Ovarian hyperstimulation syndrome: facts and fallacies.


:Severe or critical ovarian hyperstimulation syndrome (OHSS) is a serious complication of ovarian hyperstimulation for assisted reproduction techniques (ART). The syndrome is characterized by cystic enlargement of the ovaries and fluid shifts from the intravascular to the third space. The morbidity in OHSS is mainly determined by the hemodynamic changes caused by increased capillary permeability. The incidence of OHSS depends on definitions, risk factors, ovarian stimulation protocols, luteal support and conception. Currently, research on the pathogenesis of OHSS is focused on increased capillary permeability. Several theories are reviewed. Until the pathogenesis of OHSS becomes clear, treatment is restricted to supportive therapy. The various proposals for management of OHSS are discussed and, based on the available data, directions for the management of various grades of OHSS are summarized. However, prevention and early recognition are still the most important tools to handle OHSS. A flowchart with preventive measures for OHSS is presented derived from the available literature.


Obstet Gynecol Surv


Beerendonk CC,van Dop PA,Braat DD,Merkus JM




Has Abstract


1998-07-01 00:00:00












  • The potential impact of physical activity during pregnancy on maternal and neonatal outcomes.

    abstract:INTRODUCTION:Pregnancy is a critical period of body weight regulation. Maternal obesity and excessive gestational weight gain have become increasingly common and contribute to poor obstetrical outcomes for mother and baby. Regular participation in physical activity may improve risk profiles in pregnant women. PURPOSE ...

    journal_title:Obstetrical & gynecological survey

    pub_type: 杂志文章,评审


    authors: Ferraro ZM,Gaudet L,Adamo KB

    更新日期:2012-02-01 00:00:00

  • Preterm premature rupture of membranes.

    abstract::Although the etiology of preterm premature rupture of membranes (PPROM) is probably multifactorial, recent literature has indicated that infectious processes may play an important role. The management of PPROM is still controversial, requiring individualization of care for each patient. Expectant management is increas...

    journal_title:Obstetrical & gynecological survey

    pub_type: 杂志文章,评审


    authors: Maxwell GL

    更新日期:1993-08-01 00:00:00

  • Preimplantation Genetic Testing for Aneuploidy: A Review.

    abstract:Importance:Preimplantation genetic testing for aneuploidy (PGT-A) has undergone many technical developments over recent years, including changes in biopsy timings, methodology, and genetic analysis techniques. The evidence surrounding the efficaciousness of PGT-A is sporadic and inconsistent; as such, significant doubt...

    journal_title:Obstetrical & gynecological survey

    pub_type: 历史文章,杂志文章,评审


    authors: Kemper JM,Vollenhoven BJ,Talmor AJ

    更新日期:2019-12-01 00:00:00

  • Tubal pregnancy: a review of current diagnosis and treatment.

    abstract::Ectopic pregnancy accounts for 2 percent of all pregnancies in the United States, and contributes substantially to maternal morbidity and mortality. Risk factors for the development of ectopic pregnancy are described, but less than 50 percent of women with ectopic pregnancy actually give a history of such risk factors...

    journal_title:Obstetrical & gynecological survey

    pub_type: 杂志文章,评审


    authors: Fylstra DL

    更新日期:1998-05-01 00:00:00

  • Brain abscess complicating pregnancy.

    abstract::Brain abscess is a potentially life-threatening complication that is only rarely associated with pregnancy. Although predispositions such as a preexisting infection, foreign body, or immunosuppression are often present, up to 30% of individuals could have no risk factors. Presenting symptoms are often nonspecific but ...

    journal_title:Obstetrical & gynecological survey

    pub_type: 杂志文章,评审


    authors: Wax JR,Pinette MG,Blackstone J,Cartin A

    更新日期:2004-03-01 00:00:00

  • A review of laparoscopic ureteral injury in pelvic surgery.

    abstract::The objective of this study was to review the body of literature in reference to ureteral injury during laparoscopic surgeries and to determine: 1) the reported rates of ureteral injury; 2) the initial laparoscopic surgeries during which ureteral injury occurred; 3) the time of injury recognition (intra- versus postop...

    journal_title:Obstetrical & gynecological survey

    pub_type: 杂志文章,评审


    authors: Ostrzenski A,Radolinski B,Ostrzenska KM

    更新日期:2003-12-01 00:00:00

  • Vaginal Birth After Previous Cesarean Birth: A Comparison of 3 National Guidelines.

