The reliability and predictive value of an amniotic fluid scoring system in severe second-trimester oligohydramnios.

Abstract:

:Sixty-two cases of oligohydramnios diagnosed by ultrasound between 13-28 weeks' gestation were reviewed. Three experienced ultrasonographers used a subjective scale to rate the oligohydramnios as mild, moderate, severe, or anhydramniotic. Interobserver reliability was excellent (intraclass correlation coefficient 0.81). The overall perinatal mortality rate was 43%, and the incidence of pulmonary hypoplasia was 33%. One-third had lethal congenital anomalies. The frequency of adverse outcome correlated strongly with the most severe degrees of oligohydramnios; 88% of the fetuses with severe oligohydramnios or anhydramnios had lethal outcomes, compared with 11% in the mild/moderate group. The presence of an anuric urinary tract anomaly was associated with the most severe grades of oligohydramnios and was uniformly fatal. Pulmonary hypoplasia was diagnosed in 60% of the severe group versus 6% in the moderate group. We conclude that subjective grading of oligohydramnios by experienced observers is both reliable and predictive of outcome. The finding of severe oligohydramnios in the second trimester is highly predictive of poor fetal outcome and should stimulate a thorough search for etiology and consideration of intervention. Moderate grades of reduced amniotic fluid may be managed with relative optimism.

journal_name

Obstet Gynecol

authors

Moore TR,Longo J,Leopold GR,Casola G,Gosink BB

subject

Has Abstract

pub_date

1989-05-01 00:00:00

pages

739-42

issue

5 Pt 1

eissn

0029-7844

issn

1873-233X

journal_volume

73

pub_type

杂志文章
  • Obstetric complications after treatment of intrauterine synechiae (Asherman's syndrome).

    abstract::This review comprises 36 patients who were treated for Asherman's syndrome from 1968 to 1974 at the Sloane Hospital for Women. Of the 18 patients who later conceived only 6 had uncomplicated term deliveries. Four had premature deliveries resulting in neonatal death. Three had placenta accreta and postpartum hemorrhage...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Jewelewicz R,Khalaf S,Neuwirth RS,Vande Wiele RL

    更新日期:1976-06-01 00:00:00

  • Primary Dysmenorrhea: Diagnosis and Therapy.

    abstract::Primary dysmenorrhea is defined as pain during the menstrual cycle in the absence of an identifiable cause. It is one of the most common causes of pelvic pain in women. Dysmenorrhea can negatively affect a woman's quality of life and interfere with daily activities. The pathophysiology of primary dysmenorrhea is likel...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/AOG.0000000000004096

    authors: Ferries-Rowe E,Corey E,Archer JS

    更新日期:2020-11-01 00:00:00

  • Hysteroscopic endometrial ablation with the Nd:Yag laser using a nontouch technique.

    abstract::Thirty-six patients with menorrhagia were treated with a technique for laser destruction of the endometrium in which the end of the fiberoptic guide of the Nd:Yag laser is not allowed to come in contact with the endometrium. The results were excellent in 93.9% of the 33 patients followed over three months. Amenorrhea ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Loffer FD

    更新日期:1987-04-01 00:00:00

  • Relationship between patient reports of urinary incontinence symptoms and quality of life measures.

    abstract:OBJECTIVE:To determine if patient reports of urinary incontinence symptoms can predict quality of life as measured by the short forms of the Incontinence Impact Questionnaire and the Urogenital Distress Inventory, two standardized, disease-specific instruments. METHODS:Telephone surveys were conducted of 384 community...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0029-7844(97)00627-3

    authors: Robinson D,Pearce KF,Preisser JS,Dugan E,Suggs PK,Cohen SJ

    更新日期:1998-02-01 00:00:00

  • Ovarian sex cord tumor with annular tubules: steroid profile.

    abstract::The pre- and postoperative endocrine profile in a patient with an ovarian sex cord tumor with annular tubules resembles a granulosa cell tumor despite morphologic features of a Sertoli-Leydig cell tumor. Gonadotropin and prolactin levels were compatible with estrogen-progesterone synergy on hypothalamic pituitary func...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Crain JL

    更新日期:1986-09-01 00:00:00

  • Committee opinion no. 515: Health care for urban American Indian and Alaska Native women.

    abstract::Sixty percent of American Indian and Alaska Native women live in metropolitan areas. Most are not eligible for health care provided by the federal Indian Health Service (IHS). The IHS partly funds 34 Urban Indian Health Organizations, which vary in size and services. Some are small informational and referral sites tha...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/01.AOG.0000410162.34363.0b

    authors: Committee on American Indian\/Alaska Native Women's Health.,Committee on Health Care for Underserved Women.

