Contraception at age 35 years and older.

abstract：:A brief review of cervical intraepithelial neoplasia has been presented. Attempts have been made to identify the high-risk patient, and etiologic considerations have been detailed. The conservative management of cervical intraepithelial neoplasia is available and applicable to many patients. Regardless of the definiti...

journal_title：Clinical obstetrics and gynecology

authors： Creasman WT,Weed JC Jr

更新日期：1980-03-01 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：: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：:Ethics in reproductive genetics comprise descriptive ethics and normative ethics. Ethical problems before prenatal diagnosis involve genetic counseling and informed consent for the choice patients must make. Prenatal diagnosis using amniocentesis is controversial. An international survey of geneticists showed that ...

journal_title：Clinical obstetrics and gynecology

authors： Fletcher JC,Evans MI

更新日期：1992-12-01 00:00:00

abstract：:In summary, ultrasound plays an important role in the evaluation of the postterm pregnancy, and its use should be considered in the following situations: 1) estimation of fetal weight in the potentially macrosomic infant before vaginal delivery is attempted; 2) frequent evaluation for oligohydramnios using the amnioti...

journal_title：Clinical obstetrics and gynecology

authors： Rodriguez MH

更新日期：1989-06-01 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：:A recent review of the literature on thrombophilia and adverse pregnancy outcome (APO) reveals contradictory findings. We have limited our review of literature mostly to the most recent decade. On the basis of our review, screening for thrombophilias with a history of APO (preeclampsia, abruptio placenta, intrauterine...

journal_title：Clinical obstetrics and gynecology

authors： Stella CL,Sibai BM

更新日期：2006-12-01 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：:Cost-effectiveness analyses are an important tool for the evaluation and modification of many health care services. Given the variety of screening tests and treatments available for cervical cancer screening and prevention, the costs associated with these options and with their alternatives, and the differences in res...

journal_title：Clinical obstetrics and gynecology

authors： Esselen KM,Feldman S

更新日期：2013-03-01 00:00:00

abstract：:Human papillomavirus (HPV) infection has been implicated in the intraepithelial cervical changes that cause most abnormal Papanicolaou smears. To date, 14 types of HPVs have been identified. All are small, nondeveloped, icosahedral DNA viruses that share a common internal antigen. In cases of cervical HPV infection...

journal_title：Clinical obstetrics and gynecology

authors： Roy M,Morin C,Casas-Cordero M,Meisels A

更新日期：1983-12-01 00:00:00

abstract：:The pharmacology and potential uses of RU-486, the only anti- progesterone to reach clinical trials, including luteolytic, abortifacient, menstrual regulator, postcoital contraceptive, oral contraceptive and other uses, are reviewed. RU-486 acts on the progesterone receptors in the endometrium, specifically the decid...

journal_title：Clinical obstetrics and gynecology

authors： Spitz IM,Bardin CW

更新日期：1989-06-01 00:00:00

abstract：:Ovulation induction is the principal infertility treatment for women with polycystic ovarian syndrome (PCOS). Among PCOS patients who are overweight or obese, weight loss is the most physiologic method of inducing ovulation. For women in whom weight loss is not possible, or for lean women with PCOS, clomiphene citrate...

journal_title：Clinical obstetrics and gynecology

authors： Guzick DS

更新日期：2007-03-01 00:00:00

abstract：:The relationship between the clinical state of the cervix and spontaneous onset of labor has long been known. The cervix can be characterized by evaluating five parameters: effacement, dilatation, firmness, position, and level of the presenting part. The relative associations between successful labor induction and the...

journal_title：Clinical obstetrics and gynecology

authors： Fuentes A,Williams M

更新日期：1995-06-01 00:00:00

abstract：:The ideal weight gain or energy intake for an individual woman cannot be determined from research studies. Current guidelines for maternal gain, however, combined with individualized assessment and follow-up, can provide the clinician and the pregnant women with a meaningful target and plan for achieving a healthy wei...

journal_title：Clinical obstetrics and gynecology

authors： Abrams B

更新日期：1994-09-01 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：:Removal of the fallopian tubes and ovaries at the time of vaginal hysterectomy is a skill that must be acquired if one is to be a competent vaginal surgeon. Various techniques have been described and will be reviewed in this chapter. A single technique or series of steps often must be modified depending on the descent...

journal_title：Clinical obstetrics and gynecology

authors： Shepherd JP,Zyczynski HM

更新日期：2010-03-01 00:00:00

abstract：:Uterine rupture is an important cause of obstetrical hemorrhage associated with morbidity for mother and fetus. Risk factors should be discussed in the counseling process. Intrapartum findings including maternal condition, fetal heart rate monitoring, and uterine activity may prove helpful in making the diagnosis of a...

