Embryoscopy and fetoscopy.

abstract：:The use of fetal blood sampling has been advocated widely to improve the specificity of fetal heart rate monitoring, but it remains a clinically unpopular procedure. This article considers its physiologic rationale and evidence base. It includes descriptions of the technique with suggestions for improved clinical inte...

journal_title：Obstetrics and gynecology clinics of North America

authors： Greene KR

更新日期：1999-12-01 00:00:00

abstract：:Growing attention is being paid to obstetric quality of care as patients are pressing the health care system to measure and improve quality. There is also an increasing recognition of persistent racial and ethnic disparities prevalent in obstetric outcomes. Yet few studies have linked obstetric quality of care with ra...

journal_title：Obstetrics and gynecology clinics of North America

authors： Howell EA,Zeitlin J

更新日期：2017-03-01 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：: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：: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：:Contemporary management of HIV in pregnancy remains a moving target. With the development of newer antiretroviral agents with lower side-effect profiles and laboratory methods for detection and monitoring of HIV, considerable progress has been made. This review examines key concepts in the pathophysiology of HIV and p...

journal_title：Obstetrics and gynecology clinics of North America

authors： Donnelly M,Davies JK

更新日期：2014-12-01 00:00:00

abstract：:Congenital heart disease comprises most maternal cardiac diseases in pregnancy and is an important cause of maternal, fetal, and neonatal morbidity and mortality worldwide. Pregnancy is often considered a high-risk state for individuals with structural heart disease as a consequence of a limited ability to adapt to th...

journal_title：Obstetrics and gynecology clinics of North America

authors： Foeller ME,Foeller TM,Druzin M

更新日期：2018-06-01 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：: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：: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：:Canavan disease is a severe leukodystrophy more common among Ashkenazi Jews. The enzyme defect, apartoacylase, has been identified, and the gene cloned. Only two mutations account for over 98% of all Jewish alleles with Canavan disease. The carrier frequency among healthy Jews is 1:37-58. Carrier detection and prenata...

journal_title：Obstetrics and gynecology clinics of North America

authors： Matalon R,Matalon KM

更新日期：2002-06-01 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：: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：:Periviable deliveries (less than 26 weeks) are a small percentage of deliveries but account for a disproportionately high number of long-term morbidities. Few studies describe interventions and outcomes for periviable preterm premature rupture of membranes (PPROM). The available reports may include only those neonates...

journal_title：Obstetrics and gynecology clinics of North America

authors： Gibson KS,Brackney K

更新日期：2020-12-01 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：:The influence of physiologic, psychologic, and cultural influences on human sexuality is reviewed. These factors are considered in the exploration of how adolescents express their sexuality and the consequences of that expression. ...

journal_title：Obstetrics and gynecology clinics of North America

authors： Brown RT,Cromer BA,Fischer R

更新日期：1992-03-01 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

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：:Breast cancer in pregnancy is likely to become more common because more women have been waiting to bear children until they are in their 40s. This article presents an overview of pregnancy-associated breast cancer and a review of surgical, chemotherapeutical, and radiation principles as they pertain to pregnancy. ...

journal_title：Obstetrics and gynecology clinics of North America

authors： Falkenberry SS

更新日期：2002-03-01 00:00:00

abstract：:AIDS is the leading cause of death among women aged 25 to 34 years in New York City. Gynecologic care should be directed toward early identification and aggressive treatment of infectious and neoplastic processes that may take a more fulminant course in immunosuppressed women. Dealing with women's contraceptive needs ...

journal_title：Obstetrics and gynecology clinics of North America

authors： Allen MH

更新日期：1990-09-01 00:00:00

abstract：:Reproductive health can be a reflection of overall health. It follows that abnormalities of reproductive milestones may be a manifestation of unhealthy aging. Since 1994, the Study of Women's Health Across the Nation (SWAN) has assessed how menopause and the process of that transition may affect future health. Themes ...

journal_title：Obstetrics and gynecology clinics of North America

authors： Santoro N,Sutton-Tyrrell K

更新日期：2011-09-01 00:00:00

abstract：:Post-traumatic stress disorder (PTSD) accompanies miscarriage, intrauterine fetal demise, and preterm birth. Levels of PTSD may be higher for women who experience acute, life-threatening events during labor and delivery. Severe maternal morbidities or near misses for maternal death disproportionately impact African Am...

journal_title：Obstetrics and gynecology clinics of North America

authors： Small MJ,Gondwe KW,Brown HL

更新日期：2020-09-01 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：: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：: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：:Mobile apps and mobile health interventions have the potential to alter the landscape of medicine significantly, from how care is provided at the bedside to the ability to recruit patients and conduct medical research. Mobile apps have the potential to be used for prenatal care, postsurgical follow-ups, informing pati...

journal_title：Obstetrics and gynecology clinics of North America

authors： DeNicola N,Marko K

更新日期：2020-06-01 00:00:00

abstract：:Cervical cancer is a preventable disease that is curable when it is detected early. For advanced-stage cancer, the prognosis is worse. Over the years, much progress has been made in radiation therapy and in chemotherapy, but it took three decades for the arrival of concurrent chemoradiation therapy, which significantl...

journal_title：Obstetrics and gynecology clinics of North America

authors： Im SS,Monk BJ

更新日期：2002-12-01 00:00:00

abstract：:Ovarian remnant syndrome has become increasingly recognized as a cause of pelvic pain after extirpative surgery. Surgical removal of the ovarian remnant is the optimal treatment. Laparoscopy is safe and effective in managing ovarian remnant syndrome when performed by an experienced laparoscopist. ...

journal_title：Obstetrics and gynecology clinics of North America

authors： Mahdavi A,Berker B,Nezhat C,Nezhat F,Nezhat C

更新日期：2004-09-01 00:00:00

abstract：:PID is a common infection in reproductive-age women that presents an enormous public health and economic burden. It is responsible for much short- and long-term morbidity that may necessitate interventions subsequent to the original infection. Mild PID seems to be much more common than severe or "classic" PID, and the...

journal_title：Obstetrics and gynecology clinics of North America

authors： Beigi RH,Wiesenfeld HC

更新日期：2003-12-01 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