    abstract:Importance:Vaginal birth after previous cesarean birth (VBAC) is a reasonable option for many women with previous cesarean delivery. Objective:The aim of this study was to summarize evidence and compare recommendations from national guidelines regarding VBAC. Evidence Acquisition:A descriptive review of 3 national gu...

    journal_title:Obstetrical & gynecological survey

    pub_type: 杂志文章


    authors: Tsakiridis I,Mamopoulos A,Athanasiadis A,Dagklis T

    更新日期:2018-09-01 00:00:00

  • Achalasia in pregnancy.

    abstract::Achalasia is a motor disorder of the esophageal smooth muscle in which the lower esophageal sphincter does not relax normally with swallowing, and the esophageal body undergoes nonperistaltic contractions. The underlying abnormality is the loss of intramural neurons. Achalasia affects men and women of all ages. Dyspha...

    journal_title:Obstetrical & gynecological survey

    pub_type: 杂志文章,评审


    authors: Khudyak V,Lysy J,Mankuta D

    更新日期:2006-03-01 00:00:00

  • The Impact of Adenomyosis on Women's Fertility.

    abstract::Until recently, adenomyosis has been associated with multiparity, not impaired fertility. Currently, adenomyosis is diagnosed with increasing frequency in infertile patients since women delay their first pregnancy until their late 30s or early 40s. Although an association between adenomyosis and infertility has not be...

    journal_title:Obstetrical & gynecological survey

    pub_type: 杂志文章,评审


    authors: Harada T,Khine YM,Kaponis A,Nikellis T,Decavalas G,Taniguchi F

    更新日期:2016-09-01 00:00:00

  • Urolithiasis in pregnancy: Current diagnosis, treatment, and pregnancy complications.

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    journal_title:Obstetrical & gynecological survey

    pub_type: 杂志文章,评审


    authors: Cormier CM,Canzoneri BJ,Lewis DF,Briery C,Knoepp L,Mailhes JB

    更新日期:2006-11-01 00:00:00

  • Maternal dengue and pregnancy outcomes: a systematic review.

    abstract:UNLABELLED:To assess the impact of dengue infection during pregnancy on birth outcomes, we conducted a systematic review of 30 published studies (19 case reports, 9 case series, and 2 comparison studies). Studies were identified by searching computerized databases using dengue and dengue hemorrhagic fever, cross-refere...

    journal_title:Obstetrical & gynecological survey

    pub_type: 杂志文章,评审


    authors: Pouliot SH,Xiong X,Harville E,Paz-Soldan V,Tomashek KM,Breart G,Buekens P

    更新日期:2010-02-01 00:00:00

  • Sex differences among obstetrician-gynecologists: a review of survey studies.

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    journal_title:Obstetrical & gynecological survey

    pub_type: 杂志文章,评审


    authors: Farrow VA,Anderson B,Chescheir NC,Schulkin J

    更新日期:2013-03-01 00:00:00

  • The progressive simplification of the infertility evaluation.

    abstract:OBJECTIVE:With the advent of evidence-based medicine, much of the complex testing that infertile couples used to undergo is no longer recommended as part of the routine evaluation. Examples of tests no longer implemented include the postcoital test, Rubin test of tubal patency, endometrial biopsy, sperm antibody testin...

    journal_title:Obstetrical & gynecological survey

    pub_type: 杂志文章,评审


    authors: Pavone ME,Hirshfeld-Cytron JE,Kazer RR

    更新日期:2011-01-01 00:00:00

  • Paternal Preferences, Perspectives, and Involvement in Perinatal Decision Making.

    abstract:Importance:Despite increasing attention to the importance of father involvement during pregnancy, the literature on fathers' roles in perinatal decision making is scant. Objective:The aim of this study was to conduct a narrative review of the literature exploring fathers' preferences, perspectives, and involvement in ...

    journal_title:Obstetrical & gynecological survey

    pub_type: 杂志文章,评审


    authors: Cheng ER,McGough H,Tucker Edmonds B

    更新日期:2019-03-01 00:00:00

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    abstract::We analyzed the associations of colposcopic features with cervical and vaginal pathogens and with clinical diagnoses in randomly selected women attending a clinic for sexually transmitted diseases. Logistic regression models were used to adjust for coinfections. Significant associations (P less than 0.01) were found f...