journal_title：Clinical obstetrics and gynecology

authors： Lang CT,Landon MB

更新日期：2010-03-01 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：:It is a commonly held belief that labor induction increases the risk of cesarean delivery; women who are induced are at higher risk of cesarean as compared with those in spontaneous labor. This comparison group is inaccurate, however, as women and providers cannot choose spontaneous labor as the alternative to labor i...

journal_title：Clinical obstetrics and gynecology

authors： Little SE,Caughey AB

更新日期：2015-06-01 00:00:00

abstract：:Technologic advances and clinical research have been extending the scope of Doppler sonography and have resulted in the emergence of new diagnostic tools that show significant promise in clinical applications. This article aims to review some of these developments that are relevant for obstetrical practice. One of the...

journal_title：Clinical obstetrics and gynecology

authors： Maulik D,Heitmann E,Maulik D

更新日期：2010-12-01 00:00:00

abstract：:The purpose of this paper is to assist the clinician in recognizing pelvic floor muscle dysfunction in women with vulvar symptoms, to provide general treatment algorithms, and to facilitate understanding of the scientific rationale behind appropriate treatment. In short, this paper is meant to provide a "how-to" guide...

journal_title：Clinical obstetrics and gynecology

authors： Albrecht KB

更新日期：2015-09-01 00:00:00

abstract：:This review provides an evidence-based approach to the management of fetal growth restriction (FGR). The management consists of the following components: appropriate fetal surveillance, timely intervention, and selective etiological management. Umbilical arterial (UA) Doppler sonography is the primary test. Supplement...

journal_title：Clinical obstetrics and gynecology

authors： Maulik D

更新日期：2006-06-01 00:00:00

abstract：:Data manipulation and information management activities are as central to physicians as writing is to the literary profession. It is not surprising that the computer, as an information tool, has become important and accepted in many aspects of our professional lives. Computer applications can significantly help in dai...

journal_title：Clinical obstetrics and gynecology

authors： Jelovsek FR

更新日期：1989-09-01 00:00:00

abstract：:Urinary tract infection in women has its origin, predominantly, via ascending bacteria from the periurethral microflora. Asymptomatic bacteriuria, except for the pregnant patient, need not be treated. E. coli is the most common bacterium to cause UTIs, and is usually susceptible to oral antibiotics. Patients who are h...

journal_title：Clinical obstetrics and gynecology

authors： Faro S,Fenner DE

更新日期：1998-09-01 00:00:00

abstract：:Care of the endometriosis patient today can be complex and difficult. Once medical management has been exhausted and symptoms persist patients desire further treatment options. This chapter takes an evidence-based approach at discussion of patient surgcical options for treatment of endometriosis symptoms. Surgical tec...

journal_title：Clinical obstetrics and gynecology

authors： Zanelotti A,Decherney AH

更新日期：2017-09-01 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：:Diagnosis of the cause of pruritus in a pregnant patient should be approached systematically, beginning with a detailed history (especially drug exposure) and physical examination. Systemic diseases must be excluded. Liver function tests and hepatitis screen are in order if symptoms suggest liver dysfunction. Stool ex...

journal_title：Clinical obstetrics and gynecology

authors： Dacus JV

更新日期：1990-12-01 00:00:00

abstract：:Counseling regarding the options for aneuploidy risk assessment is complicated and requires thorough counseling with the patient. Second trimester serum risk assessment has been the gold standard because of widespread availability, low cost, and vast experience with counseling and performance. First trimester risk ass...

journal_title：Clinical obstetrics and gynecology

authors： Reddy UM,Wapner RJ

更新日期：2007-06-01 00:00:00

abstract：:In mammalian reproductive physiology, lactation follows pregnancy; growing evidence suggests that disruption of this physiology affects a woman's lifetime risk of metabolic disease. These differences may reflect lactation-induced mobilization of fat stores and modulation of maternal stress reactivity. In addition, con...

journal_title：Clinical obstetrics and gynecology

authors： Stuebe A

更新日期：2015-12-01 00:00:00

abstract：:In 1988 the International Federation of Gynecologists and Obstetricians (FIGO) developed a surgical staging system for endometrial cancer. The FIGO staging system was recently revised in 2009 to reflect our growing understanding of the natural history of endometrial cancer. In this review, we describe the revised 2009...

journal_title：Clinical obstetrics and gynecology

authors： Lewin SN

更新日期：2011-06-01 00:00:00