Conservative Management of Placenta Accreta Spectrum.

abstract：:Women with gestational diabetes mellitus require a continuum of care before, during, and after pregnancy for optimal management of hyperglycemia. Postpartum education and lifestyle modification should begin during pregnancy, and should continue during the postpartum period. Women should receive education on the long-t...

journal_title：Clinical obstetrics and gynecology

authors： Castorino K,Jovanovič L

更新日期：2013-12-01 00:00:00

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

authors： Grant AD,Chung SM

更新日期：2013-06-01 00:00:00

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

authors： Artal R

更新日期：1980-09-01 00:00:00

abstract：:The addition of the human papillomavirus vaccination and the 2006 national guidelines for the management of abnormal cervical cytology have led to significant changes in the management of cervical disease among adolescents. This article reviews recommendations for prevention, screening, diagnosis, and management of ce...

journal_title：Clinical obstetrics and gynecology

authors： Guido R

更新日期：2008-06-01 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：: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

authors： Shrivastava VK,Nageotte MP

更新日期：2018-12-01 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 interest in studying routine ultrasound in pregnancy has provided useful results that can be applied to practice. There is no consistent evidence of risk caused by ultrasound, neither biologic risk for the fetus nor increased use of health services as a result of ascertained conditions. There is also no consistent...

journal_title：Clinical obstetrics and gynecology

authors： Dooley SL

更新日期：1999-12-01 00:00:00

abstract：:1. The use of ultrasound may improve perinatal outcome in twin pregnancy. 2. Singleton growth curves for FL, BPD, and AC may be used to assess fetal growth prior to 28 weeks gestation. 3. After 28 weeks gestation, specific twin growth curves should be used. However, increased morbidity may be seen when fetal weight fa...

journal_title：Clinical obstetrics and gynecology

authors： D'Alton ME,Mercer BM

更新日期：1990-03-01 00:00:00

abstract：:The development of GnRH agonists has had a major impact on the practice of gynecology and reproductive endocrinology. The clinical usefulness of GnRH agonists will increase as modes of administration are improved and indications become better defined. GnRH agonists and, potentially, antagonists will provide a prompt, ...

journal_title：Clinical obstetrics and gynecology

authors： Schriock ED

更新日期：1989-09-01 00:00:00

abstract：:The advent of ultrasound fetal imaging and the evolution of dynamic imaging (real-time) methods have opened great new vistas in which fetal responses can be monitored with remarkable precision and clarity. Contained within this new wealth of information may lie the key to direct determination of the fetus at risk for ...

journal_title：Clinical obstetrics and gynecology

authors： Manning FA

更新日期：1995-03-01 00:00:00

abstract：:Embolic phenomena in pregnancy demand rapid investigation and treatment. Regardless, some patients will not survive due to the enormity of the insult. Optimally, such patients should be treated in tertiary care centers, but this is not always possible. ...

journal_title：Clinical obstetrics and gynecology

authors： Chatelain SM,Quirk JG Jr

更新日期：1990-09-01 00:00:00

abstract：:Retrospective observational studies have suggested that delivery at or beyond 39 weeks has numerous neonatal benefits including less need for respiratory support, fewer neurodevelopmental delays and lower health care costs. This has lead governmental agencies, and professional organizations to endorse a policy of limi...

journal_title：Clinical obstetrics and gynecology

authors： Hoffman MK,Merriam AA,Ehrenthal DB

更新日期：2014-06-01 00:00:00

abstract：:The recent clinical trials indicate that EA is feasible. The use of ancillary tools, such as ultrasound, requires only a slight modification of the previously established techniques for MA. The amniotic fluid can be obtained and cultured. Combining the reported populations sampled, the procedural and cytogenetic failu...

journal_title：Clinical obstetrics and gynecology

authors： Johnson A,Godmilow L

更新日期：1988-06-01 00:00:00

abstract：:Once the decision to perform a hysterectomy has been made, the type and route of hysterectomy must be chosen, and efforts made to accomplish the surgery as safely as possible. Hysterectomy can be performed vaginally, abdominally with laparoscopic or robotic assistance, or open. The main goal of gynecologic surgeons sh...

