Screening adolescents and young women.

abstract：:The ultrasound assessment of the cervix has contributed to the understanding of the pathways to preterm birth. Transvaginal ultrasound measurement of the cervix provides an objective and noninvasive tool for the evaluation of cervical status. Despite widespread use of this procedure, standardization of measurement ind...

journal_title：Obstetrics and gynecology clinics of North America

authors： Doyle NM,Monga M

更新日期：2004-03-01 00:00:00

abstract：:This article discusses pathophysiology, diagnosis, and treatment of high-grade cervical dysplasia. ...

journal_title：Obstetrics and gynecology clinics of North America

authors： Zsemlye M

更新日期：2008-12-01 00:00:00

abstract：:Canavan disease is a severe leukodystrophy more common among Ashkenazi Jews. The enzyme defect, apartoacylase, has been identified, and the gene cloned. Only two mutations account for over 98% of all Jewish alleles with Canavan disease. The carrier frequency among healthy Jews is 1:37-58. Carrier detection and prenata...

journal_title：Obstetrics and gynecology clinics of North America

authors： Matalon R,Matalon KM

更新日期：2002-06-01 00:00:00

abstract：:Ovarian remnant syndrome has become increasingly recognized as a cause of pelvic pain after extirpative surgery. Surgical removal of the ovarian remnant is the optimal treatment. Laparoscopy is safe and effective in managing ovarian remnant syndrome when performed by an experienced laparoscopist. ...

journal_title：Obstetrics and gynecology clinics of North America

authors： Mahdavi A,Berker B,Nezhat C,Nezhat F,Nezhat C

更新日期：2004-09-01 00:00:00

abstract：:Hepatitis B virus is an important sexually transmitted organism that causes not only disease in sexual partners but important perinatal illness as well. The obstetrician-gynecologist must be aware of the epidemiology and the pathophysiology of HBV infections, as well as strategies for treatment and prevention. Physici...

journal_title：Obstetrics and gynecology clinics of North America

authors： Pastorek JG 2nd

更新日期：1989-09-01 00:00:00

abstract：:A review of all relevant randomized controlled trials provides strong evidence that corticosteroid therapy causes a significant reduction in respiratory distress syndrome (RDS) in preterm babies overall. This reduction in RDS is accompanied by a reduced incidence of neonatal death, intraventricular hemorrhages, and ne...

journal_title：Obstetrics and gynecology clinics of North America

authors： Crowley P

更新日期：1992-06-01 00:00:00

abstract：:The diagnosis of ectopic pregnancy remains a challenge to the clinician, despite advances in sonographic and biochemical technology. Contemporary practice requires an understanding of the normal sonographic features and hormonal profiles for normal pregnancy as well as the pathogenesis of an ectopic nidation. Frequent...

journal_title：Obstetrics and gynecology clinics of North America

authors： Cartwright PS

更新日期：1991-03-01 00:00:00

abstract：:This article discusses the role of ultrasound in assessing endometrial and uterine factors affecting the implantation of the embryo. Modern ultrasound equipment includes advanced Doppler and three-dimensional facilities that refine our understanding of factors that affect implantation such as endometrial blood flow. T...

journal_title：Obstetrics and gynecology clinics of North America

authors： Campbell S

更新日期：2019-12-01 00:00:00

abstract：:Except in special circumstances, therapeutic insemination with a husband's sample has a low success rate. Couples in whom oligozoospermia has been identified as the principal cause of infertility do not benefit from therapeutic insemination by husband. Because of this low success rate, intrauterine insemination to pro...

journal_title：Obstetrics and gynecology clinics of North America

authors： Alexander NJ,Ackerman S

更新日期：1987-12-01 00:00:00

abstract：:Management strategies for overweight and obese women with polycystic ovarian syndrome (PCOS) who desire fertility should include weight loss. Even a small reduction in body weight can improve ovulatory function and pregnancy rate and reduce adverse obstetric outcomes. New data suggest that letrozole should be consider...

