Use of Cervical Pessary in the Management of Cervical Insufficiency.

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 more specific subset of patients who may benefit from this treatment. Pessary therapy is attractive given the favorable side effect profile, low cost, and ease of placement and removal. Large randomized trials are ongoing to validate initial favorable findings.

journal_name

Clin Obstet Gynecol

authors

Timofeev J

doi

10.1097/GRF.0000000000000196

subject

Has Abstract

pub_date

2016-06-01 00:00:00

pages

311-9

issue

2

eissn

0009-9201

issn

1532-5520

journal_volume

59

pub_type

杂志文章,评审
  • Antenatal therapy to minimize neonatal intraventricular hemorrhage.

    abstract::Periventricular-intraventricular hemorrhage is an important problem, resulting in significant mortality and morbidity. Attempts to reduce this complication require an understanding of its pathogenesis. In this chapter a model was proposed, consisting of a series of events resulting in rapid changes of cerebral blood f...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/00003081-199106000-00014

    authors: Morales WJ

    更新日期:1991-06-01 00:00:00

  • Antibiotics in pregnancy.

    abstract::Because it is known that antibiotics given to the mother may reach and affect the fetus, when prescribing antibiotics during pregnancy, one must take into consideration both maternal and fetal well-being. Therapy should be directed toward the maternal disease but also be safe for the fetus. The volume of distribution ...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/00003081-199312000-00012

    authors: Hedstrom S,Martens MG

    更新日期:1993-12-01 00:00:00

  • Induction of Labor and Cesarean: What is the True Relationship?

    abstract::It is a commonly held belief that labor induction increases the risk of cesarean delivery; women who are induced are at higher risk of cesarean as compared with those in spontaneous labor. This comparison group is inaccurate, however, as women and providers cannot choose spontaneous labor as the alternative to labor i...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/GRF.0000000000000112

    authors: Little SE,Caughey AB

    更新日期:2015-06-01 00:00:00

  • Ethics in reproductive genetics.

    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

    pub_type: 杂志文章

    doi:10.1097/00003081-199212000-00009

    authors: Fletcher JC,Evans MI

    更新日期:1992-12-01 00:00:00

  • Atosiban.

    abstract::The role of oxytocin and oxytocin receptors in preterm labor is perhaps more prominent than once thought. The blockade of oxytocin and/or oxytocin receptors has both a theoretical and clinical aspect. Initial trials with the oxytocin antagonist atosiban have been encouraging with respect to efficacy and side effect pr...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/00003081-199538040-00007

    authors: Shubert PJ

    更新日期:1995-12-01 00:00:00

  • Prenatal programming of insulin secretion in intrauterine growth restriction.

    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

    pub_type: 杂志文章,评审

    doi:10.1097/GRF.0b013e31829e5b29

    authors: Gatford KL,Simmons RA

    更新日期:2013-09-01 00:00:00

  • Ultrasound Findings Associated With Antepartum Viral Infection.

    abstract::This article reviews the sonographic manifestations of fetal infection and the role of ultrasound in the evaluation of the fetus at risk for congenital infection. Several ultrasound findings have been associated with in utero fetal infections. For the patient with a known or suspected fetal infection, sonographic iden...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/GRF.0000000000000342

    authors: Crino JP,Driggers RW

    更新日期:2018-03-01 00:00:00

  • Prediction of Epithelial Ovarian Cancer Outcomes With Integration of Genomic Data.

    abstract::Some of the patients with epithelial ovarian cancer will not respond to initial therapy. These patients have a poor prognosis. Our aim was to identify patients with a worse prognosis by integrating clinical, pathologic, and genomic data. Using publicly available genomic data and integrating it with clinical data, we s...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/GRF.0000000000000493

    authors: Newtson AM,Devor EJ,Gonzalez Bosquet J

    更新日期:2020-03-01 00:00:00

  • Viral infections in pregnancy.

