Progesterone antagonists on the horizon.

abstract：:Ethics in reproductive genetics comprise descriptive ethics and normative ethics. Ethical problems before prenatal diagnosis involve genetic counseling and informed consent for the choice patients must make. Prenatal diagnosis using amniocentesis is controversial. An international survey of geneticists showed that ...

journal_title：Clinical obstetrics and gynecology

authors： Fletcher JC,Evans MI

更新日期：1992-12-01 00:00:00

abstract：:In recent years it has been recognized that in all phases of life, including pregnancy, physical activity promotes health benefits and precludes comorbidities, the scientific evidence is indisputable. Several organizations around the world have updated in recent years the guidelines and recommendations for exercise in...

journal_title：Clinical obstetrics and gynecology

authors： Artal R

更新日期：2016-09-01 00:00:00

abstract：:Sonography has a major role in the evaluation of children with gynecologic disorders. The size, consistency, and origin of pelvic masses and the status of the internal genitalia can be evaluated. Sonography is useful in evaluation of children with precocious puberty because it can demonstrate adult-size ovaries in tru...

journal_title：Clinical obstetrics and gynecology

authors： Fleischer AC,Shawker TH

更新日期：1987-09-01 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：:Abdominal myomectomy and hysterectomy remain the traditional treatment of large symptomatic uterine myomas. The preoperative indications for abdominal myomectomy or hysterectomy must be clearly evaluated and delineated avoid unnecessary intervention. There appears to be an increasing trend toward expectant management ...

journal_title：Clinical obstetrics and gynecology

authors： Guarnaccia MM,Rein MS

更新日期：2001-06-01 00:00:00

abstract：:Rectovaginal fistulas and chronic anal sphincter lacerations are uncommon complications that are most often secondary to vaginal delivery, gynecologic surgery, and inflammatory bowel disease. In this chapter, we will review the pertinent anatomy, focusing on the 6 structures that should be considered during the repair...

journal_title：Clinical obstetrics and gynecology

authors： Delancey JO,Berger MB

更新日期：2010-03-01 00:00:00

abstract：:The responsibility of the physician for viral infections in pregnancy has changed dramatically in the last 15 years. Genital herpes infections have become much more frequent, and the recognition of these infections in women near term is particularly important. Cytomegaloviruses have been found to be the most commom ca...

journal_title：Clinical obstetrics and gynecology

authors： Sever JL

更新日期：1978-06-01 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：:Predelivery diagnosis of placenta accreta, increta, and percreta (from here referred to as placenta accreta, unless otherwise noted) has increasingly created opportunities to optimize antenatal management. Despite the increased frequency of placenta accreta today, occurring in as many as 1 in 533 to 1 in 272 deliverie...

journal_title：Clinical obstetrics and gynecology

authors： Haunschild C,Yeaton-Massey A,Lyell DJ

更新日期：2018-12-01 00:00:00

abstract：:Use of standard estrogen-progestin contraception remains problematic in several subgroups of patients (e.g., those in whom exogenous estrogens are contraindicated, such as survivors of hormone-dependent cancer, or patients with endometriosis or uterine fibroids). In addition, the postcoital contraception, even if alre...

journal_title：Clinical obstetrics and gynecology

authors： Heikinheimo O,Archer DF

更新日期：1996-06-01 00:00:00

abstract：:The foregoing discussion is consistent with the following conclusions: First structural differentiation of the gonads, consonant with chromosomal sex of human fetuses, requires complex interactions of primordial germ cells with coelomic and mesonephric epithelial cells and mesenchymal cells in the genital ridge. The m...

journal_title：Clinical obstetrics and gynecology

authors： diZerega GS,Ross GT

更新日期：1980-09-01 00:00:00

abstract：:There is compelling data and a rationale for embarking on screening to identify pregnant women with some of the multiple classes of subclinical thyroid dysfunction. However, the evidence to support such screening and treatment is lacking. Several important trials are underway or undergoing peer review that may provide...

journal_title：Clinical obstetrics and gynecology

authors： Casey BM

更新日期：2011-09-01 00:00:00

abstract：:The final decision to perform a certain method of hysterectomy customarily mirrors experience and level of comfort with a particular surgical approach in the context of the patient's condition and indication for surgery. Given the morbidity and recovery associated with a laparotomic incision, every effort should be ma...

journal_title：Clinical obstetrics and gynecology

authors： Brill AI

更新日期：2006-12-01 00:00:00

abstract：:Cardiac disease is a leading cause of morbidity and mortality in pregnant women. An increased prevalence of the cardiovascular disease has been found in women of childbearing age, in which the responsibility of the treating physician extends to the mother and to the unborn fetus. As a result, care of these high-risk p...

