abstract：OBJECTIVE:To quantitatively and qualitatively describe the patient experience for clinically stable patients presenting with miscarriage to the emergency department (ED) or ambulatory clinics. METHODS:We present a subanalysis of a mixed-methods study from 2016 on factors that influence miscarriage treatment decision-m...

journal_title：Obstetrics and gynecology

authors： Miller CA,Roe AH,McAllister A,Meisel ZF,Koelper N,Schreiber CA

更新日期：2019-12-01 00:00:00

abstract：OBJECTIVE:To compare the incidence of hypertensive disorders of pregnancy among women living with human immunodeficiency virus (HIV) on combination antiretroviral therapy (ART) to women without HIV, and to evaluate the association of hypertensive disorders of pregnancy with ART regimens or timing of ART initiation. ME...

journal_title：Obstetrics and gynecology

authors： Saums MK,King CC,Adams JC,Sheth AN,Badell ML,Young M,Yee LM,Chadwick EG,Jamieson DJ,Haddad LB

更新日期：2019-12-01 00:00:00

abstract：:Pelvic organ prolapse (POP) is a common, benign condition in women. For many women it can cause vaginal bulge and pressure, voiding dysfunction, defecatory dysfunction, and sexual dysfunction, which may adversely affect quality of life. Women in the United States have a 13% lifetime risk of undergoing surgery for POP ...

journal_title：Obstetrics and gynecology

authors：

更新日期：2019-11-01 00:00:00

abstract：OBJECTIVE:To compare adverse childhood experiences (ACEs) in women with chronic pelvic pain with a control group, and describe occurrence of specific ACEs in women with chronic pelvic pain. METHODS:This case-control study examined the relationship between history of ACEs, traumatic events occurring during childhood as...

journal_title：Obstetrics and gynecology

authors： Krantz TE,Andrews N,Petersen TR,Dunivan GC,Montoya M,Swanson N,Wenzl CK,Zambrano JR,Komesu YM

更新日期：2019-11-01 00:00:00

abstract：OBJECTIVE:To evaluate the safety and efficacy of bremelanotide for the treatment of premenopausal women with hypoactive sexual desire disorder. METHODS:Two identical phase 3, randomized, double-blind, placebo-controlled, multicenter clinical trials (RECONNECT) evaluated the safety and efficacy of bremelanotide 1.75 mg...

journal_title：Obstetrics and gynecology

authors： Kingsberg SA,Clayton AH,Portman D,Williams LA,Krop J,Jordan R,Lucas J,Simon JA

更新日期：2019-11-01 00:00:00

abstract：OBJECTIVE:To compare midwife and obstetrician labor practices and birth outcomes in women with low-risk pregnancies delivered in the hospital. METHODS:We conducted a retrospective cohort study of singleton births of 37 0/7-42 6/7 weeks of gestation at 11 hospitals between January 1, 2014, and December 31, 2018. Exclus...

journal_title：Obstetrics and gynecology

authors： Souter V,Nethery E,Kopas ML,Wurz H,Sitcov K,Caughey AB

更新日期：2019-11-01 00:00:00

abstract：OBJECTIVE:To evaluate the effects of shared decision making using a simple decision aid for opioid prescribing after hysterectomy. METHODS:We conducted a prospective quality initiative study including all patients undergoing hysterectomy for benign, nonobstetric indications between March 1, 2018, and July 31, 2018, at...

journal_title：Obstetrics and gynecology

authors： Vilkins AL,Sahara M,Till SR,Ceci C,Howard R,Griffith KC,Waljee JF,Lim CS,Skinner BD,Clauw DJ,Brummett CM,As-Sanie S

更新日期：2019-10-01 00:00:00

abstract：:Reversal of gender-discriminatory insurance coverage policies has led to a substantial increase in access to gender-affirming surgical care in the United States over the past 20 years. Although the evidence supports the safety, feasibility, and medical necessity of gender-affirming hysterectomy and oophorectomy, there...

journal_title：Obstetrics and gynecology

authors： Reilly ZP,Fruhauf TF,Martin SJ

更新日期：2019-10-01 00:00:00

abstract：:Although androgen excess can manifest in many ways, the most common and recognizable symptoms are hirsutism and acne. Reports of hirsutism and acne should be taken seriously because of their possible association with medical disorders, their substantial effect on self-esteem and quality of life, and the potential for ...

