abstract：:Despite persisting controversy over shoulder dystocia prediction, prevention, and injury causation, the authors find considerable evidence in recent research in the field to recommend additional guidelines beyond the current American College of Obstetricians and Gynecologists and Royal College of Obstetricians and Gyn...

journal_title：Obstetrics and gynecology clinics of North America

authors： Gurewitsch ED,Allen RH

更新日期：2011-06-01 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：:Since its initial approval by the US Food and Drug Administration (FDA) 20 years ago for the treatment of strabismus, hemifacial spasm, and blepharospasm in adults, botulinum toxin (BTX) has become one of the most frequently requested products in cosmetic rejuvenation around the world. After years of clinical success ...

journal_title：Obstetrics and gynecology clinics of North America

authors： Carruthers J,Carruthers A

更新日期：2010-12-01 00:00:00

abstract：:Electrosurgery is used on a daily basis in the operating room, but it remains poorly understood by those using it. In addition, the physics of electrosurgery are far more complicated than those of laser. Common belief notwithstanding, electrosurgery has an enormous capacity for patient injury if used incorrectly, even...

journal_title：Obstetrics and gynecology clinics of North America

authors： Lipscomb GH,Givens VM

更新日期：2010-09-01 00:00:00

abstract：:The term sickle cell disease (SSD) encompasses several different sickle hemoglobinopathies. The ability to predict the clinical course of SSD during pregnancy is difficult. This article examines pregnancy-associated complications in SSD and the management of sickle cell disorders in pregnant women. Outcomes have impro...

journal_title：Obstetrics and gynecology clinics of North America

authors： Rogers DT,Molokie R

更新日期：2010-06-01 00:00:00

abstract：:Inherited thrombophilias present an opportunity to review population-based screening paradigms. Inherited thrombophilias are a group of complex conditions, and women who carry mutations in implicated genes have an increased risk of adverse pregnancy outcomes as well as venous thromboembolism. That asymptomatic carrier...

journal_title：Obstetrics and gynecology clinics of North America

authors： Walker P,Gregg AR

更新日期：2010-03-01 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：: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：: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：:This article summarizes and critically evaluates the scientific literature for the annual and lifetime medical care costs of obesity in women in the United States. Studies involving actual and projected costs are reviewed. Studies were favored that included large, nationally representative samples; accounted for the i...

journal_title：Obstetrics and gynecology clinics of North America

authors： Gavard JA

更新日期：2009-06-01 00:00:00

abstract：:Obesity is increasing at epidemic rates in all women, but especially in minority women and children. Factors that contribute to this include changes in caloric intake and expenditure (calories), cost and ease of acquiring food along with pressures from the marketplace and media (commerce) and the community response to...

journal_title：Obstetrics and gynecology clinics of North America

authors： Phelan ST

更新日期：2009-06-01 00:00:00

abstract：:Addressing sexual health, screening, and counseling to prevent sequelae of risky sexual behavior are essential components of the adolescent visit to the gynecologist. Discussing sexuality and taking a sexual history may cause feelings of discomfort for the provider and adolescent patient alike. Taking the time to buil...

journal_title：Obstetrics and gynecology clinics of North America

authors： Shafii T,Burstein GR

更新日期：2009-03-01 00:00:00

abstract：:This article discusses pathophysiology, diagnosis, and treatment of high-grade cervical dysplasia. ...

journal_title：Obstetrics and gynecology clinics of North America

authors： Zsemlye M

更新日期：2008-12-01 00:00:00

abstract：:It is an unfortunate fact that all pregnancies do not end with healthy babies and healthy mothers. Families who have experienced an adverse pregnancy outcome require accurate information about the risk of recurrence to plan future childbearing. This article examines the recurrence risk of four complications of pregnan...

journal_title：Obstetrics and gynecology clinics of North America

authors： Moore LE

更新日期：2008-09-01 00:00:00

abstract：:Fecal incontinence (FI) has a significant social and economic impact on the patient and the community. In women, obstetric injury is commonly associated with the development of FI. Understanding FI is aided by a good knowledge of the pelvic floor anatomy and continence mechanisms. This same knowledge along with a good...

