Prevention and treatment of venous thromboembolism in pregnancy.

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：: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：:The relationship between the clinical state of the cervix and spontaneous onset of labor has long been known. The cervix can be characterized by evaluating five parameters: effacement, dilatation, firmness, position, and level of the presenting part. The relative associations between successful labor induction and the...

journal_title：Clinical obstetrics and gynecology

authors： Fuentes A,Williams M

更新日期：1995-06-01 00:00:00

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

authors： Schriock ED

更新日期：1989-09-01 00:00:00

abstract：:Chronic pelvic is a multifaceted condition that often has both peripheral and central generators of pain. Despite its high prevalence, the evaluation and management of a pelvic pain patient often present many challenges to the practicing gynecologist. As with many other chronic pain conditions, pain severity does not ...

journal_title：Clinical obstetrics and gynecology

authors： Carey ET,Moore K

更新日期：2019-12-01 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：: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：: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：: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 responsibility of the obstetrician is to identify during the first trimester women who are carriers for thalassemia. When she has been identified, the father of the baby should be screened and if he is also a carrier, the couple should be offered prenatal diagnosis. In the majority of cases, prenatal diagnosis can...

journal_title：Clinical obstetrics and gynecology

authors： Kilpatrick SJ,Laros RK

更新日期：1995-09-01 00:00:00

abstract：:New reproductive genetics means recently developed techniques to prevent the birth of children with specific defects or genetic diseases by testing individuals for sickle cell anemia, the thalassemias, Tay-Sachs disease, cystic fibrosis, or Down syndrome. Third World health services have many deficiencies with high m...

journal_title：Clinical obstetrics and gynecology

authors： Penchaszadeh VB

更新日期：1993-09-01 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：: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 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：:Once the decision to perform a hysterectomy has been made, the type and route of hysterectomy must be chosen, and efforts made to accomplish the surgery as safely as possible. Hysterectomy can be performed vaginally, abdominally with laparoscopic or robotic assistance, or open. The main goal of gynecologic surgeons sh...

journal_title：Clinical obstetrics and gynecology

authors： Walters MD,Ridgeway BM

更新日期：2017-06-01 00:00:00

abstract：:The role of oxytocin and oxytocin receptors in preterm labor is perhaps more prominent than once thought. The blockade of oxytocin and/or oxytocin receptors has both a theoretical and clinical aspect. Initial trials with the oxytocin antagonist atosiban have been encouraging with respect to efficacy and side effect pr...

journal_title：Clinical obstetrics and gynecology

authors： Shubert PJ

更新日期：1995-12-01 00:00:00

abstract：:Ovarian neoplasms are common in women of all ages. As many as 10% of women in the United States will undergo surgical removal of an adnexal mass sometime in their lifetime. Gynecologic surgeons have pioneered laparoscopic surgery, developing what was originally a diagnostic tool into a safe and effective approach to m...

journal_title：Clinical obstetrics and gynecology

authors： Hilger WS,Magrina JF,Magtibay PM

更新日期：2006-09-01 00:00:00

abstract：:The ideal weight gain or energy intake for an individual woman cannot be determined from research studies. Current guidelines for maternal gain, however, combined with individualized assessment and follow-up, can provide the clinician and the pregnant women with a meaningful target and plan for achieving a healthy wei...

journal_title：Clinical obstetrics and gynecology

authors： Abrams B

更新日期：1994-09-01 00:00:00

abstract：:About 85% of all births in the US occur to women under 35 years of age. According to the US National Survey of Family Growth, women aged 35-39 years expect to have an additional 0.3 births while those 40-44 years anticipate only 0.1 additional births. Thus, there is a need to protect women age 35 years and over from...

journal_title：Clinical obstetrics and gynecology

authors： Westhoff C

更新日期：1998-12-01 00:00:00

abstract：:Evidence-based guidelines that have been prepared by many professional organizations aimed at assisting the clinician in the initial evaluation of postmenopausal women who should be considered for bone mineral density evaluation by dual-energy x-ray absorptiometry; history, physical examination, and laboratory testing...

journal_title：Clinical obstetrics and gynecology

authors： Kleerekoper M,Gold DT

更新日期：2008-09-01 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：: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：:Patient safety is a significant concern for healthcare providers. Involving physicians in clinical quality activities in obstetrics and gynecology can be difficult for many reasons including time demands, lack of knowledge of process improvement activities, or change fatigue due to failure of adequate implementation o...

journal_title：Clinical obstetrics and gynecology

authors： Mann S,Pratt S

更新日期：2010-09-01 00:00:00

abstract：:The recent published literature dealing with urinary tract calculi during pregnancy has been summarized. Our own experience with 17 patients, (0.08% of the deliveries) in a recent 12-year interval has been described. Emphasis must be placed on the safety and limitations of renal ultrasonography. Excretory urography sh...

journal_title：Clinical obstetrics and gynecology

authors： Horowitz E,Schmidt JD

更新日期：1985-06-01 00:00:00

abstract：:Using oral agents for induction of labor would reduce the need for repeated vaginal examinations; this is more acceptable to women and could reduce infection rates. A systematic review was conducted of 41 randomized trials comparing oral misoprostol to other induction agents. Oral misoprostol is effective at achieving...

journal_title：Clinical obstetrics and gynecology

authors： Weeks A,Alfirevic Z

更新日期：2006-09-01 00:00:00

abstract：:A comprehensive knowledge of the boundaries, contents, and interactions between surgical spaces is essential to safely and effectively perform mesh-augmented prolapse repairs and anti-incontinence procedures. This knowledge is also critical when managing intraoperative and postoperative complications such as bleeding,...

journal_title：Clinical obstetrics and gynecology

authors： Corton MM

更新日期：2013-06-01 00:00:00

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

authors： South ST,Chen Z,Brothman AR

更新日期：2008-03-01 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：:Current findings continue to support the concept of a biologically defective decidua rather than a primarily abnormally invasive trophoblast. Prior cesarean sections increase the risk of placenta previa and both adherent and invasive placenta accreta, suggesting that the endometrial/decidual defect following the iatro...

journal_title：Clinical obstetrics and gynecology

authors： Jauniaux E,Burton GJ

更新日期：2018-12-01 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