Comparison of immediate and deferred colposcopy in a cervical screening program.

Abstract:

OBJECTIVE:To evaluate the effect of delaying colposcopy in women with negative Papanicolaou smears and positive speculoscopy results. METHODS:This was a prospective study of asymptomatic women ages 13-60 years, regularly scheduled for pelvic examinations. All women had Papanicolaou smears and magnified visual examinations with speculoscopy. Women with negative Papanicolaou smears and positive speculoscopy results were quasirandomized to immediate or deferred colposcopy groups. RESULTS:A total of 800 women completed all phases of the study, 124 of whom had negative Papanicolaou smears and positive speculoscopy results. Among 57 women who had immediate colposcopies, 64.9% had histologic evidence of neoplasia. Sixty-seven women had their scheduled colposcopies deferred for 6 months. During this period, 21% (14) were lost to follow-up and 29% (13) of those evaluated converted from speculoscopy positive to speculoscopy negative. Among the 32 (71%) women who remained speculoscopy positive, 90% were found to have histologic evidence of neoplasia on colposcopic biopsy. CONCLUSION:In women with normal Papanicolaou smears and positive speculoscopy results, the diagnostic yield can be improved by deferring colposcopy for 6 months. Deferral should be considered only for women who are reliable for follow-up.

journal_name

Obstet Gynecol

authors

Parham GP,Andrews NR,Lee ML

doi

10.1016/s0029-7844(99)00515-3

subject

Has Abstract

pub_date

2000-03-01 00:00:00

pages

340-4

issue

3

eissn

0029-7844

issn

1873-233X

pii

S0029-7844(99)00515-3

journal_volume

95

pub_type

杂志文章
  • Association of body mass index and morbidity after abdominal, vaginal, and laparoscopic hysterectomy.

    abstract:OBJECTIVE:To examine the association of body mass index (BMI) and operative time and perioperative morbidity after hysterectomy and determine whether the association varies among abdominal, laparoscopic, and vaginal approaches. METHODS:Data abstracted from the American College of Surgeons National Safety and Quality I...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0000000000000698

    authors: Shah DK,Vitonis AF,Missmer SA

    更新日期:2015-03-01 00:00:00

  • Venous thromboembolism prophylaxis in gynecologic surgery: a systematic review.

    abstract:OBJECTIVE:To comprehensively review and critically assess the available gynecologic surgery venous thromboembolism prophylaxis literature and provide clinical practice guidelines. DATA SOURCES:MEDLINE and Cochrane databases from inception to July 2010. We included randomized controlled trials in gynecologic surgery po...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/AOG.0b013e318232a394

    authors: Rahn DD,Mamik MM,Sanses TVD,Matteson KA,Aschkenazi SO,Washington BB,Steinberg AC,Harvie HS,Lukban JC,Uhlig K,Balk EM,Sung VW,Society of Gynecologic Surgeons Systematic Review Group.

    更新日期:2011-11-01 00:00:00

  • Surgeon General's Conference on the Prevention of Preterm Birth.

    abstract::To address the serious and seemingly intractable problem of preterm birth, the Surgeon General's Conference on the Prevention of Preterm Birth convened many of the country's experts from the public and private sectors of research, public health, and health care delivery to discuss preventive strategies. The purpose of...

    journal_title:Obstetrics and gynecology

    pub_type: 共识发展会议,杂志文章

    doi:10.1097/AOG.0b013e31819bdba3

    authors: Ashton DM,Lawrence HC 3rd,Adams NL 3rd,Fleischman AR

    更新日期:2009-04-01 00:00:00

  • Understanding risk: a randomized controlled trial of communicating contraceptive effectiveness.

    abstract:OBJECTIVE:To determine which of three different approaches increased women's understanding of risk of pregnancy associated with different contraceptive methods. METHODS:We randomly assigned 461 reproductive-age women to one of three tables presenting pregnancy risk (Food and Drug Administration table with numbers, Wor...

    journal_title:Obstetrics and gynecology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s0029-7844(03)00662-8

    authors: Steiner MJ,Dalebout S,Condon S,Dominik R,Trussell J

    更新日期:2003-10-01 00:00:00

  • Fatal peritonitis following IUD-associated salpingitis.

    abstract::Previous reports have implicated the Dalkon shield intrauterine device (IUD) in septic second trimester abortion and maternal death from sepsis. In the case reported here, Fusobacterium necrophorum, a rarely pathogenic vaginal anaerobe, gained access to the uterus in a woman wearing a Dalkon shield and caused acute pa...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Maloy AL,Meier FA,Karl RC

