Biophysical profile scoring in the management of the diabetic pregnancy.

Abstract:

:Biophysical profile scoring was the principal technique of antepartum fetal surveillance in 238 well-controlled diabetic pregnancies. Fifty insulin-dependent diabetics had twice-weekly testing, and 188 gestational diabetics had weekly testing. Intervention was not pursued unless there were maternal or fetal complications. There were no stillbirths and three neonatal deaths, all resulting from congenital anomalies, giving a corrected perinatal mortality rate of 0. The incidence of abnormal biophysical profile scores, eight of 238 (3.3%) overall, was low, with no significant difference between types of diabetics. In those with an abnormal score, intervention was mandated; the cesarean section rate was 50% and the rate of intensive care nursery admissions was high. Of the 230 fetuses with a normal biophysical profile score, 200 (87%) were delivered at term with minimal maternal or neonatal morbidity. Amniocentesis for phospholipid profile was performed in only 33 cases (13.9%). Hyaline membrane disease was confined to five premature neonates (incidence 2.1%). We conclude that antepartum fetal surveillance using the biophysical profile score permits safe expectant management in the diabetic pregnancy, yielding significant clinical advantages to both mother and fetus.

journal_name

Obstet Gynecol

authors

Johnson JM,Lange IR,Harman CR,Torchia MG,Manning FA

doi

10.1097/00006250-198812000-00005

subject

Has Abstract

pub_date

1988-12-01 00:00:00

pages

841-6

issue

6

eissn

0029-7844

issn

1873-233X

journal_volume

72

pub_type

杂志文章
  • Early oral intake and gastrointestinal function after cesarean delivery: a systematic review and meta-analysis.

    abstract:OBJECTIVE:To evaluate whether early oral intake after cesarean delivery has an effect on gastrointestinal outcomes during postpartum recovery. DATA SOURCES:Electronic searches of published studies between 1980 and 2011 were conducted using PubMed, Medline, CINAHL, ClinicalTrials.gov, and Airiti databases. METHODS OF ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,meta分析,评审

    doi:10.1097/AOG.0b013e318293698c

    authors: Hsu YY,Hung HY,Chang SC,Chang YJ

    更新日期:2013-06-01 00:00:00

  • Committee Opinion No. 655: Hepatitis B, Hepatitis C, and Human Immunodeficiency Virus Infections in Obstetrician-Gynecologists.

    abstract::To prevent transmission of bloodborne pathogens, it is important that health care providers adhere to standard precautions, follow fundamental infection-control principles, and use appropriate procedural techniques. All obstetrician-gynecologists who provide clinical care should receive the hepatitis B virus vaccine s...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0000000000001315

    authors: American College of Obstetricians and Gynecologists' Committee on Gynecological Practice.

    更新日期:2016-02-01 00:00:00

  • Use of umbilical cord blood culture for detection of neonatal bacteremia.

    abstract::Rapid and accurate detection of neonatal bacteremia is an important part of the management of the neonate with suspected sepsis. This study compared the incidence of positive umbilical cord blood cultures (UCBCs) to the incidence of positive peripheral venous blood cultures and determined whether a meticulous UCBC tec...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Polin JI,Knox I,Baumgart S,Campman E,Mennuti MT,Polin RA

    更新日期:1981-02-01 00:00:00

  • Obesity prevention and treatment practices of U.S. obstetrician-gynecologists.

    abstract:OBJECTIVE:To describe obesity prevention and treatment practices of U.S. obstetrician-gynecologists. METHODS:A cross-sectional survey was mailed to 1,806 practicing members of the American College of Obstetricians and Gynecologists (ACOG) in February-April 2005. RESULTS:Of the 900 respondents who returned questionnai...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/01.AOG.0000233171.20484.db

    authors: Power ML,Cogswell ME,Schulkin J

    更新日期:2006-10-01 00:00:00

  • Promethazine hydrochloride therapy in severely Rh-sensitized pregnancies.

    abstract::Seventeen severely Rh-sensitized women were treated with promethazine hydrochloride (Phenergan) in 18 pregnancies, according to a protocol described by Gusdon et al. There was an unequivocal amelioration of the disease process in 10 of the pregnancies. In 9 of these 10 pregnancies, the infant survived. In 4 of the pre...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Charles AG,Blumenthal LS

    更新日期:1982-11-01 00:00:00

  • Three-dimensional ultrasound of the fetal spine.