    更新日期:2012-01-01 00:00:00

  • Severe fetal brain injury without evident intrapartum asphyxia or trauma.

    abstract::Two appropriate-for-dates term infants were born after uncomplicated labors and atraumatic deliveries. They were depressed at birth, developed seizures on the first day of life, and followed clinical courses compatible with hypoxic-ischemic encephalopathy. However, the umbilical cord vessel pH and blood gases were nor...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Menticoglou SM,Manning FA,Harman CR,Morrison I

    更新日期:1989-09-01 00:00:00

  • Successful treatment with recombinant factor VIIa for intractable bleeding at pelvic surgery.

    abstract:BACKGROUND:Postoperative bleeding may be complicated by failure to identify the site of bleeding, multiple bleeding points, and persistent hemorrhage despite surgical intervention. CASE:Activated recombinant factor VII was used successfully in a patient with life-threatening postsurgical bleeding after resection of tw...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Daniloś J,Goral A,Paluszkiewicz P,Przesmycki K,Kotarski J

    更新日期:2003-06-01 00:00:00

  • Posttraumatic stress disorder and pregnancy complications.

    abstract:OBJECTIVE:To assess the associations between specific pregnancy complications and posttraumatic stress disorder based on neurobiologic and behavioral characteristics, using Michigan Medicaid claims data from 1994-1996. METHODS:Two thousand, two hundred nineteen female recipients of Michigan Medicaid who were of childb...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0029-7844(00)01097-8

    authors: Seng JS,Oakley DJ,Sampselle CM,Killion C,Graham-Bermann S,Liberzon I

    更新日期:2001-01-01 00:00:00

  • Nonfluorescent erythrasma of the vulva.

    abstract:BACKGROUND:Erythrasma is an uncommon vulvar infection, best diagnosed by its fluorescence under the Wood lamp. This report shows that despite a negative Wood lamp examination, the diagnosis can be made histologically. CASE:A 42-year-old woman was referred to our clinic with a persistent candidal infection. Evaluation ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Mattox TF,Rutgers J,Yoshimori RN,Bhatia NN

    更新日期:1993-05-01 00:00:00

  • Symptomatic patients with an early viable intrauterine pregnancy: HCG curves redefined.

    abstract:OBJECTIVE:To analyze the change in serial human chorionic gonadotropin (hCG) levels in women symptomatic with pain or bleeding who presented with nondiagnostic ultrasonography but were ultimately confirmed to have a viable intrauterine pregnancy. METHODS:The rise in serial hCG measures were modeled over time, with the...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/01.AOG.0000128174.48843.12

    authors: Barnhart KT,Sammel MD,Rinaudo PF,Zhou L,Hummel AC,Guo W

    更新日期:2004-07-01 00:00:00

  • Galactorrhea and hyperprolactinemia during treatment of polycystic ovary syndrome.

    abstract::The serum concentration of prolactin and the presence of galactorrhea were evaluated systematically in a prospective study of the effect of medroxyprogesterone acetate (MPA) in polycystic ovary syndrome (PCO). In 21 patients, the diagnosis of PCO was made by laparoscopy. Three women presented with galactorrhea and inc...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Wortsman J,Hirschowitz JS

    更新日期:1980-04-01 00:00:00

  • A comparative trial of cefazolin and moxalactam as prophylaxis for preventing infection after abdominal hysterectomy.

    abstract::In a randomized, double-blind clinical trial, 208 women who underwent abdominal hysterectomy received either cefazolin (N = 108) or moxalactam (N = 100) as perioperative antimicrobial prophylaxis. There were no differences between the two groups in rates of serious infection, minor wound infection, standard febrile mo...

    journal_title:Obstetrics and gynecology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Tuomala RE,Fischer SG,Muñoz A,Souney PF,Steele L,Polk BF

    更新日期:1985-09-01 00:00:00

  • Humidified compared with dry, heated carbon dioxide at laparoscopy to reduce pain.

    abstract:OBJECTIVE:To study whether using 95% humidified, heated carbon dioxide (CO(2)) at laparoscopy reduces pain compared with dry, heated CO(2). METHODS:Patients were randomly assigned to either heated, 95% humidified CO(2) (study group) or heated, dry CO(2) (control group) during laparoscopy. Pain control was achieved per...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/01.AOG.0000194065.59688.fa

    authors: Beste TM,Daucher JA,Holbert D

    更新日期:2006-02-01 00:00:00

  • Risk factors for lower urinary tract symptoms in women 40 to 60 years of age.