    journal_title:Obstetrical & gynecological survey

    pub_type: 杂志文章


    authors: Paavonen J,Stevens CE,Wølner-Hanssen P,Critchlow CW,Derouen T,Kiviat N,Koutsky L,Stamm WE,Corey L,Holmes KK

    更新日期:1988-07-01 00:00:00

  • Cost-effectiveness of hormone replacement therapy in the menopause.

    abstract::Costs, risks, and benefits of estrogen-progestin therapy in the menopause were compared with those for estrogen alone, using techniques of cost-effectiveness analysis. With the progestin added, reduced costs of endometrial monitoring and treatment of endometrial lesions more than offset the increased cost of the drug ...

    journal_title:Obstetrical & gynecological survey

    pub_type: 杂志文章


    authors: Weinstein MC,Schiff I

    更新日期:1983-08-01 00:00:00

  • Tranexamic Acid for Prevention and Treatment of Postpartum Hemorrhage: An Update on Management and Clinical Outcomes.

    abstract:Importance:Postpartum hemorrhage (PPH) remains a major cause of maternal mortality worldwide, occurring in both vaginal and cesarean deliveries. We have witnessed improvements in both prevention and treatment of PPH. Tranexamic acid (TXA) has been investigated as a potential adjunct therapy to uterotonics within this s...

    journal_title:Obstetrical & gynecological survey

    pub_type: 杂志文章,评审


    authors: Ahmadzia HK,Phillips JM,Katler QS,James AH

    更新日期:2018-10-01 00:00:00

  • Maintaining perioperative normothermia in the patient undergoing cesarean delivery.

    abstract::Anesthesia and surgery interfere with normal thermoregulation, and nearly all patients will become hypothermic unless compensatory measures are used. Preoperative patient warming and intraoperative methods using forced air and warmed intravenous fluids are important methods for maintaining patient's core temperature d...

    journal_title:Obstetrical & gynecological survey

    pub_type: 杂志文章,评审


    authors: Carpenter L,Baysinger CL

    更新日期:2012-07-01 00:00:00

  • Menstrual Hygiene Management in Resource-Poor Countries.

    abstract:Importance:Adequate management of menstrual hygiene is taken for granted in affluent countries; however, inadequate menstrual hygiene is a major problem for girls and women in resource-poor countries, which adversely affects the health and development of adolescent girls. Objective:The aim of this article is to review...

    journal_title:Obstetrical & gynecological survey

    pub_type: 杂志文章,评审


    authors: Kuhlmann AS,Henry K,Wall LL

    更新日期:2017-06-01 00:00:00

  • Relevance of molecular medicine to clinical obstetrics and gynecology.

    abstract::Understanding molecular biology can improve the clinical acumen of the practicing obstetrician/gynecologist. An area of basic research now becoming clinically relevant involves the G proteins and G protein-coupled receptors. Clinicians already manipulate G protein-coupled receptors in their daily practice. Examples in...

    journal_title:Obstetrical & gynecological survey

    pub_type: 杂志文章,评审


    authors: Cohen DP,Layman LC

    更新日期:1997-01-01 00:00:00

  • Renal hemodynamics and volume homeostasis in pregnancy.

    abstract::Maternal hemodynamic adaptation to pregnancy consists of profound changes in various interdependent systems. Of crucial importance in the early adaptation of the volume homeostatic mechanisms to pregnancy is the resetting of the volume and osmoreceptors. This resetting may be induced by a reduction in vascular tone an...

    journal_title:Obstetrical & gynecological survey

    pub_type: 杂志文章,评审


    authors: Duvekot JJ,Peeters LL

    更新日期:1994-12-01 00:00:00

  • The alleged association between induced abortion and risk of breast cancer: biology or bias?

    abstract::The alleged association between induced abortion and breast cancer is one of the most controversial and important questions in women's health today. To help clinicians provide appropriate counseling, we reviewed both the primary data and review articles on this topic. We identified the studies and reviews by using Med...

    journal_title:Obstetrical & gynecological survey

    pub_type: 杂志文章,评审


    authors: Bartholomew LL,Grimes DA

    更新日期:1998-11-01 00:00:00

  • Late postpartum eclampsia: examples and review.