    abstract:OBJECTIVE:To describe normal fetal spinal anatomy displayed by three-dimensional ultrasound and to determine whether three-dimensional ultrasound improves visualization of specific spinal defects. METHODS:Fetuses (n = 28) (16 normal and 12 abnormal) were examined on standard two- and three-dimensional sonographic equi...

    journal_title:Obstetrics and gynecology

    pub_type: 临床试验,杂志文章

    doi:10.1016/S0029-7844(96)00498-X

    authors: Johnson DD,Pretorius DH,Riccabona M,Budorick NE,Nelson TR

    更新日期:1997-03-01 00:00:00

  • Maximal exercise testing in late gestation: fetal responses.

    abstract:OBJECTIVE:To determine the fetal response to and safety of maximal maternal exercise in the third trimester. METHODS:Twenty-three active women with uncomplicated pregnancies (singleton gestations) underwent maximal exercise testing in late gestation using a progressive maximal cycle ergometer protocol. Fetal heart rat...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0029-7844(00)00940-6

    authors: MacPhail A,Davies GA,Victory R,Wolfe LA

    更新日期:2000-10-01 00:00:00

  • Endometrial cancer: not a benign disease.

    abstract::Endometrial cancer is by no means a benign disease. While many adequate treatment plans now exist for early endometrial cancer, the best method of treadtment of this disease has yet to be defined. The prognostic factors need further study and definition. Pelvic and aortic nodes are of more than passing significance in...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:

    authors: Boronow RC

    更新日期:1976-05-01 00:00:00

  • Pain perception in women with dysmenorrhea.

    abstract:OBJECTIVE:To determine if systemic processing of pain differs in women with and without dysmenorrhea. METHODS:Twenty-two dysmenorrheic women and 31 nondysmenorrheic women were studied by pain threshold and supra-threshold magnitude estimation to heat stimuli, pain-evoked potentials by laser stimuli, and anxiety scores...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0029-7844(01)01465-x

    authors: Granot M,Yarnitsky D,Itskovitz-Eldor J,Granovsky Y,Peer E,Zimmer EZ

    更新日期:2001-09-01 00:00:00

  • Reducing postpartum depressive symptoms among black and Latina mothers: a randomized controlled trial.

    abstract:OBJECTIVE:To estimate the effectiveness of a behavioral educational intervention to reduce postpartum depressive symptoms among minority mothers. METHODS:We recruited 540 self-identified black and Latina mothers during their postpartum hospital stay and randomized them to receive a behavioral educational intervention ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/AOG.0b013e318250ba48

    authors: Howell EA,Balbierz A,Wang J,Parides M,Zlotnick C,Leventhal H

    更新日期:2012-05-01 00:00:00

  • A simple test for predicting pregnancy-induced hypertension.

    abstract::One hundred thirty-one nulliparous patients between 28 to 34 weeks' gestation with no known history of renal disease or hypertension were placed in the left lateral recumbent position and their blood pressures were taken once and recorded. They then turned to the supine position where another blood pressure was taken ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Peck TM

    更新日期:1977-11-01 00:00:00

  • A protocol of dual prophylaxis for venous thromboembolism prevention in gynecologic cancer patients.

    abstract:OBJECTIVE:To evaluate a quality improvement protocol for venous thromboembolism prevention in postoperative gynecologic cancer patients. METHODS:On January 1, 2006, we initiated a universal protocol of dual prophylaxis with sequential compression devices and three times daily heparin (or daily low molecular weight hep...

    journal_title:Obstetrics and gynecology

    pub_type: 临床试验,杂志文章

    doi:10.1097/AOG.0b013e31818b1486

    authors: Einstein MH,Kushner DM,Connor JP,Bohl AA,Best TJ,Evans MD,Chappell RJ,Hartenbach EM

    更新日期:2008-11-01 00:00:00

  • Dual-Force Vaginoplasty for Treatment of Segmental Vaginal Aplasia.

    abstract:BACKGROUND:Vaginal aplasia occurs in 1 in 5,000-10,000 female live births. In this report, we evaluated a novel dual-force vaginoplasty technique for treatment of 11 patients with segmental vaginal aplasia. TECHNIQUE:The principle of the approach is to thin the atretic part between two counteracting forces. The instru...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0000000000001974

    authors: El Saman AM,Farag MA,Shazly SA,Noor M,Ali MK,Othman ER,Khalifa M,Farghly TA,El Saman DA

    更新日期:2017-05-01 00:00:00

  • Prenatal ultrasound diagnosis of cerebral arteriovenous fistula.

