A discussion of clinical decision support services.

abstract：:Müllerian duct anomalies (MDAs) are relatively common disorders that are particularly relevant in patients with infertility, recurrent pregnancy loss, or a history of preterm labor. Accurate characterization of MDAs is crucial to the implementation of appropriate treatment. Various imaging modalities have been used in...

journal_title：Clinical obstetrics and gynecology

authors： Olpin JD,Heilbrun M

更新日期：2009-03-01 00:00:00

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

authors： Smith DD,Rood KM

更新日期：2020-03-01 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：:Intrauterine growth restriction (IUGR) impairs insulin secretion in humans and in animal models of IUGR. Several underlying mechanisms have been implicated, including decreased expression of molecular regulators of β-cell mass and function, in some cases shown to be due to epigenetic changes initiated by an adverse fe...

journal_title：Clinical obstetrics and gynecology

authors： Gatford KL,Simmons RA

更新日期：2013-09-01 00:00:00

abstract：:Hemorrhage is the most common cause of maternal mortality worldwide, and represents the third most common obstetrical cause of maternal death in the United States. Although uterine atony was previously a major cause of peripartum hemorrhage, more recently, it appears that abnormal placentation is the leading etiology ...

journal_title：Clinical obstetrics and gynecology

authors： Saad A,Costantine MM

更新日期：2014-12-01 00:00:00

abstract：:The American College of Obstetricians and Gynecologists and the American Association of Gynecologic Laparoscopists confirm advantages of conventional minimally invasive surgery over laparotomy for benign gynecological procedures; however, adoption remains low for the general gynecologist. A systematic search for gynec...

journal_title：Clinical obstetrics and gynecology

authors： Payne TN,Pitter MC

更新日期：2011-09-01 00:00:00

abstract：:Uterine leiomyomas pose a significant health issue to reproductive-age women. Many women desire uterine conservation, and previously safe and efficacious therapies have been limited. Magnetic resonance-guided focused ultrasound surgery is a new noninvasive therapy that has been proven to be both safe and efficacious i...

journal_title：Clinical obstetrics and gynecology

authors： Hudson SB,Stewart EA

更新日期：2008-03-01 00:00:00

abstract：:Medical methods for pregnancy termination in early gestation offer women an alternative to surgical evacuation and have the potential to improve access globally to safe abortion. Several drug regimens are used with varying efficacy including mifepristone plus misoprostol, misoprostol alone, and methotrexate plus misop...

journal_title：Clinical obstetrics and gynecology

authors： Bartz D,Goldberg A

更新日期：2009-06-01 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：: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：: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：:We live in a turbulant period with regard to interpersonal relationships. Individuals place great emphasis on their ability to form good relationships. It is a time of desiring and searching; desiring to be engaged in a rewarding relationship and searching for any principles which might promote such involvement. Obste...

journal_title：Clinical obstetrics and gynecology

authors： Burchell RC

更新日期：1978-03-01 00:00:00

abstract：:The interest in studying routine ultrasound in pregnancy has provided useful results that can be applied to practice. There is no consistent evidence of risk caused by ultrasound, neither biologic risk for the fetus nor increased use of health services as a result of ascertained conditions. There is also no consistent...

journal_title：Clinical obstetrics and gynecology

authors： Dooley SL

更新日期：1999-12-01 00:00:00

abstract：:One in 1000 pregnancies is complicated with cancer with the most common tumors being breast cancer, cervical cancer, thyroid, leukemia, lymphoma, and ovarian cancer. It is often assumed that cancer during pregnancy necessitates sacrificing the well-being of the fetus but in most cases appropriate treatment can be offe...

journal_title：Clinical obstetrics and gynecology

authors： Brewer M,Kueck A,Runowicz CD

更新日期：2011-12-01 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：:Causative factors in cerebral palsy (CP) vary to some degree according to gestational age group and clinical CP subtype. Such catastrophes of birth as placental abruption, cord prolapse, and uterine rupture sharply heighten risk of CP. These conditions are fortunately uncommon, and are sometimes not survived; individu...

journal_title：Clinical obstetrics and gynecology

authors： Nelson KB

更新日期：2008-12-01 00:00:00

abstract：:Several advantages are apparent in the use of self-monitored or automatic ambulatory blood pressure monitoring by pregnant patients who appear to have borderline or mild hypertension. Home recordings, combined with conventional office measurements, can give a more accurate picture of the patient's dynamic blood pressu...

journal_title：Clinical obstetrics and gynecology

authors： Rayburn WF,Zuspan FP

更新日期：1992-06-01 00:00:00

abstract：:Physicians caring for women with diseases of the breast are well aware of the time lost before many patients consult their physicians. Nowhere is this more apparent than when a breast mass is associated with gestation or lactation. Enlargement of the breast tends to obscure parenchymal masses. Those that are found are...

journal_title：Clinical obstetrics and gynecology

authors： Canter JW,Oliver GC,Zaloudek CJ

更新日期：1983-12-01 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：:Recent rise in rates of opiate replacement therapy among pregnant women have resulted in increasing number of infants requiring treatment for neonatal abstinence syndrome (NAS). Short-term and long-term developmental outcomes associated with prenatal opiate exposure are discussed, including symptoms and severity of NA...

journal_title：Clinical obstetrics and gynecology

authors： Logan BA,Brown MS,Hayes MJ

更新日期：2013-03-01 00:00:00

abstract：:Technologic advances and clinical research have been extending the scope of Doppler sonography and have resulted in the emergence of new diagnostic tools that show significant promise in clinical applications. This article aims to review some of these developments that are relevant for obstetrical practice. One of the...

journal_title：Clinical obstetrics and gynecology

authors： Maulik D,Heitmann E,Maulik D

更新日期：2010-12-01 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：: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：:The simple mnemonic ABCDE summarizes the five key principles of neonatal resuscitation: 1. Airway 2. Breathing 3. Circulation 4. Drugs 5. Evaluation of concurrent and causative problems and maintenance of a neutral thermal Environment. ...

journal_title：Clinical obstetrics and gynecology

authors： McKlveen RE,Ostheimer GW

更新日期：1987-09-01 00:00:00

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

authors： Boardman LA,Stockdale CK

更新日期：2009-12-01 00:00:00

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

authors： Stone J,Kohari KS

更新日期：2015-09-01 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：: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

authors： Maulik D

更新日期：2006-06-01 00:00:00

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

authors： Hurt WG,Fantl JA

更新日期：1978-09-01 00:00:00