    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

    pub_type: 杂志文章

    doi:10.1097/00003081-197806000-00018

    authors: Sever JL

    更新日期:1978-06-01 00:00:00

  • The Utilization of Interventional Radiologic Procedures in the Surgical Management of Placenta Accreta Syndrome.

    abstract::The role of Interventional radiologic procedures for the management of suspected placenta accreta spectrum (PAS) has evolved considerably over last 3 decades. In this article, the authors describe the various techniques of vascular occlusion for the management of PAS and provide a brief review of the literature examin...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/GRF.0000000000000401

    authors: Shrivastava VK,Nageotte MP

    更新日期:2018-12-01 00:00:00

  • Other causes of fetal death.

    abstract::Although perinatal mortality rates have fallen considerably in the past several decades, the fetal component of this statistic has not decreased as rapidly as the neonatal portion. Syphilis, a significant cause of fetal death at the beginning of this century, has been eliminated and other conditions such as erythrobla...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/00003081-198706000-00010

    authors: Kochenour NK

    更新日期:1987-06-01 00:00:00

  • Characterization of a TP53 Somatic Variant of Unknown Function From an Ovarian Cancer Patient Using Organoid Culture and Computational Modeling.

    abstract::In our proof-of-concept study of 1 patient with stage IIIC carcinosarcoma of the ovary, we discovered a rare mutation in the tumor suppressor, TP53, that results in the deletion of N131. Immunofluorescence imaging of the organoid culture revealed hyperstaining of p53 protein. Computational modeling suggests this resid...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/GRF.0000000000000516

    authors: Bi J,Thiel KW,Litman JM,Zhang Y,Devor EJ,Newtson AM,Schnieders MJ,Gonzalez Bosquet J,Leslie KK

    更新日期:2020-03-01 00:00:00

  • New horizons in Doppler ultrasound technology: relevance for obstetrical applications.

    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

    pub_type: 杂志文章,评审

    doi:10.1097/GRF.0b013e3181fbad5e

    authors: Maulik D,Heitmann E,Maulik D

    更新日期:2010-12-01 00:00:00

  • Ovulation induction management of PCOS.

    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

    pub_type: 杂志文章

    doi:10.1097/GRF.0b013e31802f361e

    authors: Guzick DS

    更新日期:2007-03-01 00:00:00

  • Failed Intrauterine Pregnancy: What Is a Failed Pregnancy, What Is Not?

    abstract::Pregnancy failure is defined as a lack of sonographic evidence of current or expected viability. Technologic advances in ultrasound imaging continue to redefine diagnostic criteria of pregnancy failure or success. When evaluating a pregnancy, the first step is an assessment of maternal risk factors for failure. Imagin...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/GRF.0000000000000301

    authors: Canavan TP

    更新日期:2017-09-01 00:00:00

  • Benign breast diseases: epidemiology, evaluation, and management.

    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

    pub_type: 杂志文章

    doi:10.1097/GRF.0b013e318208010e

    authors: Rungruang B,Kelley JL 3rd

    更新日期:2011-03-01 00:00:00

  • Current aims and challenges associated with cervical cancer prevention.

    abstract::This chapter will review the current modalities available to the clinician to screen for premalignant and malignant cervical lesions, which cast a broad net. The majority who test positive are not destined to suffer from or die from cervical cancer. Many who undergo screening and are triaged are young and subsequently...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/GRF.0000000000000026

    authors: Lonky NM,Penner KR,Diedrich JT

    更新日期:2014-06-01 00:00:00

  • The eye in pregnancy: ophthalmologic and neuro-ophthalmologic changes.

    abstract::A variety of changes in the eye can occur during pregnancy. These can be physiological, pathologic related to the pregnancy, or pathologic unrelated to the pregnancy. Pregnancy also can affect preexisting conditions. Pregnant women often discuss changes in their health first with their obstetrician; therefore, knowled...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/GRF.0b013e31828f273c

    authors: Grant AD,Chung SM

    更新日期:2013-06-01 00:00:00

  • Fetal adrenal medulla.

    abstract::The development of the fetal adrenal medulla can be considered an integral part of the complex process of maturation and preparation of the fetus for extrauterine life. Our understanding of the fetal sympathoadrenal function is facilitated by the relative separation that exists between the maternal and fetal catechola...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:

    authors: Artal R

    更新日期:1980-09-01 00:00:00

  • Deep vein thrombosis and pulmonary embolism in pregnancy: diagnosis, complications, and management.