journal_title：Obstetrics and gynecology clinics of North America

authors： Hannaway CD,Hull TL

更新日期：2008-06-01 00:00:00

abstract：:Crew resource management (CRM), adapted from aviation for the practice of medicine, offers the potential of reducing medical errors, increasing employee retention, and improving patient satisfaction. CRM, however, requires a culture that promotes teamwork and acceptance of new concepts. Leadership is needed to transfo...

journal_title：Obstetrics and gynecology clinics of North America

authors： Nielsen P,Mann S

更新日期：2008-03-01 00:00:00

abstract：:Sepsis is a leading cause of death in pregnancy and results in significant perinatal mortality. These deaths occur despite the younger age of pregnant patients, the low rate of comorbid conditions and the potential for effective interventions that should result in rapid resolution of illness. To date, no "evidence-bas...

journal_title：Obstetrics and gynecology clinics of North America

authors： Guinn DA,Abel DE,Tomlinson MW

更新日期：2007-09-01 00:00:00

abstract：:During the last century, there were two breakthroughs in diabetes management and monitoring that changed the course of treatment: the discovery of insulin and the progress in the understanding of glucose monitoring. As technology evolved, glucose monitoring and insulin administration can now be achieved in a continuou...

journal_title：Obstetrics and gynecology clinics of North America

authors： Yogev Y,Hod M

更新日期：2007-06-01 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：:Desire and arousal disorders are very common. These disorders can cause significant distress to a patient. A successful approach depends on an accurate diagnosis, which is dependent on history. Laboratory evaluation is usually not helpful, whereas psychosexual therapy is helpful in many cases. Although there is some e...

journal_title：Obstetrics and gynecology clinics of North America

authors： Carey JC

更新日期：2006-12-01 00:00:00

abstract：:This article focuses on the clinical evaluation and management of women who have thrombophilia-related placental vascular complications, including fetal loss, pre-eclampsia, intrauterine fetal growth restriction, and placental abruption. All are major causes of maternal and fetal adverse outcomes. ...

journal_title：Obstetrics and gynecology clinics of North America

authors： Brenner B

更新日期：2006-09-01 00:00:00

abstract：:To ensure the integrity of gynecologic surgical practices and patient safety, changes need to be made in the training of gynecologic surgeons, both in residency and continuing surgical education. Although society demands competency in the training and continuing education of airline pilots, little is done in compariso...

journal_title：Obstetrics and gynecology clinics of North America

authors： Julian TM,Rogers RM Jr

更新日期：2006-06-01 00:00:00

abstract：:Uterine fibroids are a major gynecologic problem in American women, and several alternatives have been developed. Conservative treatment, with the goal of treating the fibroid but retaining the uterus, is a frequent choice among women who require therapy during their early to middle reproductive years. A variety of co...

journal_title：Obstetrics and gynecology clinics of North America

authors： Olive DL,Lindheim SR,Pritts EA

更新日期：2006-03-01 00:00:00

abstract：:This article reviews the key concepts regarding the counseling and management of cervical dysplasia and invasive cervical cancer diagnosed during pregnancy. Emphasis is placed on balancing the maternal and fetal well-being in collaboration with appropriate multidisciplinary teams. Information regarding appropriate dia...

journal_title：Obstetrics and gynecology clinics of North America

authors： Muller CY,Smith HO

更新日期：2005-12-01 00:00:00

abstract：:As many as 50% of spontaneous preterm births are infection-associated. Intrauterine infection leads to a maternal and fetal inflammatory cascade, which produces uterine contractions and may also result in long-term adverse outcomes, such as cerebral palsy. This article addresses the prevalence, microbiology, and manag...

journal_title：Obstetrics and gynecology clinics of North America

authors： Klein LL,Gibbs RS

更新日期：2005-09-01 00:00:00

abstract：:An understanding of cesarean delivery for nonreassuring fetal heart rate tracing is important for several reasons. This article describes the prevalence of cesarean for nonreassuring fetal heart rate tracing and risk factors, indicates what type of fetal heart rate tracing abnormalities prompts cesarean delivery, reit...

