The role of exfoliative cytology and histopathology in screening and triage.

abstract：:The use of laparoscopic ultrasound probes has been shown to improve outcomes and facilitate surgery for hepatobiliary and pancreatic cancers. It is a useful, inexpensive, and safe imaging technique that should also supplement operative laparoscopy for gynecologic indications. These techniques are new, and their use in...

journal_title：Obstetrics and gynecology clinics of North America

authors： Letterie GS

更新日期：1999-03-01 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：: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：: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：:The frequency of early term birth varies depending on patient, provider, and system characteristics. Early term deliveries are associated with suboptimal neonatal outcomes without evidence of maternal benefit. Some early term births are either unavoidable or absolutely indicated for maternal and/or fetal benefit in th...

journal_title：Obstetrics and gynecology clinics of North America

authors： Wetta L,Tita AT

更新日期：2012-03-01 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：: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：: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：: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：: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：:Hepatitis B virus is an important sexually transmitted organism that causes not only disease in sexual partners but important perinatal illness as well. The obstetrician-gynecologist must be aware of the epidemiology and the pathophysiology of HBV infections, as well as strategies for treatment and prevention. Physici...

journal_title：Obstetrics and gynecology clinics of North America

authors： Pastorek JG 2nd

更新日期：1989-09-01 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：: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：:In summary, FDA-approved therapies for prevention and treatment of osteoporosis are all antiresorptive agents. There are no approved therapies at this time that stimulate bone formation, although one such agent (PTH) is awaiting approval. Screening perimenopausal women at risk should identify osteopenic women early in...

journal_title：Obstetrics and gynecology clinics of North America

authors： Sayegh RA,Stubblefield PG

更新日期：2002-09-01 00:00:00

abstract：:Anorectal disorders cause significant discomfort and embarrassment in women. The onset typically follows childbirth and symptoms increase with age. This article discusses anal incontinence, defecatory dysfunction, rectal prolapse, and constipation. ...

journal_title：Obstetrics and gynecology clinics of North America

authors： Toglia MR

更新日期：2009-09-01 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：:Except in special circumstances, therapeutic insemination with a husband's sample has a low success rate. Couples in whom oligozoospermia has been identified as the principal cause of infertility do not benefit from therapeutic insemination by husband. Because of this low success rate, intrauterine insemination to pro...

journal_title：Obstetrics and gynecology clinics of North America

authors： Alexander NJ,Ackerman S

更新日期：1987-12-01 00:00:00

abstract：:Urinary incontinence and voiding dysfunction are common forms of pelvic floor dysfunction affecting women. The complex interactions between the nervous system and lower urinary tract anatomy allow for the coordinated functions of urine storage and evacuation. A thorough understanding of these components and their inte...

journal_title：Obstetrics and gynecology clinics of North America

authors： Rahn DD,Roshanravan SM

更新日期：2009-09-01 00:00:00

abstract：:The United States cesarean rate has risen from 5.5 per 100 deliveries in 1970 to 24.1 per 100 deliveries in 1986 according to the National Hospital Discharge Survey. Less than 10 per cent of mothers have a vaginal birth after a prior cesarean. Women spend an average of 5.0 days in the hospital for a cesarean delivery,...

journal_title：Obstetrics and gynecology clinics of North America

authors： Placek PJ,Taffel SM

更新日期：1988-12-01 00:00:00

abstract：:Breast enhancement through augmentation improves not only the woman's physical appearance but also contributes to her psychologic well-being. With the current emphasis placed on women's breasts in the media, it is not surprising that small-breasted women feel inadequate. Recent US Federal Drug Administration approval ...

journal_title：Obstetrics and gynecology clinics of North America

authors： Antoniuk PM

更新日期：2002-03-01 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：: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：:Early diagnosis, treatment, and appropriate prophylaxis may prevent serious maternal sequelae of thromboembolism. Objective techniques for diagnosis should be used aggressively, using noninvasive methods such as Doppler or IPG when possible for DVT. 125I-fibrinogen should be avoided. The possible consequences of failu...

journal_title：Obstetrics and gynecology clinics of North America

authors： Rutherford SE,Phelan JP

更新日期：1991-06-01 00:00:00

abstract：:Prevalence studies show that 1 in 5 women experience an episode of major depressive disorder during their lifetime. The peripartum period is a prime time for symptom exacerbation and relapse of depressive episodes. Health care providers, specifically those in obstetric care, should be aware of: (1) the frequency of de...

journal_title：Obstetrics and gynecology clinics of North America

authors： Muzik M,Marcus SM,Heringhausen JE,Flynn H

更新日期：2009-12-01 00:00:00

abstract：:Lichen planus is an inflammatory mucocutaneous condition with a myriad of clinical manifestations. There are 3 forms of lichen planus that effect the vulva: papulosquamous, hypertrophic, and erosive. Erosive lichen planus can progress to vulvar scaring, vaginal stenosis, and squamous cell carcinoma; these long-term se...

journal_title：Obstetrics and gynecology clinics of North America

authors： Mauskar M

更新日期：2017-09-01 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：:Major advances in treatment for epithelial ovarian cancer have occurred over the last decade, giving hope to patients and families. Surgery remains a cornerstone of therapy. In early-stage epithelial ovarian cancer, a meticulous staging procedure should be performed to aid in determining patients who require appropria...

journal_title：Obstetrics and gynecology clinics of North America

authors： Im DD,McGuire WP,Rosenshein NB

更新日期：2001-12-01 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：:Hematologic disorders in pregnancy are relatively common and encompass a wide spectrum of clinical conditions. The treatment and obstetric management of the majority of these diseases are well established, although controversy exists in areas such as sickle cell disease and ITP. Once the diagnosis of a specific disord...

journal_title：Obstetrics and gynecology clinics of North America

authors： Perry KG Jr,Morrison JC

更新日期：1992-12-01 00:00:00