    更新日期:1981-09-01 00:00:00

  • Uterine arteriovenous fistula as a long-term complication of hysterectomy: presentation and management.

    abstract:BACKGROUND:A rare complication of hysterectomy is the formation of a high-flow fistula between the uterine artery and uterine vein. Historically, these lesions were treated surgically. CASE:Two women with histories including hysterectomy presented with symptoms and physical examination signs suggestive of uterine arte...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0b013e3181834660

    authors: Sharma A,Vogelzang RL

    更新日期:2009-02-01 00:00:00

  • Obstetric and gynecologic operations in the United States, 1979 to 1984.

    abstract::An in-depth analysis of numbers of obstetric and gynecologic operations from 1979 to 1984 was performed using data from the National Center for Health Statistics. During the study period, there was a decrease in total numbers of obstetric and gynecologic procedures of 1%. During the same five-year period the numbers o...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/00006250-198606000-00001

    authors: Rutkow IM

    更新日期:1986-06-01 00:00:00

  • Effect of age on intrauterine insemination with frozen donor sperm.

    abstract:OBJECTIVE:To assess the effect of variables that influence the pregnancy outcome of intrauterine insemination with frozen donor sperm. METHODS:A retrospective analysis of 408 cycles of frozen donor sperm inseminations were studied. Cycle fecundity and cumulative probability of pregnancy were compared according to seve...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0029-7844(96)00074-9

    authors: Kang BM,Wu TC

    更新日期:1996-07-01 00:00:00

  • Decision-making for termination of pregnancies with fetal anomalies: analysis of 53,000 pregnancies.

    abstract:OBJECTIVE:To evaluate the degree to which prenatal knowledge of fetal anomalies and sociodemographic characteristics determined outcome of 53,000 pregnancies. METHODS:Pregnancies were consecutively evaluated at a university hospital between 1984 and 1997. The severity of anomalies was graded by using an ordinal scale,...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0029-7844(01)01673-8

    authors: Schechtman KB,Gray DL,Baty JD,Rothman SM

    更新日期:2002-02-01 00:00:00

  • The forgotten hysterectomy: the first successful abdominal hysterectomy and bilateral salpingo-oophorectomy in the United States.

    abstract:BACKGROUND:The history of gynecology and surgery in America has been well documented. However, a landmark operation took place in 1856 that has gone unrecognized in modern surgical texts. CASE:William J. Baker and associates performed the first successful abdominal hysterectomy with bilateral salpingo-oophorectomy in ...

    journal_title:Obstetrics and gynecology

    pub_type: 历史文章,杂志文章

    doi:10.1097/01.AOG.0000187944.96000.52

    authors: Hall JJ,Hall DJ

    更新日期:2006-02-01 00:00:00

  • The Alabama preterm birth prevention project.

    abstract::A preterm birth prevention program consisting of risk scoring, intensive weekly observation including cervical examinations, and detailed education about preterm labor signs and symptoms was tested in a predominantly black, indigent population. One thousand high-risk women were randomized to treatment or control group...

    journal_title:Obstetrics and gynecology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Goldenberg RL,Davis RO,Copper RL,Corliss DK,Andrews JB,Carpenter AH

    更新日期:1990-06-01 00:00:00

  • Committee Opinion No. 681 Summary: Disclosure and Discussion of Adverse Events.

    abstract::Adverse outcomes, preventable or otherwise, are a reality of medical care. Most importantly, adverse events affect patients, but they also affect health care practitioners. Disclosing information about adverse events has benefits for the patient and the physician and, ideally, strengthens the patient-physician relatio...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0000000000001813

    authors:

    更新日期:2016-12-01 00:00:00

  • Ginger for nausea and vomiting in pregnancy: randomized, double-masked, placebo-controlled trial.

    abstract:OBJECTIVE:To determine the effectiveness of ginger for the treatment of nausea and vomiting of pregnancy. METHODS:Women with nausea and vomiting of pregnancy, who first attended an antenatal clinic at or before 17 weeks' gestation, were invited to participate in the study. During a 5-month period, 70 eligible women ga...

    journal_title:Obstetrics and gynecology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s0029-7844(00)01228-x

    authors: Vutyavanich T,Kraisarin T,Ruangsri R

    更新日期:2001-04-01 00:00:00

  • Sickle-delta beta thalassemia: mild sickling disorder with serious morbidity in pregnancy.

