Ambulatory obstetrical care: strategies to reduce telephone liability.

abstract：:Determining which women should undergo dual-energy x-ray absorptiometry testing should be based on rational screening criteria. Screening tests should be simple to perform, readily available, and very sensitive. Clinical risk factors have been proposed by numerous professional societies as a way to screen women for fu...

journal_title：Clinical obstetrics and gynecology

authors： Helmrich G

更新日期：2013-12-01 00:00:00

abstract：:Prenatal diagnostics has seen a rapid increase in the number of genetic disorders amenable to prenatal detection owing to advances in technology and research into the genetic etiology of many conditions. This article reviews the more traditional prenatal diagnostic techniques, such as amniocentesis and chorionic villu...

journal_title：Clinical obstetrics and gynecology

authors： South ST,Chen Z,Brothman AR

更新日期：2008-03-01 00:00:00

abstract：:In our proof-of-concept study of 1 patient with stage IIIC carcinosarcoma of the ovary, we discovered a rare mutation in the tumor suppressor, TP53, that results in the deletion of N131. Immunofluorescence imaging of the organoid culture revealed hyperstaining of p53 protein. Computational modeling suggests this resid...

journal_title：Clinical obstetrics and gynecology

authors： Bi J,Thiel KW,Litman JM,Zhang Y,Devor EJ,Newtson AM,Schnieders MJ,Gonzalez Bosquet J,Leslie KK

更新日期：2020-03-01 00:00:00

abstract：:This article reviews the sonographic manifestations of fetal infection and the role of ultrasound in the evaluation of the fetus at risk for congenital infection. Several ultrasound findings have been associated with in utero fetal infections. For the patient with a known or suspected fetal infection, sonographic iden...

journal_title：Clinical obstetrics and gynecology

authors： Crino JP,Driggers RW

更新日期：2018-03-01 00:00:00

abstract：:Endometriomas are common in reproductive-aged women, but controversy exists regarding their management. PubMed was searched to identify pertinent studies on outcomes of medical and surgical management of endometrioma, with focus on randomized controlled trials and meta-analyses. Surgical excision is more effective tha...

journal_title：Clinical obstetrics and gynecology

authors： Johnstone EB,Link MH

更新日期：2015-12-01 00:00:00

abstract：:The final decision to perform a certain method of hysterectomy customarily mirrors experience and level of comfort with a particular surgical approach in the context of the patient's condition and indication for surgery. Given the morbidity and recovery associated with a laparotomic incision, every effort should be ma...

journal_title：Clinical obstetrics and gynecology

authors： Brill AI

更新日期：2006-12-01 00:00:00

abstract：:The appearance of the female external genitalia is key for understanding and diagnosing many diseases that women of all ages encounter. Alas, the normal appearance of the vulva is an elusive concept, scarcely represented in textbooks, and the growing number of vulvar cosmetic surgery calls for a review of the normal a...

journal_title：Clinical obstetrics and gynecology

authors： Cohen Sacher B

更新日期：2015-09-01 00:00:00

abstract：:Some of the patients with epithelial ovarian cancer will not respond to initial therapy. These patients have a poor prognosis. Our aim was to identify patients with a worse prognosis by integrating clinical, pathologic, and genomic data. Using publicly available genomic data and integrating it with clinical data, we s...

journal_title：Clinical obstetrics and gynecology

authors： Newtson AM,Devor EJ,Gonzalez Bosquet J

更新日期：2020-03-01 00:00:00

abstract：:The vaginal contraceptive ring is comprised of ethinyl vinyl acetate that releases ethinyl estradiol and the third-generation progestin, etonorgestrel. It was approved by the Food and Drug Administration in 2001. The vaginal contraceptive ring is highly efficacious with a Pearl Index of 1.18 and an efficacy of 99.1%. ...

journal_title：Clinical obstetrics and gynecology

authors： Madden T,Blumenthal P

更新日期：2007-12-01 00:00:00

abstract：:There is compelling data and a rationale for embarking on screening to identify pregnant women with some of the multiple classes of subclinical thyroid dysfunction. However, the evidence to support such screening and treatment is lacking. Several important trials are underway or undergoing peer review that may provide...

journal_title：Clinical obstetrics and gynecology

authors： Casey BM

更新日期：2011-09-01 00:00:00

abstract：:Despite advances in estimating prognosis and predicting response to adjuvant systemic therapy, the status of the axillary lymph nodes remains a critical component in initial surgical planning and in determining therapeutic strategies for patients with breast cancer. Buoyed by evidence from multi-institutional randomiz...

journal_title：Clinical obstetrics and gynecology

authors： McCARTAN D,Gemignani ML

更新日期：2016-12-01 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

abstract：:This article will review the basic principles of risk management, the role of the risk manager, and the importance of risk management in the patient safety movement as it pertains to obstetrics and gynecology. Several tools that are used by risk managers including risk assessments and root cause analyses will be used ...

journal_title：Clinical obstetrics and gynecology

authors： Klein VR

更新日期：2019-09-01 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：:Minimally invasive surgery continues to transform the field of gynecologic oncology and has now become the standard of care for many early-stage malignancies. The proven benefits of minimally invasive surgery are driving the rapid introduction and dissemination of novel technologies and the increasing ability to perfo...

