Is There a Place for Outpatient Preinduction Cervical Ripening?

abstract：:Medical treatment of ectopic pregnancy with methotrexate has been shown to be effective and safe in appropriate patients. When considering medical management, the definitive diagnosis of an ectopic pregnancy and the assurance that the patient is a candidate are of paramount concern. An understanding of the mechanism o...

journal_title：Obstetrics and gynecology clinics of North America

authors： Barnhart K,Esposito M,Coutifaris C

更新日期：2000-09-01 00:00:00

abstract：:This article provides a focused review of the evidence for several complementary health approaches (ie, omega-3 fatty acids, folate, vitamin D, selenium, zinc, magnesium, B vitamins, physical activity, yoga) in the treatment of perinatal depression. There is evidence that some of these treatments may be reasonable to ...

journal_title：Obstetrics and gynecology clinics of North America

authors： Reza N,Deligiannidis KM,Eustis EH,Battle CL

更新日期：2018-09-01 00:00:00

abstract：:Seizures and intracranial hemorrhage are possible medical diseases that any obstetrician may encounter. This article reviews the cause, treatment, and medical management in pregnancy for seizures and intracranial hemorrhage, and how the two can overlap into preeclampsia or eclampsia. This article also highlights some ...

journal_title：Obstetrics and gynecology clinics of North America

authors： Wilson KL,Alexander JM

更新日期：2013-03-01 00:00:00

abstract：:The discovery that insulin resistance has a key role in the pathophysiology of PCOS has led to a novel and promising form of therapy in the form of the insulin-sensitizing drugs. Although no extremely large trials using these drugs for this indication have been performed, more than 18 trials have specifically examined...

journal_title：Obstetrics and gynecology clinics of North America

authors： Iuorno MJ,Nestler JE

更新日期：2001-03-01 00:00:00

abstract：:This article details the indicators, techniques, and anticipated success rates of laser surgery for vulvar condylomas and neoplasias. The role of adjuvant 5-fluorouracil and interferon is also discussed. ...

journal_title：Obstetrics and gynecology clinics of North America

authors： Reid R

更新日期：1991-09-01 00:00:00

abstract：:The serum CA-125 level is elevated in most women with endometriosis. Although tests are readily available to measure the marker, simple modifications of the present assays are required to improve and standardize the quality of the measurements. The serum test has low sensitivity and would not be appropriate for genera...

journal_title：Obstetrics and gynecology clinics of North America

authors： Pittaway DE

更新日期：1989-03-01 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 frequency and variety of solid organ transplantation in reproductive-age women increases each year. Pregnancy is no longer contraindicated in transplant recipients provided that their graft is functioning well and they are in good general health. Physicians who care for pregnant transplant recipients should be awa...

journal_title：Obstetrics and gynecology clinics of North America

authors： Mastrobattista JM,Katz AR

更新日期：2004-06-01 00:00:00

abstract：:Electrosurgery is used on a daily basis in the operating room, but it remains poorly understood by those using it. In addition, the physics of electrosurgery are far more complicated than those of laser. Common belief notwithstanding, electrosurgery has an enormous capacity for patient injury if used incorrectly, even...

journal_title：Obstetrics and gynecology clinics of North America

authors： Lipscomb GH,Givens VM

更新日期：2010-09-01 00:00:00

abstract：:Penile HPV infection and disease are very common in sexually active men, and may be manifest in many forms. Treatment of clinically detectable lesions is advisable not only to relieve symptoms but also to prevent the spread of HPV infection to new sexual partners. Treatment of subclinical disease is more controversial...

journal_title：Obstetrics and gynecology clinics of North America

authors： Palefsky JM,Barrasso R

更新日期：1996-12-01 00:00:00

abstract：:Crew resource management (CRM), adapted from aviation for the practice of medicine, offers the potential of reducing medical errors, increasing employee retention, and improving patient satisfaction. CRM, however, requires a culture that promotes teamwork and acceptance of new concepts. Leadership is needed to transfo...

journal_title：Obstetrics and gynecology clinics of North America

authors： Nielsen P,Mann S

更新日期：2008-03-01 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：:The hypothalamic-pituitary-adrenal axis is central to mammalian reproductive function, including conception, pregnancy maintenance, parturition, and breastfeeding. Pregnancy is associated with substantial physiologic changes within this endocrine axis to meet the demands of pregnancy, which include support of the fetu...

journal_title：Obstetrics and gynecology clinics of North America

authors： Foyouzi N,Frisbaek Y,Norwitz ER

更新日期：2004-12-01 00:00:00

abstract：:Providers of obstetric and gynecologic care are often the most commonly seen medical providers for adult women, providing primary and reproductive care. Even where psychiatric care is readily available, obstetricians/gynecologists are frequently the front line for recognition, education, and initial management of many...