    abstract::Eclampsia, defined as the occurrence of seizures in pregnant women, usually in the setting of preeclampsia and in the absence of other neurologic disorders, occurs mainly before, during , or within 48 hours after delivery. When convulsions occur later postpartum, diagnosis is difficult and treatment disputed. We revie...

    journal_title:Obstetrical & gynecological survey

    pub_type: 杂志文章,评审


    authors: Hirshfeld-Cytron J,Lam C,Karumanchi SA,Lindheimer M

    更新日期:2006-07-01 00:00:00

  • The pharmacologic inhibition of premature labor.

    abstract::Oxytocin, elevated estrogen-progesterone ratio, fetal corticosteroids, prostaglandins, catecholamines, and changes in uterine blood flow have all been implicated as triggers of labor. In approximately one-third of cases of threatened premature labor contractions stop spontaneously. Thus placebo-controlled randomized t...

    journal_title:Obstetrical & gynecological survey

    pub_type: 杂志文章


    authors: Niebyl JR,Blake DA,Johnson JW,King TM

    更新日期:1978-08-01 00:00:00

  • Aspirin and reproductive outcomes.

    abstract::In the late 1980s and early 1990s, researchers hypothesized that aspirin could be used to prevent or delay the onset of preeclampsia. This hypothesis was tested in numerous trials which showed limited, but positive results. Subsequently, aspirin has been used in an attempt to improve pregnancy outcomes in women who ha...

    journal_title:Obstetrical & gynecological survey

    pub_type: 杂志文章,评审


    authors: James AH,Brancazio LR,Price T

    更新日期:2008-01-01 00:00:00

  • Primary amenorrhea: diagnosis and management.

    abstract::Puberty is a defining time of many adolescents' lives. It is a series of events that includes thelarche, pubarche, and menarche. Primary amenorrhea is the absence of menarche. There are numerous etiologies including outflow tract obstructions, gonadal dysgenesis, and anomalies of the hypothalamic axis. This review's a...

    journal_title:Obstetrical & gynecological survey

    pub_type: 杂志文章,评审


    authors: Marsh CA,Grimstad FW

    更新日期:2014-10-01 00:00:00

  • Primary ovarian leiomyosarcoma: a review of the clinical and immunohistochemical features of the rare tumor.

    abstract:UNLABELLED:Primary pure ovarian leiomyosarcomas constitute a malignant subgroup of ovarian smooth muscle tumors which comprise only 1% of ovarian tumors. Their origin, etiology, histologic features, clinical behavior, and optimal treatment are still obscure. Malignant behavior is almost always associated with any 2 of ...

    journal_title:Obstetrical & gynecological survey

    pub_type: 杂志文章,评审


    authors: Taşkin S,Taşkin EA,Uzüm N,Ataoğlu O,Ortaç F

    更新日期:2007-07-01 00:00:00

  • The potential of stem cells.

    abstract:UNLABELLED:Although stem cells have held the fascination of scientists for years, the attention of the general public has recently been captured by the derivation of human embryonic stem cells. In this review we describe the historical experiments leading up to the isolation of human embryonic stem cells and discuss re...

    journal_title:Obstetrical & gynecological survey

    pub_type: 杂志文章,评审


    authors: Pfendler KC,Kawase E

    更新日期:2003-03-01 00:00:00

  • Uterine morcellation at the time of hysterectomy: techniques, risks, and recommendations.

    abstract:IMPORTANCE:Uterine leiomyomata or fibroids are the most common pelvic tumor experienced in women. A minimally invasive approach to hysterectomy has proven benefits of cosmesis, lower blood loss, less pain, decreased hospital stay, and faster recovery. The incidence of uterine morcellation, the process of making a uteri...

    journal_title:Obstetrical & gynecological survey

    pub_type: 杂志文章


    authors: Stine JE,Clarke-Pearson DL,Gehrig PA

    更新日期:2014-07-01 00:00:00

  • Malaria in Pregnancy: What the Obstetric Provider in Nonendemic Areas Needs to Know.

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    journal_title:Obstetrical & gynecological survey

    pub_type: 杂志文章,评审


    authors: Zakama AK,Gaw SL

    更新日期:2019-09-01 00:00:00