    abstract::Two patients with sickle-delta gamma thalassemia are reported who experienced the typical complications of sickling disorders in the last 2 months of 4 pregnancies. The diagnosis, genetics, and management of pregnancy in this rare hematologic disease, which causes minimal morbidity in the nonpregnant woman, are discus...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Cohen AW,Russell MO,Mennuti MT

    更新日期:1981-07-01 00:00:00

  • Definitions of Obstetric and Gynecologic Hospitalists.

    abstract::The obstetric hospitalist and the obstetric and gynecologic hospitalist evolved in response to diverse forces in medicine, including the need for leadership on labor and delivery units, an increasing emphasis on quality and safety in obstetrics and gynecology, the changing demographics of the obstetric and gynecologic...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/AOG.0000000000001235

    authors: McCue B,Fagnant R,Townsend A,Morgan M,Gandhi-List S,Colegrove T,Stosur H,Olson R,Meyer K,Lin A,Tessmer-Tuck J

    更新日期:2016-02-01 00:00:00

  • Fitsari 'dan Duniya. An African (Hausa) praise song about vesicovaginal fistulas.

    abstract::The vesicovaginal fistula from prolonged obstructed labor is a condition that is no longer seen in the affluent, industrialized world, yet it continues to exist in epidemic proportions in sub-Saharan Africa, where several million women are estimated to suffer from this condition. The unremitting urinary incontinence t...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0029-7844(02)02498-5

    authors: Wall LL

    更新日期:2002-12-01 00:00:00

  • A method of Pomeroy tubal ligation reanastomosis.

    abstract::A method of reanastomosis of the uterine tube after Pomeroy tubal ligation is presented. The pregnancy rate was 69%. The viable birth rate was 38%, with 1 ectopic pregnancy, 2 patients pregnant, and 1 patient lost to followup at the time of this report. ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: McCormick W,Torres J

    更新日期:1976-05-01 00:00:00

  • Comparison of glucose polymer and glucose for screening and tolerance tests in pregnancy.

    abstract::Forty-eight of 100 pregnant women received a 100-g (nonfasting) glucose screening test at about 28 weeks' gestation, followed by a 100-g glucose tolerance test. Another 52 received a 100-g (nonfasting) glucose polymer screening test followed by a 100-g glucose polymer tolerance test. Mean plasma glucose one hour after...

    journal_title:Obstetrics and gynecology

    pub_type: 临床试验,杂志文章

    doi:

    authors: Court DJ,Mann SL,Stone PR,Goldsbury SM,Dixon-McIvor D,Baker JR

    更新日期:1985-10-01 00:00:00

  • Distressing Sexual Function at Midlife: Unmet Needs, Practical Diagnoses, and Available Treatments.

    abstract::Female sexual dysfunction (FSD) is characterized as chronic sexual symptoms that manifest with personal distress in the domains of desire, arousal, orgasm, and pain. Extensive epidemiologic evidence estimates that almost 50% of perimenopausal and postmenopausal women experience FSD. Screening for FSD is not readily co...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0000000000002268

    authors: Simon JA,Lukas VA

    更新日期:2017-10-01 00:00:00

  • Alerting pregnant women to the risk of reptile-associated salmonellosis.

    abstract:BACKGROUND:Reptile- and amphibian-associated salmonellosis poses significant risk to infants and young children. The Centers for Disease Control and Prevention has advised that reptiles and amphibians should not be kept in households with children younger than 5 years old. CASE:We report a 5-day-old newborn with Salmo...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/01.AOG.0000187950.37065.87

    authors: Milstone AM,Agwu AG,Angulo FJ

    更新日期:2006-02-01 00:00:00

  • Fetal biometry as a screening tool for the detection of chromosomally abnormal pregnancies.

    abstract::Recent studies suggest that fetal biometry may allow recognition of pregnancies at risk for Down syndrome. Second-trimester biparietal diameter (BPD)/femur length and observed-to-expected femur length ratios were examined in 48 chromosomally abnormal fetuses and compared with those of a control population composed of ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Dicke JM,Gray DL,Songster GS,Crane JP

    更新日期:1989-11-01 00:00:00

  • Ovarian remnant syndrome.

    abstract::The ovarian remnant syndrome is one of the least recognized and least discussed complications of oophorectomy. The most common presentation is pelvic pain with a pelvic mass. To prevent the condition, the ureters should be mobilized and laterally displaced during oophorectomy, and the pelvic side wall and cul-de-sac p...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Symmonds RE,Pettit PD

    更新日期:1979-08-01 00:00:00

  • Variant iliocaval confluence discovered during sacrocolpopexy.

