and other serious cerebrovascular disorders in pregnant and postpartum patients is important for the obstetrician to be able to initiate ...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/GRF.0000000000000367

    authors: Barghouthi T,Bushnell C

    更新日期:2018-06-01 00:00:00

  • Management of fetal growth restriction: an evidence-based approach.

    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

    pub_type: 杂志文章,评审

    doi:10.1097/00003081-200606000-00013

    authors: Maulik D

    更新日期:2006-06-01 00:00:00

  • Sexual pain.

    abstract::Sexual pain is an underrecognized and poorly treated constellation of disorders that significantly impact affected women and their partners. Recognized as a form of chronic pain, sexual pain disorders are heterogeneous and include dyspareunia (superficial and deep), vaginismus, vulvodynia, vestibulitis, and noncoital ...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/GRF.0b013e3181bf4a7e

    authors: Boardman LA,Stockdale CK

    更新日期:2009-12-01 00:00:00

  • Antenatal therapy to minimize neonatal intraventricular hemorrhage.

    abstract::Periventricular-intraventricular hemorrhage is an important problem, resulting in significant mortality and morbidity. Attempts to reduce this complication require an understanding of its pathogenesis. In this chapter a model was proposed, consisting of a series of events resulting in rapid changes of cerebral blood f...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/00003081-199106000-00014

    authors: Morales WJ

    更新日期:1991-06-01 00:00:00

  • Sonographic diagnosis of fetal growth disorders.

    abstract::In summary, accurate identification of fetal growth disorders remains a difficult clinical challenge. Many diagnostic parameters have been devised to diagnose these conditions, however, no single test alone allows a confident antenatal diagnosis of IUGR or macrosomia to be established. Until new criteria or new method...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/00003081-198803000-00007

    authors: Mintz MC,Landon MB

    更新日期:1988-03-01 00:00:00

  • Hysterectomy in the 21st century: different approaches, different challenges.

    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

    pub_type: 杂志文章,评审

    doi:10.1097/01.grf.0000211946.51712.42

    authors: Brill AI

    更新日期:2006-12-01 00:00:00

  • Placenta and umbilical cord abnormalities seen with stillbirth.

    abstract::Placental lesions identified in cases of stillbirth are of clinical interest and are frequently invoked as having a causal role. However, most of the placental changes found in stillbirth are also seen in liveborn pregnancies, and are of uncertain pathogenetic significance. Much of the literature addressing placental ...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/GRF.0b013e3181eb68fe

    authors: Pinar H,Carpenter M

    更新日期:2010-09-01 00:00:00

  • The Normal Vulva, Vulvar Examination, and Evaluation Tools.

    abstract::The appearance of the female external genitalia is key for understanding and diagnosing many diseases that women of all ages encounter. Alas, the normal appearance of the vulva is an elusive concept, scarcely represented in textbooks, and the growing number of vulvar cosmetic surgery calls for a review of the normal a...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/GRF.0000000000000123

    authors: Cohen Sacher B

    更新日期:2015-09-01 00:00:00

  • The postpartum management of women with gestational diabetes using a continuum model for health care.

    abstract::Women with gestational diabetes mellitus require a continuum of care before, during, and after pregnancy for optimal management of hyperglycemia. Postpartum education and lifestyle modification should begin during pregnancy, and should continue during the postpartum period. Women should receive education on the long-t...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/GRF.0b013e3182a8e0bb

    authors: Castorino K,Jovanovič L

    更新日期:2013-12-01 00:00:00

  • Direct electronic urethrocystometry.

    abstract::Direct electronic urethrocystometry simultaneously records pressures in the bladder, proximal urethra, and abdomen in a patient at rest and under stress while the bladder fills with urine. It documents the presence or absence of detrusor contractions and is an essential part of the evaluation of patients with detrusor...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/00003081-197809000-00008

    authors: Hurt WG,Fantl JA

    更新日期:1978-09-01 00:00:00

  • Intrahepatic Cholestasis of Pregnancy.

    abstract::Intrahepatic cholestasis of pregnancy is a common disorder of pregnancy manifested by pruritus and elevated bile acids. The etiology of cholestasis is poorly understood and management is difficult due to the paucity of data regarding its diagnosis, treatment, and related adverse outcomes. In this article, we review th...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/GRF.0000000000000495

    authors: Smith DD,Rood KM

    更新日期:2020-03-01 00:00:00

  • Genomic medicine in prenatal diagnosis.

    abstract::Prenatal diagnostics has seen a rapid increase in the number of genetic disorders amenable to prenatal detection owing to advances in technology and research into the genetic etiology of many conditions. This article reviews the more traditional prenatal diagnostic techniques, such as amniocentesis and chorionic villu...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/GRF.0b013e3181616509

    authors: South ST,Chen Z,Brothman AR

    更新日期:2008-03-01 00:00:00

  • GnRH agonists.

    abstract::The development of GnRH agonists has had a major impact on the practice of gynecology and reproductive endocrinology. The clinical usefulness of GnRH agonists will increase as modes of administration are improved and indications become better defined. GnRH agonists and, potentially, antagonists will provide a prompt, ...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/00003081-198909000-00019

    authors: Schriock ED

    更新日期:1989-09-01 00:00:00

  • Operative vaginal delivery: a cause of birth injury or is it?