journal_title：Obstetrics and gynecology clinics of North America

authors： Fitelson E,McGibbon C

更新日期：2016-06-01 00:00:00

abstract：:Women with unexplained recurrent pregnancy loss (RPL) represent a highly heterogeneous group of patients. Past studies have investigated systemic endocrine and immunologic mechanisms as potential causes for pregnancy loss in unexplained RPL, while exciting new work has focused on spermatozoal, embryonic, and endometri...

journal_title：Obstetrics and gynecology clinics of North America

authors： Saravelos SH,Regan L

更新日期：2014-03-01 00:00:00

abstract：:The ultrasound assessment of the cervix has contributed to the understanding of the pathways to preterm birth. Transvaginal ultrasound measurement of the cervix provides an objective and noninvasive tool for the evaluation of cervical status. Despite widespread use of this procedure, standardization of measurement ind...

journal_title：Obstetrics and gynecology clinics of North America

authors： Doyle NM,Monga M

更新日期：2004-03-01 00:00:00

abstract：:With the highest rates of unintended pregnancy and abortion in the developed world, the United States has plenty of room for improving the distribution of existing contraceptive options and an imperative for developing new methods. This article surveys new and future contraceptive methods. It does not contain a compre...

journal_title：Obstetrics and gynecology clinics of North America

authors： Turok D

更新日期：2007-03-01 00:00:00

abstract：:Although the advent of broad-spectrum antibiotics has markedly improved the maternal outcomes of pneumonia complicating pregnancy, pneumonia remains a significant condition that may complicate pregnancy. This article has reviewed the inherent physiologic respiratory changes that accompany pregnancy and the common caus...

journal_title：Obstetrics and gynecology clinics of North America

authors： Ramsey PS,Ramin KD

更新日期：2001-09-01 00:00:00

abstract：:This article discusses pathophysiology, diagnosis, and treatment of high-grade cervical dysplasia. ...

journal_title：Obstetrics and gynecology clinics of North America

authors： Zsemlye M

更新日期：2008-12-01 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：:Uterine fibroids are a major gynecologic problem in American women, and several alternatives have been developed. Conservative treatment, with the goal of treating the fibroid but retaining the uterus, is a frequent choice among women who require therapy during their early to middle reproductive years. A variety of co...

journal_title：Obstetrics and gynecology clinics of North America

authors： Olive DL,Lindheim SR,Pritts EA

更新日期：2006-03-01 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：:The contemporary legal and policy environment has increased the challenges associated with providing health care services to the adolescent population. The issue of reproductive health care services is particularly intense because of the controversial nature of services for contraception and abortion. As the debates c...

journal_title：Obstetrics and gynecology clinics of North America

authors： English A

更新日期：2000-03-01 00:00:00

abstract：:Access to the fetus as a true patient is a recent development in maternal-fetal medicine. We review the major invasive techniques currently available for establishing diagnoses and providing treatments to the fetus. These include fetoscopy, fetal blood sampling, fetal transfusions, and fetal shunts. Indications, techn...

journal_title：Obstetrics and gynecology clinics of North America

authors： Copel JA,Cullen MT,Grannum PA,Hobbins JC

更新日期：1990-03-01 00:00:00

abstract：:Acute pulmonary dysfunction and distress is not uncommon in the obstetric patient. In these situations, however, a quick assessment and intervention is necessary in many cases. This article familiarizes the practicing obstetrician with the physiology and therapy to evaluate and effectively treat these patients. ...

journal_title：Obstetrics and gynecology clinics of North America

authors： Nolan TE,Hankins GD

更新日期：1995-03-01 00:00:00

abstract：:Chorionic villus sampling (CVS) has been used a successful and safe first-trimester prenatal diagnostic technique for over 12 years. Developed to avoid the medical and psychological complications of later prenatal diagnosis by amniocentesis, CVS rapidly has become a primary tool for the diagnosis of fetal cytogenetic,...

journal_title：Obstetrics and gynecology clinics of North America

authors： Wapner RJ

更新日期：1997-03-01 00:00:00

abstract：:Female pelvic medicine and reconstructive surgery (FPMRS) is a rapidly expanding surgical specialty that focuses on the evaluation and treatment of pelvic floor disorders in women. Evaluation and treatment of several pelvic floor disorders can be accomplished with office-based procedures, yielding significant advantag...

journal_title：Obstetrics and gynecology clinics of North America

authors： Gleason JL

更新日期：2013-12-01 00:00:00

abstract：:A specific technique of advanced operative laparoscopy, known as videolaseroscopy, using the CO2 laser and videomonitor, is described. Operating room setup, anesthesia considerations, and specific applications to pelvic disease are elaborated. ...

journal_title：Obstetrics and gynecology clinics of North America

authors： Nezhat CR,Nezhat FR,Silfen SL

更新日期：1991-09-01 00:00:00

abstract：:Marihuana and tobacco smoking are two of the most commonly abused substances in pregnancy. Smoke from both agents contain a multitude of potentially active components, which make them difficult to study. Both have been associated with adverse effects in pregnancy in animal and human studies. Data on marihuana use duri...

journal_title：Obstetrics and gynecology clinics of North America

authors： Lee MJ

更新日期：1998-03-01 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