journal_title：Obstetrics and gynecology clinics of North America

authors： Ecklund LC,Usadi RS

更新日期：2015-03-01 00:00:00

abstract：:Anorectal disorders cause significant discomfort and embarrassment in women. The onset typically follows childbirth and symptoms increase with age. This article discusses anal incontinence, defecatory dysfunction, rectal prolapse, and constipation. ...

journal_title：Obstetrics and gynecology clinics of North America

authors： Toglia MR

更新日期：2009-09-01 00:00:00

abstract：:This article reviews the key concepts regarding the counseling and management of cervical dysplasia and invasive cervical cancer diagnosed during pregnancy. Emphasis is placed on balancing the maternal and fetal well-being in collaboration with appropriate multidisciplinary teams. Information regarding appropriate dia...

journal_title：Obstetrics and gynecology clinics of North America

authors： Muller CY,Smith HO

更新日期：2005-12-01 00:00:00

abstract：:An update on the current epidemiology and a review of the risk factors of cervical and endometrial cancers are discussed. Cervical cancer prevention with a focus on human papillomavirus vaccination and cervical cancer screening is reviewed, emphasizing the new focus of less frequent intervention in an effort to mainta...

journal_title：Obstetrics and gynecology clinics of North America

authors： Burton ER,Sorosky JI

更新日期：2017-06-01 00:00:00

abstract：:Significant gender differences exist in the prevalence of substance use disorders in the United States. There is a trend among boys and girls aged 12 to 17 years toward comparable rates of use and initiation for alcohol, cocaine, heroin, and tobacco. If this trend continues, over time there may be a narrowing of the m...

journal_title：Obstetrics and gynecology clinics of North America

authors： Greenfield SF,Manwani SG,Nargiso JE

更新日期：2003-09-01 00:00:00

abstract：:Vaginal bleeding in early childhood, regardless of its duration and quantity, is always of clinical importance. This article discusses the examination of the child and adolescent and reviews the various causes of vaginal bleeding in these patient groups. ...

journal_title：Obstetrics and gynecology clinics of North America

authors： Muram D

更新日期：1990-06-01 00:00:00

abstract：:Acute pulmonary dysfunction and distress is not uncommon in the obstetric patient. In these situations, however, a quick assessment and intervention is necessary in many cases. This article familiarizes the practicing obstetrician with the physiology and therapy to evaluate and effectively treat these patients. ...

journal_title：Obstetrics and gynecology clinics of North America

authors： Nolan TE,Hankins GD

更新日期：1995-03-01 00:00:00

abstract：:It is an unfortunate fact that all pregnancies do not end with healthy babies and healthy mothers. Families who have experienced an adverse pregnancy outcome require accurate information about the risk of recurrence to plan future childbearing. This article examines the recurrence risk of four complications of pregnan...

journal_title：Obstetrics and gynecology clinics of North America

authors： Moore LE

更新日期：2008-09-01 00:00:00

abstract：:Is there evidence for a perimenopausal sleep disorder? We address this question in our presentation of the Study of Women's Health Across the Nation (SWAN) "sleep story," in which we summarize and discuss data addressing sleep quality, objective measures of sleep patterns, and sleep disorders that have been published ...

journal_title：Obstetrics and gynecology clinics of North America

authors： Kravitz HM,Joffe H

更新日期：2011-09-01 00:00:00

abstract：:In less than two decades, hysteroscopy has evolved into a practical technique for the evaluation of the uterine cavity, with well-established indications such as evaluation of abnormal uterine bleeding and abnormal hysterograms as well as the treatment of intrauterine adhesions or the septate uterus, the removal of mi...

journal_title：Obstetrics and gynecology clinics of North America

authors： Valle RF

更新日期：1988-03-01 00:00:00

abstract：:The use of antiretroviral agents to treat patients infected with HIV has become increasingly complex. Obstetricians caring for the pregnant woman infected with HIV must, no less than the HIV specialist, be familiar with the various medications now available. This article profiles each of the antiretroviral agents curr...

