The anesthesiologist's role during attempted VBAC.

abstract：:Diagnosis of the cause of pruritus in a pregnant patient should be approached systematically, beginning with a detailed history (especially drug exposure) and physical examination. Systemic diseases must be excluded. Liver function tests and hepatitis screen are in order if symptoms suggest liver dysfunction. Stool ex...

journal_title：Clinical obstetrics and gynecology

authors： Dacus JV

更新日期：1990-12-01 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：: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：: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：: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：: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：: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：:Despite advances in estimating prognosis and predicting response to adjuvant systemic therapy, the status of the axillary lymph nodes remains a critical component in initial surgical planning and in determining therapeutic strategies for patients with breast cancer. Buoyed by evidence from multi-institutional randomiz...

journal_title：Clinical obstetrics and gynecology

authors： McCARTAN D,Gemignani ML

更新日期：2016-12-01 00:00:00

abstract：:Unlike urinary incontinence (UI) in younger women, UI in older women is usually multifactoral in etiology and involves factors beyond the more common types of lower urinary tract (LUT) pathophysiology associated with UI in younger women. The evaluation and management of UI in older women, therefore, must itself be mul...

journal_title：Clinical obstetrics and gynecology

authors： DuBeau CE

更新日期：2007-09-01 00:00:00

abstract：:Urinary tract infection in women has its origin, predominantly, via ascending bacteria from the periurethral microflora. Asymptomatic bacteriuria, except for the pregnant patient, need not be treated. E. coli is the most common bacterium to cause UTIs, and is usually susceptible to oral antibiotics. Patients who are h...

journal_title：Clinical obstetrics and gynecology

authors： Faro S,Fenner DE

更新日期：1998-09-01 00:00:00

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

authors： Barghouthi T,Bushnell C

更新日期：2018-06-01 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：:The relevance of extraneous factors on fetal and neonatal respiratory gas exchange and acid-base balance must be considered when interpreting umbilical cord blood values. However, although many of these factors can alter these values to a minor degree, the clinical impact is negligible in the unstressed fetus. The mor...

journal_title：Clinical obstetrics and gynecology

authors： Yancey MK,Harlass FE

更新日期：1993-03-01 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：:The recent clinical trials indicate that EA is feasible. The use of ancillary tools, such as ultrasound, requires only a slight modification of the previously established techniques for MA. The amniotic fluid can be obtained and cultured. Combining the reported populations sampled, the procedural and cytogenetic failu...

journal_title：Clinical obstetrics and gynecology

authors： Johnson A,Godmilow L

更新日期：1988-06-01 00:00:00

abstract：:The purpose of this paper is to assist the clinician in recognizing pelvic floor muscle dysfunction in women with vulvar symptoms, to provide general treatment algorithms, and to facilitate understanding of the scientific rationale behind appropriate treatment. In short, this paper is meant to provide a "how-to" guide...

journal_title：Clinical obstetrics and gynecology

authors： Albrecht KB

更新日期：2015-09-01 00:00:00

abstract：:Laproscopic sterilization techniques and the diagnostic use of laparoscopy are discussed. In a series of 1000 laparoscopic sterilizations by the 2-incision technique, there was a total failure rate, surgical and operative, of .4%. In a similar series with the 1-incision technique and electrocagulation only, the total...

journal_title：Clinical obstetrics and gynecology

authors： Wheeless CR Jr

更新日期：1976-06-01 00:00:00

abstract：:Some of the patients with epithelial ovarian cancer will not respond to initial therapy. These patients have a poor prognosis. Our aim was to identify patients with a worse prognosis by integrating clinical, pathologic, and genomic data. Using publicly available genomic data and integrating it with clinical data, we s...

journal_title：Clinical obstetrics and gynecology

authors： Newtson AM,Devor EJ,Gonzalez Bosquet J

更新日期：2020-03-01 00:00:00

abstract：:Venous thromboembolism is a leading cause for maternal mortality. Because of the increase risk for thromboembolism in pregnancy and the postpartum period, the clinician must be on high alert for the signs and symptoms and use appropriate diagnostics in a timely manner so that prompt anticoagulation therapy can be init...

journal_title：Clinical obstetrics and gynecology

authors： Brown HL,Hiett AK

更新日期：2010-06-01 00:00:00

abstract：:In gestational diabetes (GDM), achieving euglycemia through treatment decreases the risk of adverse outcomes associated with hyperglycemia. Treatment starts with diet and nutritional counseling; however, up to 50% of women will require pharmacologic therapy to meet glucose goals. Although insulin remains the only Fede...

journal_title：Clinical obstetrics and gynecology

authors： Berggren EK,Boggess KA

更新日期：2013-12-01 00:00:00

abstract：:With the increased use and quality of ultrasound in pregnancy, adenxal masses are being encountered with greater frequency. Fortunately, most of such masses are benign and resolve on their own. However, complications such as ovarian torsion can occur. In addition, a malignancy can be present in a small minority of cas...

journal_title：Clinical obstetrics and gynecology

authors： Schwartz N,Timor-Tritsch IE,Wang E

更新日期：2009-12-01 00:00:00

abstract：:In our proof-of-concept study of 1 patient with stage IIIC carcinosarcoma of the ovary, we discovered a rare mutation in the tumor suppressor, TP53, that results in the deletion of N131. Immunofluorescence imaging of the organoid culture revealed hyperstaining of p53 protein. Computational modeling suggests this resid...

journal_title：Clinical obstetrics and gynecology

authors： Bi J,Thiel KW,Litman JM,Zhang Y,Devor EJ,Newtson AM,Schnieders MJ,Gonzalez Bosquet J,Leslie KK

更新日期：2020-03-01 00:00:00

abstract：:The use of mesh and graft in pelvic reconstructive surgery has increased over the last decade. As the use of these products increased, the frequency and complexity of mesh-related complications has also increased. Management of complications resulting from mesh placement requires a thoughtful, systematic approach. Alt...

journal_title：Clinical obstetrics and gynecology

authors： Barber MD

更新日期：2013-06-01 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：: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

authors： Garfield RE

更新日期：1987-03-01 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：: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：:In the United States, roughly half of women are either overweight (24.5%) or obese (21.4%) when they become pregnant. Women who are obese before pregnancy are at increased risk for a number of pregnancy complications relative to normal-weight women. Specifically, obesity is associated with significantly increased mate...

journal_title：Clinical obstetrics and gynecology

authors： Simhan HN

更新日期：2016-03-01 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：: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