Quality of Care and Disparities in Obstetrics.

abstract：:The concept of having an in-house obstetrician (serving as an obstetrics [OB] hospitalist) available 24 hours a day, 7 days a week provides a safety net for OB events that many need immediate intervention for a successful outcome. A key precept of risk management, that of loss prevention, fits perfectly with the addit...

journal_title：Obstetrics and gynecology clinics of North America

authors： Veltman L

更新日期：2015-09-01 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：: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：:The concept of Drug Treatment Court is relatively new and is an innovative response by local communities to deal with the escalation of criminal activity associated with substance abuse. The frequency of repeated offenses by drug users, the overcrowding of jail space, and a diminished sense of community well-being con...

journal_title：Obstetrics and gynecology clinics of North America

authors： Schwartz JR,Schwartz LP

更新日期：1998-03-01 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

abstract：:Vaginal bleeding is the most common cause of emergency care in the first trimester of pregnancy and accounts for the majority of premenopausal bleeding cases. Ultrasound evaluation combined with a quantitative beta human chorionic gonadotropin test is an established diagnostic tool to assess these patients. Spontaneou...

journal_title：Obstetrics and gynecology clinics of North America

authors： Paspulati RM,Turgut AT,Bhatt S,Ergun E,Dogra VS

更新日期：2011-03-01 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 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：:Breast symptoms are appropriately evaluated by a breast-oriented history and by the diagnostic triad of clinical breast examination, FNA, and mammography. In the case of a palpable dominant mass, concordance of the diagnostic triad yields a reliable clinical diagnosis. If there is not concordance, or if there is any d...

journal_title：Obstetrics and gynecology clinics of North America

authors： Hindle WH

更新日期：1994-09-01 00:00:00

abstract：:The study of multiple gestations in older mothers has been furthered by the analyses of large data sets published in recent years. These initial analyses are counterintuitive in that the obstetric and neonatal outcomes of the older mothers (>40 years) are better than those of their younger counterparts (aged 25-29). C...

journal_title：Obstetrics and gynecology clinics of North America

authors： Oleszczuk JJ,Keith LG,Oleszczuk AK

更新日期：2005-03-01 00:00:00

abstract：:If the contraindications to hysteroscopy are observed, complications should be small. The risks of fluid overload, especially in operative cases, is the most common critical problem, so that accurate recording of fluid use and collection are essential. The inexperienced, unsupervised surgeon is most likely to encounte...

journal_title：Obstetrics and gynecology clinics of North America

authors： Loffer FD

更新日期：1995-09-01 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：:Addressing sexual health, screening, and counseling to prevent sequelae of risky sexual behavior are essential components of the adolescent visit to the gynecologist. Discussing sexuality and taking a sexual history may cause feelings of discomfort for the provider and adolescent patient alike. Taking the time to buil...

journal_title：Obstetrics and gynecology clinics of North America

authors： Shafii T,Burstein GR

更新日期：2009-03-01 00:00:00

abstract：:Abnormal uterine bleeding in the reproductive age, that is, dysfunctional uterine bleeding, is a very common symptom encountered in office gynecology. The judicious use of hysteroscopy to manage this medical entity adds a new dimension in handling this often perplexing problem. This article focuses mainly on abnormal ...

journal_title：Obstetrics and gynecology clinics of North America

authors： Zimmermann R

更新日期：1988-03-01 00:00:00

abstract：:The clinical integration of prenatal genetic technologies raises a series of important medical and ethical considerations for patients, families, health care providers, health care systems, and society. It is critical to recognize, understand, and address these issues in conjunction with the continued development of n...

journal_title：Obstetrics and gynecology clinics of North America

authors： Farrell RM,Allyse MA

更新日期：2018-03-01 00:00:00

abstract：:Sleep and metabolism are essential components of health. Metabolic health depends largely on individual's lifestyle. Disturbances in sleep health, such as changes in sleep patterns that are associated with menopause/reproductive aging and chronologic aging, may have metabolic health consequences. Sleep restriction and...

journal_title：Obstetrics and gynecology clinics of North America

authors： Kravitz HM,Kazlauskaite R,Joffe H

更新日期：2018-12-01 00:00:00

abstract：:Amniotic fluid embolism remains one of the most devastating conditions in obstetric practice with an incidence of approximately 1 in 40,000 deliveries and a reported mortality rate ranging from 20% to 60%. The pathophysiology involves an abnormal maternal response to fetal tissue exposure associated with breaches of t...