    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

    pub_type: 杂志文章

    doi:10.1097/GRF.0b013e3181deb27e

    authors: Brown HL,Hiett AK

    更新日期:2010-06-01 00:00:00

  • Office hysteroscopy.

    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

    pub_type: 杂志文章,评审

    doi:

    authors: Gimpelson RJ

    更新日期:1992-06-01 00:00:00

  • Management of fetal growth restriction: an evidence-based approach.

    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

    pub_type: 杂志文章,评审

    doi:10.1097/00003081-200606000-00013

    authors: Maulik D

    更新日期:2006-06-01 00:00:00

  • Osteoporosis prevention and management: an evidence-based review.

    abstract::Evidence-based guidelines that have been prepared by many professional organizations aimed at assisting the clinician in the initial evaluation of postmenopausal women who should be considered for bone mineral density evaluation by dual-energy x-ray absorptiometry; history, physical examination, and laboratory testing...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/GRF.0b013e3181809ae0

    authors: Kleerekoper M,Gold DT

    更新日期:2008-09-01 00:00:00

  • The modern role of reproductive surgery.

    abstract::The modern role of reproductive surgery has changed because of improved capabilities of endoscopic surgery resulting from innovation, instrumentation and experience, the development and increasing applicability of assisted reproductive technologies, and improved knowledge of the optimal application of these and other ...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/GRF.0b013e3182353d86

    authors: Adamson GD

    更新日期:2011-12-01 00:00:00

  • Reproductive decision-making and determinants of contraceptive use in HIV-infected women.

    abstract::Perinatal transmission and reproductive decisions of HIV-infected women can be categorized in statistical and epidemiological terms. These reports and figures, however, do little to fully explain the complexities of human relationships, life experiences, personal and cultural influences, and situational and environmen...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/00003081-199606000-00008

    authors: Williams HA,Watkins CE,Risby JA

    更新日期:1996-06-01 00:00:00

  • "How-To" Guide to Pelvic Floor Muscle Dysfunction.

    abstract::The purpose of this paper is to assist the clinician in recognizing pelvic floor muscle dysfunction in women with vulvar symptoms, to provide general treatment algorithms, and to facilitate understanding of the scientific rationale behind appropriate treatment. In short, this paper is meant to provide a "how-to" guide...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/GRF.0000000000000135

    authors: Albrecht KB

    更新日期:2015-09-01 00:00:00

  • Prolonged pregnancy: when should we intervene?

    abstract::The timely onset of labor and birth is an important determinant of perinatal outcome. Prolonged (postterm) pregnancy--defined as delivery at or beyond 42 weeks' gestation--complicates 10% of all gestations and is associated with increased risks to both fetus (stillbirth, macrosomia, birth injury, meconium aspiration s...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/GRF.0b013e31804c9b11

    authors: Norwitz ER,Snegovskikh VV,Caughey AB

    更新日期:2007-06-01 00:00:00

  • Tubal surgery.

    abstract::Today, reproductive surgery has a limited place. In selected cases such as young women with a history of pelvic inflammatory disease, pelvic adhesions, and endometriosis, surgery could be considered. Most operations can be performed by laparoscopy; these include tubal anastomosis that yields a high pregnancy rate. On ...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/GRF.0b013e3181b08b5f

    authors: Zarei A,Al-Ghafri W,Tulandi T

    更新日期:2009-09-01 00:00:00

  • Endometriosis and infertility.

    abstract::Endometriosis is an enigmatic disease affecting up to 10% of reproductive-aged women causing pain and infertility. Up to 50% of women with endometriosis are infertile, and agreement about treatment options has been difficult to establish. The association between endometriosis and infertility is derived from comparison...

    journal_title:Clinical obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/GRF.0b013e3181db7d71

    authors: Holoch KJ,Lessey BA

    更新日期:2010-06-01 00:00:00

  • Traditional surgical approaches to uterine fibroids: abdominal myomectomy and hysterectomy.

    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

    pub_type: 杂志文章,评审

    doi:10.1097/00003081-200106000-00024

    authors: Guarnaccia MM,Rein MS

    更新日期:2001-06-01 00:00:00