journal_title：Obstetrics and gynecology

authors：

更新日期：2019-10-01 00:00:00

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

authors：

更新日期：2019-09-01 00:00:00

abstract：OBJECTIVE:To evaluate health care provider adherence to the surgical protocol endorsed by the National Comprehensive Cancer Network and the American College of Obstetricians and Gynecologists at the time of risk-reducing salpingo-oophorectomy and compare adherence between gynecologic oncologists and obstetrician-gyneco...

journal_title：Obstetrics and gynecology

authors： Wilhite AM,Oestreich MC,Olson M,Bedell SM,Westenberg D,Bangdiwala A,Ikramuddin S,Sanchez-Avila M,Madoff RD,Khalifa MA,Erickson BK

更新日期：2019-09-01 00:00:00

abstract：OBJECTIVE:To examine the current patterns of care for women at high risk for delivery-related morbidity to inform discussions about the feasibility of this regionalized approach. METHODS:We performed a cross-sectional study and linked 2014 American Hospital Association survey and State Inpatient Database data from sev...

journal_title：Obstetrics and gynecology

authors： Easter SR,Robinson JN,Menard MK,Creanga AA,Xu X,Little SE,Bateman BT

更新日期：2019-09-01 00:00:00

abstract：OBJECTIVE:To assess the association of a first-trimester subchorionic hematoma with pregnancy loss in women with singleton pregnancies. METHODS:We conducted a retrospective cohort study of all women with singleton pregnancies presenting for prenatal care before 14 weeks of gestation over a 3-year period at a single ob...

journal_title：Obstetrics and gynecology

authors： Naert MN,Khadraoui H,Muniz Rodriguez A,Naqvi M,Fox NS

更新日期：2019-08-01 00:00:00

abstract：:This month we focus on current research in recurrent pregnancy loss. Dr. Ros discusses four recent publications, which are concluded with a "bottom-line" that is the take-home message. A complete reference for each can be found on on this page along with direct links to abstracts. ...

journal_title：Obstetrics and gynecology

authors： Ros ST

更新日期：2019-07-01 00:00:00

abstract：BACKGROUND:Hysterectomies are the most common benign gynecologic surgical procedures performed in the United States. Currently, there are no tissue models that exist to teach trainees the techniques for colpotomy during laparoscopic hysterectomy. To address this educational gap, we have created a laparoscopic colpotomy...

journal_title：Obstetrics and gynecology

authors： Cho M,Ulrich A,Lam C,Lerner V

更新日期：2019-07-01 00:00:00

abstract：OBJECTIVE:To compare the outcomes of women with stage III uterine cancer treated with chemotherapy alone, external beam radiation alone, and combination chemotherapy and radiation. METHODS:The National Cancer Database was used to identify women with stage III endometrioid, serous, and clear cell uterine cancer treated...

journal_title：Obstetrics and gynecology

authors： Syeda S,Chen L,Hou JY,Tergas AI,Khoury-Collado F,Melamed A,St Clair CM,Ananth CV,Neugut AI,Hershman DL,Wright JD

更新日期：2019-07-01 00:00:00

abstract：:At puberty, a patient with an imperforate hymen typically presents with a vaginal bulge of thin hymenal tissue with a dark or bluish hue caused by the hematocolpos behind it. Other findings that may be present include an abdominal mass, urinary retention, dysuria, constipation, and dyschezia. On evaluation, the goal i...

journal_title：Obstetrics and gynecology

authors：

更新日期：2019-06-01 00:00:00

abstract：OBJECTIVE:To estimate unintended pregnancies averted and the cost effectiveness of pharmacist prescription of hormonal contraception. METHODS:A decision-analytic model was developed to determine the cost effectiveness of expanding the scope of pharmacists to prescribe hormonal contraception compared with the standard ...

journal_title：Obstetrics and gynecology

authors： Rodriguez MI,Hersh A,Anderson LB,Hartung DM,Edelman AB

更新日期：2019-06-01 00:00:00

abstract：BACKGROUND:Refeeding syndrome is a rare constellation of electrolyte abnormalities after reintroduction of glucose during an adaptive state of starvation and malnutrition, resulting in fluid shifts, end-organ damage, and, potentially, death. We present a case of fetal death in a patient with hyperemesis gravidarum comp...

journal_title：Obstetrics and gynecology

authors： Mayer KH,McGill AL

更新日期：2019-06-01 00:00:00

abstract：:Peer review is the major method used by the scientific community to evaluate manuscripts and decide what is suitable for publication. However, this process in its current design is not bulletproof and is prone to reviewer and editorial bias. Its lack of objectivity and transparency raise concerns that manuscripts migh...