journal_title：Clinical obstetrics and gynecology

authors： Stewart KI,Fader AN

更新日期：2017-06-01 00:00:00

abstract：:The postpartum period in women with diabetes or GDM allows both the physician and mother to relax from the intensive medical and obstetric management that has permitted, in most cases, a successful and joyous outcome. The role of the physician, however, must switch to a proactive and preventive mode to formulate a rep...

journal_title：Clinical obstetrics and gynecology

authors： Kjos SL

更新日期：2000-03-01 00:00:00

abstract：:Use of standard estrogen-progestin contraception remains problematic in several subgroups of patients (e.g., those in whom exogenous estrogens are contraindicated, such as survivors of hormone-dependent cancer, or patients with endometriosis or uterine fibroids). In addition, the postcoital contraception, even if alre...

journal_title：Clinical obstetrics and gynecology

authors： Heikinheimo O,Archer DF

更新日期：1996-06-01 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：:Pregnancy failure is defined as a lack of sonographic evidence of current or expected viability. Technologic advances in ultrasound imaging continue to redefine diagnostic criteria of pregnancy failure or success. When evaluating a pregnancy, the first step is an assessment of maternal risk factors for failure. Imagin...

journal_title：Clinical obstetrics and gynecology

authors： Canavan TP

更新日期：2017-09-01 00:00:00

abstract：:Using oral agents for induction of labor would reduce the need for repeated vaginal examinations; this is more acceptable to women and could reduce infection rates. A systematic review was conducted of 41 randomized trials comparing oral misoprostol to other induction agents. Oral misoprostol is effective at achieving...

journal_title：Clinical obstetrics and gynecology

authors： Weeks A,Alfirevic Z

更新日期：2006-09-01 00:00:00

abstract：:Sexual pain is an underrecognized and poorly treated constellation of disorders that significantly impact affected women and their partners. Recognized as a form of chronic pain, sexual pain disorders are heterogeneous and include dyspareunia (superficial and deep), vaginismus, vulvodynia, vestibulitis, and noncoital ...

journal_title：Clinical obstetrics and gynecology

authors： Boardman LA,Stockdale CK

更新日期：2009-12-01 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：:In selected patients who are hemodynamically stable with an unruptured tubal pregnancy, systemic methotrexate has success rates comparable to laparoscopic salpingostomy. Larger randomized studies are necessary to adequately assess subsequent fertility. Local injection of methotrexate or other agents requires a sonogra...

journal_title：Clinical obstetrics and gynecology

authors： Namnoum AB

更新日期：1998-06-01 00:00:00

abstract：:With the increased use and quality of ultrasound in pregnancy, adenxal masses are being encountered with greater frequency. Fortunately, most of such masses are benign and resolve on their own. However, complications such as ovarian torsion can occur. In addition, a malignancy can be present in a small minority of cas...

journal_title：Clinical obstetrics and gynecology

authors： Schwartz N,Timor-Tritsch IE,Wang E

更新日期：2009-12-01 00:00:00

abstract：:Both CT and MRI may play an important role in the initial assessment and subsequent management of patients with gynecologic cancer. The different capabilities of these examinations make the choice of test dependent on what portion of the body is visualized (e.g., chest, upper abdomen, or pelvis) and what information i...

journal_title：Clinical obstetrics and gynecology

authors： Russell AH,Anderson M,Walter J,Kinney W,Smith L,Scudder S

更新日期：1992-03-01 00:00:00

abstract：:Cardiac disease is a leading cause of morbidity and mortality in pregnant women. An increased prevalence of the cardiovascular disease has been found in women of childbearing age, in which the responsibility of the treating physician extends to the mother and to the unborn fetus. As a result, care of these high-risk p...

journal_title：Clinical obstetrics and gynecology

authors： Chan A,Wolfe DS,Zaidi AN

更新日期：2020-12-01 00:00:00

abstract：:Placental lesions identified in cases of stillbirth are of clinical interest and are frequently invoked as having a causal role. However, most of the placental changes found in stillbirth are also seen in liveborn pregnancies, and are of uncertain pathogenetic significance. Much of the literature addressing placental ...

journal_title：Clinical obstetrics and gynecology

authors： Pinar H,Carpenter M

更新日期：2010-09-01 00:00:00

abstract：:Magnetic resonance imaging has a complementary role in obstetrical imaging to ultrasound (US). Although US has advantages as an initial imaging technique, there are significant numbers of patients who cannot be adequately evaluated for a variety of reasons including calvarial calcification, oligoanhydramnios, or simpl...

journal_title：Clinical obstetrics and gynecology

authors： Hibbeln JF,Shors SM,Byrd SE

更新日期：2012-03-01 00:00:00

abstract：:Intrauterine growth restriction (IUGR) impairs insulin secretion in humans and in animal models of IUGR. Several underlying mechanisms have been implicated, including decreased expression of molecular regulators of β-cell mass and function, in some cases shown to be due to epigenetic changes initiated by an adverse fe...

journal_title：Clinical obstetrics and gynecology

authors： Gatford KL,Simmons RA

更新日期：2013-09-01 00:00:00

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