journal_title：Clinical obstetrics and gynecology

authors： Walters MD,Ridgeway BM

更新日期：2017-06-01 00:00:00

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

authors： Lonky NM,Penner KR,Diedrich JT

更新日期：2014-06-01 00:00:00

abstract：:Nothing improves the subsequent care of a woman with endometrial cancer more than the accurate determination of the extent of her disease. A significant number of women whose malignancy is apparently confined to the uterus will have extrauterine disease after careful, complete surgical staging. The failure to detect a...

journal_title：Clinical obstetrics and gynecology

authors： Orr JW Jr,Orr PF,Taylor PT

更新日期：1996-09-01 00:00:00

abstract：:Fetal glucocorticoid overexposure is a key potential mechanism underlying the link between low birthweight and later life diseases. The fetus is protected from high maternal glucocorticoid levels by the placental enzyme 11β-hydroxysteroid dehydrogenase type 2. Antenatal glucocorticoid administration to women at threat...

journal_title：Clinical obstetrics and gynecology

authors： Reynolds RM

更新日期：2013-09-01 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：:Pregnant health care workers (HCW) may be exposed to pathogens during routine patient care duties. Although they do not seem to be at higher risk for infection compared with nonpregnant HCW, certain infections can be associated with increased maternal morbidity, mortality, and adverse perinatal outcomes. Primary preve...

journal_title：Clinical obstetrics and gynecology

authors： Bazan JA,Mangino JE

更新日期：2012-06-01 00:00:00

abstract：:Pregnancy is an opportune time to identify opioid dependence, facilitate conversion to opioid maintenance treatment, and coordinate care with specialists in addiction medicine, behavioral health, and social services. Comprehensive prenatal care for opioid-dependent women involves the evaluation and the management of c...

journal_title：Clinical obstetrics and gynecology

authors： Krans EE,Cochran G,Bogen DL

更新日期：2015-06-01 00:00:00

abstract：:Many otherwise healthy women will experience a significant disruption in lifestyle from abnormal uterine bleeding. Most of those seeking medical attention will not be at risk for developing anemia. In each case, a thorough search for underlying systemic, hormonal, and organic causes should be instituted. The use of bl...

journal_title：Clinical obstetrics and gynecology

authors： Brill AI

更新日期：1995-06-01 00:00:00

abstract：:Recurrent pregnancy loss affects up to 5% of couples trying to establish a family. Evaluation classically begins after 3 consecutive miscarriages of less than 10 weeks of gestation but may be warranted earlier if a prior miscarriage was found to be euploid, or if there is concomitant infertility and/or advancing mater...

journal_title：Clinical obstetrics and gynecology

authors： Stephenson M,Kutteh W

更新日期：2007-03-01 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：:The process of genetic screening has evolved from a simple notation of maternal age to a complex algorithm incorporating age, maternal serum screening, and sonographic findings. The extent to which each of these variables should contribute to the overall screening result is much debated and deserves continued research...

journal_title：Clinical obstetrics and gynecology

authors： Hawk AF,Saller DN

更新日期：2012-03-01 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：:Influenza infection during pregnancy imparts disproportionate morbidity and mortality. This has been primarily noted during occasional influenza pandemics but also during seasonal epidemics. The majority of pregnant women who contract influenza appear to have a mild, self-limited course. However, influenza produces a ...

journal_title：Clinical obstetrics and gynecology

authors： Beigi RH

更新日期：2012-12-01 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：:Infection remains a major cause of maternal morbidity and mortality. Those entities that are most likely to threaten the life of the pregnant woman have been reviewed. Although intrapartum and postpartum pelvic infections consitute the majority such serious infections in pregnancy, attention has also been called to se...

journal_title：Clinical obstetrics and gynecology

authors： Schwarz RH,Fruiterman JP

更新日期：1976-09-01 00:00:00