journal_title：Obstetrics and gynecology clinics of North America

authors： Shamshirsaz AA,Clark SL

更新日期：2016-12-01 00:00:00

abstract：:Since its introduction more than 20 years ago, continuous electronic FHR monitoring has become the standard in most modern obstetric units. Practitioners well versed in FHR pattern interpretation do not question the value of fetal monitoring. Not only does this modality detect hypoxia early in its evolution, but also ...

journal_title：Obstetrics and gynecology clinics of North America

authors： Penning S,Garite TJ

更新日期：1999-06-01 00:00:00

abstract：:The placenta can serve as a valuable source of information about maternal and fetal conditions during the pregnancy; however, the abilities to perform a preliminary gross examination and interpret a placental pathology report are variable among obstetricians. This article discusses the indications for placental submis...

journal_title：Obstetrics and gynecology clinics of North America

authors： Ravishankar S,Redline RW

更新日期：2020-03-01 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：:As women's doctors, we have a commitment and responsibility to promote effective cancer screening for cervical cancer and breast cancer. At present, the screening tests for ovarian cancer cannot be applied to the mass population. For an individual patient, however, the role of sonography, tumor markers, and physical e...

journal_title：Obstetrics and gynecology clinics of North America

authors： Runowicz CD,Goldberg GL,Smith HO

更新日期：1993-06-01 00:00:00

abstract：:It appears that both laparoscopic and laparotomy approaches to myomectomy are viable surgical procedures. Both surgeries can be performed with minimal risk. Pregnancy rates after either procedure are high. The advantage of laparotomy over laparoscopy is that it is technically easier. On the other hand, laparoscopy ena...

journal_title：Obstetrics and gynecology clinics of North America

authors： Miller CE

更新日期：2000-06-01 00:00:00

abstract：:Obesity has increased dramatically in the United States over the last several decades, with approximately 40% of pregnant women now considered overweight or obese. Obesity has been shown to be associated with numerous poor pregnancy outcomes, including increased rates of preeclampsia, gestational diabetes, fetal macro...

journal_title：Obstetrics and gynecology clinics of North America

authors： Mission JF,Marshall NE,Caughey AB

更新日期：2015-06-01 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：: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：:Standard terminology for the gestational trophoblastic diseases has been defined by the World Health Organization. An anatomic staging system has also been adopted by FIGO, but it has not yet been widely utilized by American and European centers which prefer to determine therapy and report results based on risk groupi...

journal_title：Obstetrics and gynecology clinics of North America

authors： Miller DS,Lurain JR

更新日期：1988-09-01 00:00:00

abstract：:The introduction of transabdominal fiberoptic thin-gauge visualization of the embryo or fetus in the first trimester allows an earlier diagnosis of congenital anomalies currently beyond the resolution of ultrasound. In addition, it has the true potential of providing access to the fetal circulation at an early age, an...

journal_title：Obstetrics and gynecology clinics of North America

authors： Quintero RA,Puder KS,Cotton DB

更新日期：1993-09-01 00:00:00

abstract：:Interstitial cystitis, or painful bladder syndrome, can present with lower abdominal pain/discomfort and dyspareunia, and pain in any distribution of lower spinal nerves. Patients with this condition experience some additional symptoms referable to the bladder, such as frequency, urgency, or nocturia. It can occur acr...

journal_title：Obstetrics and gynecology clinics of North America

authors： McLennan MT

更新日期：2014-09-01 00:00:00

abstract：:It is undeniable that most patients with advanced ovarian cancer derive benefit from primary cytoreductive surgery, with relief of symptoms, prolonged survival, improved quality of life, and establishment of a definitive diagnosis. Several questions, however, remain unanswered, including the relative effects of surgic...

journal_title：Obstetrics and gynecology clinics of North America

authors： Gershenson DM

更新日期：1994-03-01 00:00:00

abstract：:Obstetric hemorrhage accounts for 5% all deliveries in the United States and accounts for high maternal morbidity and mortality. Many hemorrhages are secondary to uterine atony and are quickly ameliorated with appropriate uterotonic use. However, for a subset of cases, severe hemorrhage may require advanced resuscitat...

journal_title：Obstetrics and gynecology clinics of North America

authors： Vaught AJ

更新日期：2016-12-01 00:00:00