    abstract:OBJECTIVE:To determine the relationship between lower urinary tract symptoms and possible associated risk factors in women 40-60 years old. METHODS:In a normal population study, 502 women with lower urinary tract symptoms and 742 women with no symptoms (controls) were asked about possible associated factors. RESULTS:...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Alling Møller L,Lose G,Jørgensen T

    更新日期:2000-09-01 00:00:00

  • Vulvar reconstruction using a pedicle flap based on the superficial external pudendal artery.

    abstract::We present a new method for vulvar reconstruction based on recently described vasculature of the lower abdominal skin and subcutaneous tissue. The superficial external pudendal artery supplies the region encompassing the suprapubic and infraumbilical skin. Thus, a pedicled skin flap based on the superficial external p...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Mayer AR,Rodriguez RL

    更新日期:1991-11-01 00:00:00

  • Diurnal variations in unconjugated and total plasma estriol levels in late normal pregnancy.

    abstract::Diurnal variations in plasma unconjugated and total estriol were assessed in 11 third-trimester subjects with uncomplicated pregnancies. Commercially available 125I-labeled radioimmunoassay kits were used. Total plasma estriols reach a nadir during the hours of sleep (400 and 700 hours) which exceeds the episodic fluc...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Compton AA,Kirkish LS,Parra J,Stoecklein S,Barclay ML,McCann DS

    更新日期:1979-05-01 00:00:00

  • Identification of fetal growth retardation: comparison of Doppler waveform indices and serial ultrasound measurements of abdominal circumference and fetal weight.

    abstract:OBJECTIVE:To compare the serial ultrasound assessment of abdominal circumference (AC) and fetal weight versus single values of umbilical artery pulsatility index (PI) and the aortic-middle cerebral PI ratio in the identification of fetal growth retardation (FGR). METHODS:Serial AC measurements and estimates of weight ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Chang TC,Robson SC,Spencer JA,Gallivan S

    更新日期:1993-08-01 00:00:00

  • Serotonin receptor 1A C(-1019)G polymorphism associated with premenstrual dysphoric disorder.

    abstract:OBJECTIVE:To assess whether the G allele of the serotonin receptor 1A C(-1019)G polymorphism is associated with premenstrual dysphoric disorder. METHODS:The study sample comprised 53 women with clinically diagnosed premenstrual dysphoric disorder (age range 27-46 years, mean 37.7 years) and 51 healthy control subjects...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/01.AOG.0000284448.73490.ac

    authors: Dhingra V,Magnay JL,O'Brien PM,Chapman G,Fryer AA,Ismail KM

    更新日期:2007-10-01 00:00:00

  • Fertility-conserving surgery for young women with stage IA1 cervical cancer: safety and access.

    abstract:OBJECTIVE:To estimate the safety of fertility-conserving surgery for stage IA1 cervical cancer and to analyze predictors of access to conization. METHODS:We analyzed women with stage IA1 cervical cancer aged 40 years or younger who were diagnosed between 1988 and 2005 and recorded in the Surveillance, Epidemiology, an...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0b013e3181d06b68

    authors: Wright JD,Nathavithrana R,Lewin SN,Sun X,Deutsch I,Burke WM,Herzog TJ

    更新日期:2010-03-01 00:00:00

  • Patient-prosthesis mismatch in pregnancy.

    abstract:BACKGROUND:Patient-prosthesis mismatch is a known and severe complication after aortic valve repair in the general population. There is a paucity of literature regarding this condition in pregnancy. CASE:We present the clinical course of a pregnant woman with severe patient-prosthesis mismatch after aortic valve repla...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0000000000000074

    authors: Johnston RC,Swank ML,Shrivastava VK,Hameed AB

    更新日期:2014-02-01 00:00:00

  • Ovarian Mucinous Cystadenoma After Ovarian Graft.

    abstract:BACKGROUND:Freezing strips of ovarian cortex before chemotherapy followed by transplantation is an experimental method to preserve fertility for reproductive-aged women with cancer. We report a case of a cancer patient who developed a mucinous cystadenoma in a grafted piece of ovarian cortex. CASE:A 32-year-old woman ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0000000000001990

    authors: Fajau-Prevot C,Le Gac YT,Chevreau C,Cohade C,Gatimel N,Parinaud J,Leandri R