    abstract:BACKGROUND:Laceration of the iliac veins and their branches is a feared complication in abdominal sacral colpopexy. Hemorrhages can be extensive and difficult to control. CASE:We report a case of a patient who, while undergoing abdominal sacral colpopexy, was found to have confluence of the iliac veins at the level of...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0b013e3182062053

    authors: Lazarou G,Rahimi S,Cui N,Zormpa M

    更新日期:2011-02-01 00:00:00

  • Committee Opinion No. 650 Summary: Physical Activity and Exercise During Pregnancy and the Postpartum Period.

    abstract::Physical activity in all stages of life maintains and improves cardiorespiratory fitness, reduces the risk of obesity and associated comorbidities, and results in greater longevity. Physical activity in pregnancy has minimal risks and has been shown to benefit most women, although some modification to exercise routine...

    journal_title:Obstetrics and gynecology

    pub_type: 评论,杂志文章

    doi:10.1097/AOG.0000000000001209

    authors:

    更新日期:2015-12-01 00:00:00

  • Effects of the dopamine antagonist veralipride on hot flushes and luteinizing hormone secretion in postmenopausal women.

    abstract::The effects on hot flushes of the dopamine antagonist Veralipride versus placebo were investigated in a randomized double-blind study of postmenopausal healthy women (N = 20 in each group). Cutaneous temperature recording and plasma LH pulsatility were studied in eight patients from each group. Veralipride administrat...

    journal_title:Obstetrics and gynecology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Melis GB,Gambacciani M,Cagnacci A,Paoletti AM,Mais V,Fioretti P

    更新日期:1988-11-01 00:00:00

  • Inflammatory pseudotumor of pelvic lymph nodes.

    abstract:BACKGROUND:Inflammatory pseudotumor is a rare benign cause of lymphadenopathy previously reported in several anatomic locations that can simulate malignant neoplasm. CASE:A postmenopausal woman presented with abdominal pain, generalized malaise, leukocytosis, and intermittent fevers up to 102 degrees F. A 5-day course...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/01.AOG.0000201973.13715.ee

    authors: Spannuth WA,Leath CA 3rd,Conner MG,Alvarez RD

    更新日期:2006-09-01 00:00:00

  • Uterine necrosis after arterial embolization for postpartum hemorrhage.

    abstract:BACKGROUND:Selective embolization is an effective and reputedly safe method of managing pregnancy-related bleeding. However, we report an ischemic uterine necrosis after arterial embolization. CASE:The patient had heavy postpartum bleeding treated by embolization of the uterine arteries using polyvinyl alcohol particl...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0029-7844(02)02050-1

    authors: Cottier JP,Fignon A,Tranquart F,Herbreteau D

    更新日期:2002-11-01 00:00:00

  • Screening and Management of Bleeding Disorders in Adolescents With Heavy Menstrual Bleeding: ACOG COMMITTEE OPINION SUMMARY, Number 785.

    abstract::Heavy menstrual bleeding is defined as excessive menstrual blood loss that interferes with a woman's physical, social, emotional, or material quality of life. If obstetrician-gynecologists suspect that a patient has a bleeding disorder, they should work in coordination with a hematologist for laboratory evaluation and...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0000000000003412

    authors:

    更新日期:2019-09-01 00:00:00

  • The relationship of amniotic fluid cytokines and preterm delivery, amniotic fluid infection, histologic chorioamnionitis, and chorioamnion infection.

    abstract:OBJECTIVE:To assess the association between cytokines in the amniotic fluid (AF) and preterm delivery, the isolation of bacteria from the AF or chorioamnion, and histologic chorioamnionitis. METHODS:Fifty afebrile women with intact membranes in preterm labor at or before 34 weeks' gestation underwent amniocentesis. Cy...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Hillier SL,Witkin SS,Krohn MA,Watts DH,Kiviat NB,Eschenbach DA

    更新日期:1993-06-01 00:00:00

  • Presumed antepartum amniotic fluid embolism.

    abstract:BACKGROUND:Amniotic fluid embolism is seldom recognized in nonperipartum patients. The pathophysiology is uncertain and diagnosis imprecise, making management after stabilization difficult. CASE:A 37-year-old woman at 28 weeks' gestation presented with signs and symptoms consistent with amniotic fluid embolism includi...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0029-7844(03)00630-6

    authors: Kent KJ,Cooper BC,Thomas KW,Zlatnik FJ

    更新日期:2003-09-01 00:00:00