    abstract:BACKGROUND:We describe a case of arteriovenous fistula of the middle and posterior cerebral arteries detected in a fetus. CASE:Fetal echocardiography revealed a high-output cardiac failure. Color Doppler ultrasound demonstrated an arteriovenous fistula, localized at the middle and posterior cerebral arteries, which dr...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0029-7844(96)00100-7

    authors: Paladini D,Palmieri S,D'Angelo A,Martinelli P

    更新日期:1996-10-01 00:00:00

  • Association between vaginal birth after cesarean delivery and primary cesarean delivery rates.

    abstract:OBJECTIVE:To estimate the association between vaginal birth after cesarean delivery (VBAC) rates and primary cesarean delivery rates in California hospitals. METHODS:Hospital VBAC rates were calculated using birth certificate and discharge data from 2009, and hospitals were categorized by quartile of VBAC rate. Multiv...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0b013e3182a91e0f

    authors: Rosenstein MG,Kuppermann M,Gregorich SE,Cottrell EK,Caughey AB,Cheng YW

    更新日期:2013-11-01 00:00:00

  • Fetal femur length: a critical reevaluation of the relationship to menstrual age.

    abstract::This investigation has reexamined the measurement of the femur length and the use of this measurement as a growth and dating parameter. Straight-line measurements of shaft length were found to be smaller than measurements made along the bone curvature. However, the maximum difference did not exceed 2 mm. Thus, because...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Warda AH,Deter RL,Rossavik IK,Carpenter RJ,Hadlock FP

    更新日期:1985-07-01 00:00:00

  • Oncogene expression: long-term compared with short-term survival in patients with advanced epithelial ovarian cancer.

    abstract:OBJECTIVE:To determine if oncogene overexpression in patients with advanced epithelial ovarian cancer correlates with survival. METHODS:Twenty-two women with stage III ovarian cancer, observed for a median of 66 (range 48-204) months were compared with 30 with a median survival of 18 (range 2-28) months. Using immunoc...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0029-7844(98)00121-5

    authors: Goff BA,Muntz HG,Greer BE,Tamimi HK,Gown AM

    更新日期:1998-07-01 00:00:00

  • Complications and risk factors associated with the removal of Norplant implants.

    abstract:OBJECTIVE:To describe the complications reported at the removal of Norplant implants, and to suggest potential risk factors for these complications. METHODS:Complications at the removal of Norplant implants from 3416 users from 11 countries who participated in preintroductory clinical trials of the method were tabulat...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0029-7844(94)00458-P

    authors: Dunson TR,Amatya RN,Krueger SL

    更新日期:1995-04-01 00:00:00

  • Analysis of McRoberts' maneuver by x-ray pelvimetry.

    abstract:OBJECTIVE:To document radiographically the changes in pelvic dimensions created by McRoberts' maneuver. METHODS:Women at least 37 weeks' pregnant who presented to labor and delivery were eligible for study entry. Anterior-posterior and lateral x-rays were taken with women in the dorsal lithotomy position and after app...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0029-7844(99)00445-7

    authors: Gherman RB,Tramont J,Muffley P,Goodwin TM

    更新日期:2000-01-01 00:00:00

  • The limited usefulness of urine and blood cultures in treating pyelonephritis in pregnancy.

    abstract::Although urine cultures are performed routinely in managing acute pyelonephritis in pregnancy, little is known about the clinical usefulness of these cultures. The same is true for blood cultures. To evaluate their role in managing patients, we reviewed the records of 156 cases to determine to what extent such culture...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: MacMillan MC,Grimes DA

    更新日期:1991-11-01 00:00:00

  • Delayed postpartum hemorrhage: a morphologic study of causes and their relation to other pregnancy disorders.

    abstract:OBJECTIVES:To ascertain the various causes of delayed postpartum hemorrhage and to test whether subinvolution of the placental bed is associated with other pregnancy disorders for which defective maternal-fetal interaction has been implicated pathogenetically. METHODS:In a group of women presenting with postpartum hem...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Khong TY,Khong TK

    更新日期:1993-07-01 00:00:00

  • Maternal and neonatal outcomes of successful Kielland's rotational forceps delivery.

    abstract:OBJECTIVE:To estimate the rates of early neonatal and maternal complications in a consecutive series of successful Kielland's rotational forceps deliveries. METHODS:This was a retrospective cohort study of consecutive cases of successful rotational forceps deliveries performed in singleton pregnancies at 36 weeks of g...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0b013e31828b72cb

    authors: Stock SJ,Josephs K,Farquharson S,Love C,Cooper SE,Kissack C,Akolekar R,Norman JE,Denison FC