journal_title：Obstetrics and gynecology

authors： Tvina A,Spellecy R,Palatnik A

更新日期：2019-06-01 00:00:00

abstract：OBJECTIVE:To investigate the effect of second uterine curettage on the number of chemotherapy courses and relapse rate in low-risk postmolar gestational trophoblastic neoplasia. METHODS:In a phase III trial, patients with low risk gestational trophoblastic neoplasia were randomised (1:1) to a second curettage or no cu...

journal_title：Obstetrics and gynecology

authors： Hemida R,Vos EL,El-Deek B,Arafa M,Toson E,Burger CW,van Doorn HC

更新日期：2019-05-01 00:00:00

abstract：OBJECTIVE:To describe the incidence of pelvic floor dysfunction in transgender women undergoing gender-affirming vaginoplasty and outcomes in a program providing pelvic floor physical therapy (PT). METHODS:We conducted a retrospective, single-institution study on vaginoplasty patients between May 1, 2016, and February...

journal_title：Obstetrics and gynecology

authors： Jiang DD,Gallagher S,Burchill L,Berli J,Dugi D 3rd

更新日期：2019-05-01 00:00:00

abstract：:Newborn screening is the largest genetic screening program in the United States, with approximately 4 million infants screened annually. Newborn screening is a mandatory state-based public health program that provides all newborns in the United States with testing and necessary follow-up health care for a variety of m...

journal_title：Obstetrics and gynecology

authors：

更新日期：2019-05-01 00:00:00

abstract：:The American College of Obstetricians and Gynecologists' Committee on Obstetric Practice acknowledges that the issue of nonobstetric surgery during pregnancy is an important concern for physicians who care for women. Because of the difficulty of conducting large-scale randomized clinical trials in this population, the...

journal_title：Obstetrics and gynecology

authors：

更新日期：2019-04-01 00:00:00

abstract：OBJECTIVE:To assess the rate of wound complications and evaluate the effectiveness of antibiotic prophylaxis in vulvar wide local excision procedures. METHODS:We performed a single-institution, retrospective cohort study of women undergoing vulvar surgery for premalignant lesions between January 2007 and January 2017....

journal_title：Obstetrics and gynecology

authors： Mullen MM,Merfeld EC,Palisoul ML,Massad LS,Woolfolk C,Powell MA,Mutch DG,Thaker PH,Hagemann AR,Kuroki LM

更新日期：2019-04-01 00:00:00

abstract：OBJECTIVE:To estimate whether the urinary force of stream method is noninferior to a standard fill voiding trial for rate of catheterization within 6 weeks after apical prolapse surgery in those discharged without a catheter. METHODS:A noninferiority randomized controlled trial was conducted in postoperative women com...

journal_title：Obstetrics and gynecology

authors： Pilkinton ML,Williams KS,Sison CP,Shalom DF,Winkler HA

更新日期：2019-04-01 00:00:00

abstract：OBJECTIVE:To characterize long-term national trends in surgical approach for hysterectomy after the U.S. Food and Drug Administration (FDA) warning against power morcellation for laparoscopic specimen removal. METHODS:This was a descriptive study using data from the American College of Surgeons National Surgical Quali...

journal_title：Obstetrics and gynecology

authors： Jorgensen EM,Modest AM,Hur HC,Hacker MR,Awtrey CS

更新日期：2019-04-01 00:00:00

abstract：:Since the first successful umbilical cord blood transplant in 1988, it has been estimated that more than 35,000 transplants have been performed in children and adults for the correction of inborn errors of metabolism, hematopoietic malignancies, and genetic disorders of the blood and immune system. Two types of banks ...

journal_title：Obstetrics and gynecology

authors：

更新日期：2019-03-01 00:00:00

abstract：OBJECTIVE:In 2014, the Society for Maternal-Fetal Medicine, the Eunice Kennedy Shriver National Institute of Child Health and Human Development, the American Academy of Pediatrics, and the American College of Obstetricians and Gynecologists published an executive summary of a joint workshop to establish obstetric inter...

journal_title：Obstetrics and gynecology

authors： Rossi RM,Hall E,DeFranco EA

更新日期：2019-03-01 00:00:00

abstract：OBJECTIVE:To estimate the clinical effectiveness, as determined by positive pregnancy test, of letrozole compared with clomiphene citrate for ovarian stimulation in patients with unexplained infertility. DATA SOURCES:We conducted a systematic review and meta-analysis of data from electronic databases including Ovid-ME...