    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

    pub_type: 杂志文章,评审

    doi:10.1097/GRF.0b013e31811eaa39

    authors: Towner DR,Ciotti MC

    更新日期:2007-09-01 00:00:00

  • Long-term Health of Offspring of Women With Polycystic Ovarian Syndrome.

    abstract::Polycystic ovarian syndrome (PCOS) presents as a constellation of clinical manifestations that can be varied among patients; however, the hormonal derangement associated with PCOS is uniformly characterized by excess androgens and abnormal insulin activity. The alteration in the normal hormonal milieu in these patient...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/GRF.0000000000000598

    authors: Lindner PG

    更新日期:2021-03-01 00:00:00

  • Caring for Opioid-dependent Pregnant Women: Prenatal and Postpartum Care Considerations.

    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

    pub_type: 杂志文章

    doi:10.1097/GRF.0000000000000098

    authors: Krans EE,Cochran G,Bogen DL

    更新日期:2015-06-01 00:00:00

  • Fetal evaluation by real-time imaging.

    abstract::The application of real-time imaging to the study of fetal morphology and function is an exciting advance. Rapid accurate study of fetal dynamics is possible with this apparently safe, noninvasive technique. Animal studies have revealed the general physiology of fetal breathing movements, which are now under extensive...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/00003081-197706000-00014

    authors: Fox HE,Hohler CW

    更新日期:1977-06-01 00:00:00

  • Removal of adnexa at the time of vaginal hysterectomy.

    abstract::Removal of the fallopian tubes and ovaries at the time of vaginal hysterectomy is a skill that must be acquired if one is to be a competent vaginal surgeon. Various techniques have been described and will be reviewed in this chapter. A single technique or series of steps often must be modified depending on the descent...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/GRF.0b013e3181ce87fc

    authors: Shepherd JP,Zyczynski HM

    更新日期:2010-03-01 00:00:00

  • Clinical relevance of fetal gonadal structure and function.

    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

    pub_type: 杂志文章

    doi:

    authors: diZerega GS,Ross GT

    更新日期:1980-09-01 00:00:00

  • Higher-order Multiples.

    abstract::Higher-order multiple gestations have increased since the advent of advanced reproductive technologies. These pregnancies present unique risks to both mothers and fetuses. It is imperative that early diagnosis of chronicity be determined and that proper counseling is performed, so patients understand the risks, evalua...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/GRF.0000000000000121

    authors: Stone J,Kohari KS

    更新日期:2015-09-01 00:00:00

  • Cost-effectiveness of cervical cancer prevention.

    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

    pub_type: 杂志文章,评审

    doi:10.1097/GRF.0b013e3182823797

    authors: Esselen KM,Feldman S

    更新日期:2013-03-01 00:00:00

  • Preterm PROM: prediction, prevention, principles.

    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

    pub_type: 杂志文章

    doi:10.1097/GRF.0b013e318217d4d3

    authors: Waters TP,Mercer B

    更新日期:2011-06-01 00:00:00

  • Osteoporosis: screening and treatment in women.

    abstract::Osteoporosis is frequently called the silent disease because it lacks symptoms or signs until a fracture has occurred. Osteoporosis is common in aging women because of progressive postmenopausal bone loss. Fractures related to bone loss can result in reduced quality of life, lengthy hospital stays, long-term instituti...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/GRF.0b013e31825caa50

    authors: Pollycove R,Simon JA

    更新日期:2012-09-01 00:00:00

  • Cellular and molecular bases for dystocia.

    abstract::In this review I have briefly outlined some of the cellular and molecular reasons for dystocia. I have described the myogenic, that may control the normal progression of labor and explain inadequate uterine contractility associated with dystocia. I have placed particular emphasis on our studies of gap junctions and th...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/00003081-198703000-00004

    authors: Garfield RE

    更新日期:1987-03-01 00:00:00

  • Reproductive decision-making and determinants of contraceptive use in HIV-infected women.

    abstract::Perinatal transmission and reproductive decisions of HIV-infected women can be categorized in statistical and epidemiological terms. These reports and figures, however, do little to fully explain the complexities of human relationships, life experiences, personal and cultural influences, and situational and environmen...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/00003081-199606000-00008

    authors: Williams HA,Watkins CE,Risby JA

    更新日期:1996-06-01 00:00:00

  • Epidemiology and risk factors.

    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

    pub_type: 杂志文章,评审

    doi:10.1097/00003081-198912000-00018

    authors: Lynch HT,Watson P,Lynch JF

    更新日期:1989-12-01 00:00:00

  • Reversible antepartum fetal distress.

    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

    pub_type: 杂志文章,评审

    doi:10.1097/00003081-198712000-00023

    authors: Nageotte MP

    更新日期:1987-12-01 00:00:00

  • A discussion of clinical decision support services.

    abstract::The software known as Clinical Decision Support Services (CDSS) has emerged as a buzzword from the explosion of information systems within health care. CDSS is installed within a practice to provide resources and tools to support the utilization of patient data in the provider decision-making process. Additional appli...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/GRF.0b013e31829cb0bf

    authors: Booker CC,Andrews PN

    更新日期:2013-09-01 00:00:00

  • Pregnancy and Congenital Heart Disease: A Brief Review of Risk Assessment and Management.

    abstract::Cardiac disease is a leading cause of morbidity and mortality in pregnant women. An increased prevalence of the cardiovascular disease has been found in women of childbearing age, in which the responsibility of the treating physician extends to the mother and to the unborn fetus. As a result, care of these high-risk p...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/GRF.0000000000000579

    authors: Chan A,Wolfe DS,Zaidi AN

    更新日期:2020-12-01 00:00:00

  • Influenza during pregnancy: a cause of serious infection in obstetrics.

    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

    pub_type: 杂志文章

    doi:10.1097/GRF.0b013e31827146bd

    authors: Beigi RH

    更新日期:2012-12-01 00:00:00