journal_title：Obstetrics and gynecology clinics of North America

authors： Augenbraun M,Minkoff HL

更新日期：1997-12-01 00:00:00

abstract：:Contemporary management of HIV in pregnancy remains a moving target. With the development of newer antiretroviral agents with lower side-effect profiles and laboratory methods for detection and monitoring of HIV, considerable progress has been made. This review examines key concepts in the pathophysiology of HIV and p...

journal_title：Obstetrics and gynecology clinics of North America

authors： Donnelly M,Davies JK

更新日期：2014-12-01 00:00:00

abstract：:The information available concerning the effects of chemotherapy administered during pregnancy is limited and consists of case reports and small series. A registry has been established at the National Cancer Institute, but there are currently only several hundred cases of neonates exposed to chemotherapy registered. A...

journal_title：Obstetrics and gynecology clinics of North America

authors： Sorosky JI,Sood AK,Buekers TE

更新日期：1997-09-01 00:00:00

abstract：:This article focuses on the clinical evaluation and management of women who have thrombophilia-related placental vascular complications, including fetal loss, pre-eclampsia, intrauterine fetal growth restriction, and placental abruption. All are major causes of maternal and fetal adverse outcomes. ...

journal_title：Obstetrics and gynecology clinics of North America

authors： Brenner B

更新日期：2006-09-01 00:00:00

abstract：:In the 50 years since pelvic muscle exercises were introduced for the nonsurgical management of pelvic floor dysfunction related to parturition, a variety of approaches have been introduced and the scope of indications has grown. This article describes the evaluation of patients with pelvic floor complaints, discusses...

journal_title：Obstetrics and gynecology clinics of North America

authors： Visco AG,Figuers C

更新日期：1998-12-01 00:00:00

abstract：:The normal vaginal, or resident, flora is complex and easily includes over a dozen different organisms, many of them potential pathogens. The quantitative nature of the vaginal flora also is a factor in development of symptoms. This complex milieu is further varied by nature's changes over the years from birth to meno...

journal_title：Obstetrics and gynecology clinics of North America

authors： Hammill HA

更新日期：1989-06-01 00:00:00

abstract：:The frequency of early term birth varies depending on patient, provider, and system characteristics. Early term deliveries are associated with suboptimal neonatal outcomes without evidence of maternal benefit. Some early term births are either unavoidable or absolutely indicated for maternal and/or fetal benefit in th...

journal_title：Obstetrics and gynecology clinics of North America

authors： Wetta L,Tita AT

更新日期：2012-03-01 00:00:00

abstract：:This article details the indicators, techniques, and anticipated success rates of laser surgery for vulvar condylomas and neoplasias. The role of adjuvant 5-fluorouracil and interferon is also discussed. ...

journal_title：Obstetrics and gynecology clinics of North America

authors： Reid R

更新日期：1991-09-01 00:00:00

abstract：:Major advances in treatment for epithelial ovarian cancer have occurred over the last decade, giving hope to patients and families. Surgery remains a cornerstone of therapy. In early-stage epithelial ovarian cancer, a meticulous staging procedure should be performed to aid in determining patients who require appropria...

journal_title：Obstetrics and gynecology clinics of North America

authors： Im DD,McGuire WP,Rosenshein NB

更新日期：2001-12-01 00:00:00

abstract：:Fecal incontinence (FI) has a significant social and economic impact on the patient and the community. In women, obstetric injury is commonly associated with the development of FI. Understanding FI is aided by a good knowledge of the pelvic floor anatomy and continence mechanisms. This same knowledge along with a good...

journal_title：Obstetrics and gynecology clinics of North America

authors： Hannaway CD,Hull TL

更新日期：2008-06-01 00:00:00

abstract：:Diagnosis of endometriosis requires careful interpretation of objective surgical and pathologic findings in the context of the patient's clinical presentation. Clinical assessment helps to identify patients at high risk of endometriosis and selects those who warrant further testing. Determination of the serum level of...

journal_title：Obstetrics and gynecology clinics of North America

authors： Duleba AJ

更新日期：1997-06-01 00:00:00