journal_title：Obstetrics and gynecology

authors： Eskew AM,Bedrick BS,Hardi A,Stoll CRT,Colditz GA,Tuuli MG,Jungheim ES

更新日期：2019-03-01 00:00:00

abstract：:Obstetrician-gynecologists, in collaboration with midwives, nurses, patients, and those who support them in labor, can help women meet their goals for labor and birth by using techniques that require minimal interventions and have high rates of patient satisfaction. Many common obstetric practices are of limited or un...

journal_title：Obstetrics and gynecology

authors：

更新日期：2019-02-01 00:00:00

abstract：OBJECTIVE:To identify characteristics associated with high inpatient daily opioid consumption after cesarean delivery. METHODS:This is a retrospective cohort study of all cesarean deliveries performed under neuraxial anesthesia with neuraxial morphine, at a single institution from January 1, 2015, to December 31, 2015...

journal_title：Obstetrics and gynecology

authors： Prabhu M,Dolisca S,Wood R,James K,Bateman BT,Barth WH Jr,Wylie BJ

更新日期：2019-02-01 00:00:00

abstract：OBJECTIVE:To assess outcomes and costs associated with around-the-clock point-of-care intrapartum group B streptococcus (GBS) polymerase chain reaction (PCR) screening. METHODS:Intrapartum PCR screening was implemented in 2010. Intrapartum PCR was compared with antenatal culture screening in an uncontrolled, single in...

journal_title：Obstetrics and gynecology

authors： El Helali N,Habibi F,Azria E,Giovangrandi Y,Autret F,Durand-Zaleski I,Le Monnier A

更新日期：2019-02-01 00:00:00

abstract：:Obesity is a medical condition that may be associated with bias among health care professionals, and this bias may result in disrespectful or inadequate care of patients with obesity. Obstetrician-gynecologists regularly care for patients with obesity and play an integral role in advocating for best practices in healt...

journal_title：Obstetrics and gynecology

authors：

更新日期：2019-01-01 00:00:00

abstract：:Interpregnancy care aims to maximize a woman's level of wellness not just in between pregnancies and during subsequent pregnancies, but also along her life course. Because the interpregnancy period is a continuum for overall health and wellness, all women of reproductive age who have been pregnant regardless of the ou...

journal_title：Obstetrics and gynecology

authors：

更新日期：2019-01-01 00:00:00

abstract：:This month we focus on current research in maternal heart disease. Dr. Metz discusses four recent publications, which are concluded with a "bottom-line" that is the take-home message. A complete reference for each can be found on on this page along with direct links to abstracts. ...

journal_title：Obstetrics and gynecology

authors： Metz TD

更新日期：2019-01-01 00:00:00

abstract：OBJECTIVE:To describe recent syphilis trends among pregnant women and to evaluate the prevalence of reported high-risk behaviors in this population. METHODS:We analyzed U.S. national case report data for 2012-2016 to assess trends among pregnant women with all stages of syphilis. Risk behavior data collected through c...

journal_title：Obstetrics and gynecology

authors： Trivedi S,Williams C,Torrone E,Kidd S

更新日期：2019-01-01 00:00:00

abstract：OBJECTIVE:To compare the Centers for Disease Control and Prevention's (CDC) contraceptive effectiveness poster with a more patient-centered poster on factors affecting the likelihood of using effective contraceptives. METHODS:The posters were tested in a randomized controlled trial. Women were eligible if they were ag...

journal_title：Obstetrics and gynecology

authors： Anderson S,Frerichs L,Kaysin A,Wheeler SB,Halpern CT,Lich KH

更新日期：2019-01-01 00:00:00

abstract：:Dysmenorrhea, or menstrual pain, is the most common menstrual symptom among adolescent girls and young women. Most adolescents experiencing dysmenorrhea have primary dysmenorrhea, defined as painful menstruation in the absence of pelvic pathology. When the patient's history suggests primary dysmenorrhea, empiric treat...

journal_title：Obstetrics and gynecology

authors：

更新日期：2018-12-01 00:00:00

abstract：:Unexpected antepartum fetal demise remains one of the most tragic complications of pregnancy. Various approaches to antepartum fetal assessment have been developed as a means of either reassuring the clinician of fetal well-being or identifying potential fetal jeopardy and the need for delivery. As additional high-ris...

journal_title：Obstetrics and gynecology

authors： Johnson GJ,Clark SL,Turrentine MA

更新日期：2018-12-01 00:00:00