    更新日期:2017-06-01 00:00:00

  • Great minds don't think alike: collaborative maternity care at San Francisco General Hospital.

    abstract::For more than 30 years the collaboration between obstetrician-gynecologists and certified nurse-midwives at San Francisco General Hospital has led to the provision of high-quality care to women and families. This enduring partnership has been sustained by shared goals and values, most notably a commitment to excellenc...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0b013e3182297d2d

    authors: Hutchison MS,Ennis L,Shaw-Battista J,Delgado A,Myers K,Cragin L,Jackson RA

    更新日期:2011-09-01 00:00:00

  • Effect of ritodrine on labor after premature rupture of the membranes.

    abstract::The effect on labor of administering ritodrine after a premature rupture of the membranes (PROM) was studied in a double-blind trial in 30 patients. The patients were selected according to the following criteria: 28 to 36 weeks' gestation, only 1 fetus, cervix dilated 4 cm or less, and absence of pyrexia or other sign...

    journal_title:Obstetrics and gynecology

    pub_type: 临床试验,杂志文章

    doi:

    authors: Christensen KK,Ingemarsson I,Leideman T,Solum T,Svenningsen N

    更新日期:1980-02-01 00:00:00

  • Academic manpower for obstetrics and gynecology in the United States.

    abstract::All 119 medical schools in the United States provided information for a study of academic manpower conducted by the Association of Professors of Gynecology and Obstetrics (APGO). The average number of full-time faculty members per medical school is 13.2, with 2 positions vacant per school. Subspecialists are concentra...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Messer RH,Pearse WH,Fielden JG

    更新日期:1979-05-01 00:00:00

  • Abdominal wall repair with polypropylene mesh in pregnancy.

    abstract::A woman in her 34th week of gestation required emergency appendectomy for perforation, with postoperative wound dehiscence secondary to fasciitis and tension on the suture line. Polypropylene mesh was used to repair the abdominal wall. Fetal distress necessitated a cesarean section. The mother and child both survived ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Martin LF,Barry MG,Peeno DO,Fry DE

    更新日期:1985-07-01 00:00:00

  • Cycle control with a 21-day compared with a 24-day oral contraceptive pill: a randomized controlled trial.

    abstract:OBJECTIVE:To compare bleeding patterns between a 21/7-day triphasic norgestimate/ethinyl estradiol (E2) 25-microgram oral contraceptive pill (OCP) and a 24/4-day drospirenone/ethinyl E2 20-microgram OCP. METHODS:In a three-cycle, open-label, multicenter study, healthy, sexually active women were assigned randomly to a...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1097/AOG.0b013e3181beab47

    authors: Kaunitz AM,Burkman RT,Fisher AC,LaGuardia KD

    更新日期:2009-12-01 00:00:00

  • Impaired ultrasonographic cervical assessment after voiding: a randomized controlled trial.

    abstract:OBJECTIVE:To estimate whether the timing of bladder emptying affects focal myometrial contraction development and image adequacy. METHODS:Women at 14 0/7-32 0/7 weeks of gestation undergoing a transvaginal ultrasound examination from January 1, 2012, to September 1, 2012, were eligible for this blinded randomized cont...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/AOG.0b013e3182860b8d

    authors: Schnettler W,March M,Hacker MR,Modest AM,Rodriguez D

    更新日期:2013-04-01 00:00:00

  • Impact of psychodynamic factors on the course and management of patients with pseudocyesis.

    abstract::Comparing and contrasting two patients with pseudocyesis made it clear that differing psychodynamic factors specific to each patient resulted in divergent ways in which they sought out and used medical care. The propensity of these patients to distort reality was observed to interfere with the usefulness of sonography...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Starkman MN

    更新日期:1984-07-01 00:00:00

  • Use of recombinant activated factor VII in primary postpartum hemorrhage: the Northern European registry 2000-2004.

    abstract:OBJECTIVE:To collect data from nine European countries for cases of obstetric hemorrhage between 2000 and 2004 in which recombinant activated factor VII (rFVIIa) was used. METHODS:The cases were identified through national surveys. Standardized case report forms included sociodemographic details, past medical and obst...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/01.AOG.0000288515.48066.99

    authors: Alfirevic Z,Elbourne D,Pavord S,Bolte A,Van Geijn H,Mercier F,Ahonen J,Bremme K,Bødker B,Magnúsdóttir EM,Salvesen K,Prendiville W,Truesdale A,Clemens F,Piercy D,Gyte G

    更新日期:2007-12-01 00:00:00