    更新日期:2013-05-01 00:00:00

  • Conservative management of placenta percreta: experiences in two cases.

    abstract:BACKGROUND:The management of an abnormally invaded placenta presents a challenging obstetric problem. Recent reports have suggested that a conservative approach to the treatment of this condition is appropriate in selected cases. We present the courses of two women with suspected placenta percreta who were managed cons...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0b013e3181794727

    authors: Hays AM,Worley KC,Roberts SR

    更新日期:2008-08-01 00:00:00

  • Acquired immunodeficiency syndrome and Pneumocystis carinii infection in a pregnant woman.

    abstract::Human immunodeficiency virus (HIV) infections are being seen with greater regularity by the obstetrician-gynecologist. Acquired immunodeficiency syndrome (AIDS), the extreme of the spectrum of HIV infections, is associated with Pneumocystis carinii infection in more than half of newly diagnosed cases. Four cases of AI...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Hicks ML,Nolan GH,Maxwell SL,Mickle C

    更新日期:1990-09-01 00:00:00

  • The "remote control" laparoscopic bag: a simple technique to remove intra-abdominal specimens.

    abstract:BACKGROUND:To facilitate extraction and avoid intra-abdominal spillage during laparoscopic removal of adnexal masses, various designs and sizes of endopouches (bags) have been used. We describe a simple technique using a special laparoscopic bag that requires no additional instruments to hold, open, or close the bag. ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Chatzipapas IK,Hart RJ,Magos A

    更新日期:1998-10-01 00:00:00

  • Methicillin-resistant Staphylococcus aureus as a common cause of vulvar abscesses.

    abstract:OBJECTIVE:To estimate the incidence of methicillin-resistant Staphylococcus aureus (MRSA) among women with vulvar abscesses and to describe clinical factors associated with inpatient compared with outpatient treatment. METHODS:We reviewed all women with a vulvar abscess who were treated with incision and drainage betw...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0b013e3181827829

    authors: Thurman AR,Satterfield TM,Soper DE

    更新日期:2008-09-01 00:00:00

  • Sexually transmitted infection testing and screening in hospital-based primary care visits by women.

    abstract:OBJECTIVE:To explore determinants of sexually transmitted infection screening of asymptomatic women and sexually transmitted infection testing of women with genitourinary symptoms, to investigate the effect of specific genitourinary symptoms on sexually transmitted infection testing, and to examine trends in screening....

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/01.AOG.0000151129.47746.be

    authors: Huppert JS,Goodman E,Khoury J,Slap G

    更新日期:2005-02-01 00:00:00

  • Expanded carrier screening in reproductive medicine-points to consider: a joint statement of the American College of Medical Genetics and Genomics, American College of Obstetricians and Gynecologists, National Society of Genetic Counselors, Perinatal Qual

    abstract::The Perinatal Quality Foundation and the American College of Medical Genetics and Genomics, in association with the American College of Obstetricians and Gynecologists, the Society for Maternal-Fetal Medicine, and the National Society of Genetic Counselors, have collaborated to provide education for clinicians and lab...

    journal_title:Obstetrics and gynecology

    pub_type: 社论,实务指引

    doi:10.1097/AOG.0000000000000666

    authors: Edwards JG,Feldman G,Goldberg J,Gregg AR,Norton ME,Rose NC,Schneider A,Stoll K,Wapner R,Watson MS

    更新日期:2015-03-01 00:00:00

  • Hormonal function of a granulosa cell tumor.

    abstract::Granulosa and theca cell tumors are rather common gonadal stromal tumors. A postmenopausal patient with a granulosa cell tumor, who complained chiefly of breast tenderness and enlarging, abdomen, is presented. Preoperative and postoperative studies including serum estrone, estradiol, prolactin, FSH, and LH,as well as ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Mccormack TP,Riddick DH

    更新日期:1976-07-01 00:00:00

  • Efficacy of maternal and neonatal chemoprophylaxis for early-onset group B streptococcal disease.

    abstract:OBJECTIVE:To estimate the rate of early-onset group B streptococcal (GBS) neonatal sepsis with combined maternal and neonatal chemoprophylaxis. METHODS:Since 1995, GBS chemoprophylaxis at our institution has consisted of intrapartum antibiotic prophylaxis to all women with identified risk factors. In addition, a singl...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0b013e3182592451

    authors: Stafford IA,Stewart RD,Sheffield JS,Wendel GD Jr,Sanchez PJ,McIntire DD,Roberts SW

    更新日期:2012-07-01 00:00:00