journal_title：Clinical obstetrics and gynecology

authors： Chan A,Wolfe DS,Zaidi AN

更新日期：2020-12-01 00:00:00

abstract：:Removal of the fallopian tubes and ovaries at the time of vaginal hysterectomy is a skill that must be acquired if one is to be a competent vaginal surgeon. Various techniques have been described and will be reviewed in this chapter. A single technique or series of steps often must be modified depending on the descent...

journal_title：Clinical obstetrics and gynecology

authors： Shepherd JP,Zyczynski HM

更新日期：2010-03-01 00:00:00

abstract：:Minimally invasive surgery continues to transform the field of gynecologic oncology and has now become the standard of care for many early-stage malignancies. The proven benefits of minimally invasive surgery are driving the rapid introduction and dissemination of novel technologies and the increasing ability to perfo...

journal_title：Clinical obstetrics and gynecology

authors： Stewart KI,Fader AN

更新日期：2017-06-01 00:00:00

abstract：:Most operative office surgery can be done easily. If, midway through a procedure in the office, the operator finds that a myoma is too large or deep to resect safely in the office, the procedure can be terminated and rescheduled for the operating room. Polyps, retained products, and the lost intrauterine device all ca...

journal_title：Clinical obstetrics and gynecology

authors： Gimpelson RJ

更新日期：1992-06-01 00:00:00

abstract：:Physicians and other health care providers requesting dual-energy x-ray bone density studies must be able to critically review and interpret such studies. This requires an understanding of the computerized result components of the studies and how such data can be applied in clinical practice. The timing and interpreta...

journal_title：Clinical obstetrics and gynecology

authors： Bonnick SL

更新日期：2013-12-01 00:00:00

abstract：:Human papillomavirus (HPV) infection has been implicated in the intraepithelial cervical changes that cause most abnormal Papanicolaou smears. To date, 14 types of HPVs have been identified. All are small, nondeveloped, icosahedral DNA viruses that share a common internal antigen. In cases of cervical HPV infection...

journal_title：Clinical obstetrics and gynecology

authors： Roy M,Morin C,Casas-Cordero M,Meisels A

更新日期：1983-12-01 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 the last 10 years, expanded preconception carrier screening has become widely available and helps patients/couples make more informed decisions with regard to their reproductive options and facilitates more effective preconception planning, prenatal diagnosis, condition-specific counseling, and condition-specific c...

journal_title：Clinical obstetrics and gynecology

authors： Zhang T,Madeira J,Lu Y,Sun Y,Mertes H,Pennings G,Lindheim SR

更新日期：2019-06-01 00:00:00

abstract：:The drug abusing patient can provide a management dilemma for health care providers including nurses, obstetrician, anesthesiologist, and pediatrician. Certain illicit drugs may mimic other diseases of pregnancy and result in inappropriate treatment for the mother and child. Pain management may be challenging in such ...

journal_title：Clinical obstetrics and gynecology

authors： Geary FH Jr,Turnquest Wells MA

更新日期：2013-03-01 00:00:00

abstract：:Prevention of spontaneous preterm birth is an important public health priority. Pessary may be a potential therapy in cases of cervical insufficiency, in singleton and multiple gestations. Availability of transvaginal sonography for accurate assessment of cervical length is allowing for the tailoring of therapy to a m...

journal_title：Clinical obstetrics and gynecology

authors： Timofeev J

更新日期：2016-06-01 00:00:00

abstract：:Patient safety is a significant concern for healthcare providers. Involving physicians in clinical quality activities in obstetrics and gynecology can be difficult for many reasons including time demands, lack of knowledge of process improvement activities, or change fatigue due to failure of adequate implementation o...

journal_title：Clinical obstetrics and gynecology

authors： Mann S,Pratt S

更新日期：2010-09-01 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：:Prospective studies that begin during pregnancy and follow the mothers and children into adolescence have shown that maternal mental illness during the antenatal and postpartum period can have long-lasting negative consequences on the developing child. The findings from these prospective studies and a discussion of th...

journal_title：Clinical obstetrics and gynecology

authors： Brand SR,Brennan PA

更新日期：2009-09-01 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：:Ovarian neoplasms are common in women of all ages. As many as 10% of women in the United States will undergo surgical removal of an adnexal mass sometime in their lifetime. Gynecologic surgeons have pioneered laparoscopic surgery, developing what was originally a diagnostic tool into a safe and effective approach to m...

journal_title：Clinical obstetrics and gynecology

authors： Hilger WS,Magrina JF,Magtibay PM

更新日期：2006-09-01 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：:Benign breast diseases are common and encompass a spectrum of disorders. The majority of diagnoses will stem from a patient presenting with symptoms such as a mass or discomfort, or as a result of breast imaging which shows abnormalities leading to percutaneous biopsy. When mammographic and pathologic findings are dis...

journal_title：Clinical obstetrics and gynecology

authors： Rungruang B,Kelley JL 3rd

更新日期：2011-03-01 00:00:00