journal_title：Obstetrics and gynecology clinics of North America

authors： Hendrix NW,Chauhan SP

更新日期：2005-06-01 00:00:00

abstract：:The study of multiple gestations in older mothers has been furthered by the analyses of large data sets published in recent years. These initial analyses are counterintuitive in that the obstetric and neonatal outcomes of the older mothers (>40 years) are better than those of their younger counterparts (aged 25-29). C...

journal_title：Obstetrics and gynecology clinics of North America

authors： Oleszczuk JJ,Keith LG,Oleszczuk AK

更新日期：2005-03-01 00:00:00

abstract：:The hypothalamic-pituitary-adrenal axis is central to mammalian reproductive function, including conception, pregnancy maintenance, parturition, and breastfeeding. Pregnancy is associated with substantial physiologic changes within this endocrine axis to meet the demands of pregnancy, which include support of the fetu...

journal_title：Obstetrics and gynecology clinics of North America

authors： Foyouzi N,Frisbaek Y,Norwitz ER

更新日期：2004-12-01 00:00:00

abstract：:Ovarian remnant syndrome has become increasingly recognized as a cause of pelvic pain after extirpative surgery. Surgical removal of the ovarian remnant is the optimal treatment. Laparoscopy is safe and effective in managing ovarian remnant syndrome when performed by an experienced laparoscopist. ...

journal_title：Obstetrics and gynecology clinics of North America

authors： Mahdavi A,Berker B,Nezhat C,Nezhat F,Nezhat C

更新日期：2004-09-01 00:00:00

abstract：:The frequency and variety of solid organ transplantation in reproductive-age women increases each year. Pregnancy is no longer contraindicated in transplant recipients provided that their graft is functioning well and they are in good general health. Physicians who care for pregnant transplant recipients should be awa...

journal_title：Obstetrics and gynecology clinics of North America

authors： Mastrobattista JM,Katz AR

更新日期：2004-06-01 00:00:00

abstract：:The ultrasound assessment of the cervix has contributed to the understanding of the pathways to preterm birth. Transvaginal ultrasound measurement of the cervix provides an objective and noninvasive tool for the evaluation of cervical status. Despite widespread use of this procedure, standardization of measurement ind...

journal_title：Obstetrics and gynecology clinics of North America

authors： Doyle NM,Monga M

更新日期：2004-03-01 00:00:00

abstract：:PID is a common infection in reproductive-age women that presents an enormous public health and economic burden. It is responsible for much short- and long-term morbidity that may necessitate interventions subsequent to the original infection. Mild PID seems to be much more common than severe or "classic" PID, and the...

journal_title：Obstetrics and gynecology clinics of North America

authors： Beigi RH,Wiesenfeld HC

更新日期：2003-12-01 00:00:00

abstract：:Significant gender differences exist in the prevalence of substance use disorders in the United States. There is a trend among boys and girls aged 12 to 17 years toward comparable rates of use and initiation for alcohol, cocaine, heroin, and tobacco. If this trend continues, over time there may be a narrowing of the m...

journal_title：Obstetrics and gynecology clinics of North America

authors： Greenfield SF,Manwani SG,Nargiso JE

更新日期：2003-09-01 00:00:00

abstract：:Puberty is the sequence of events that culminates in the ability to procreate. It is widely accepted that the onset of puberty in girls occurs on average at 8 years of age and that onset prior to 8 years of age is precocious puberty. As a result of the cross-sectional study by the American Association of Pediatrics, a...

journal_title：Obstetrics and gynecology clinics of North America

authors： Lalwani S,Reindollar RH,Davis AJ

更新日期：2003-06-01 00:00:00

abstract：:Endometriosis is defined by the presence of endometrial tissue outside the uterus. Clinical and basic research in endometriosis has been hampered severely by the lack of accurate noninvasive diagnostic techniques. Transvaginal ultrasonography, MRI, and endometrial and serum markers have the potential to facilitate the...

journal_title：Obstetrics and gynecology clinics of North America

authors： Brosens J,Timmerman D,Starzinski-Powitz A,Brosens I

更新日期：2003-03-01 00:00:00

abstract：:Cervical cancer is a preventable disease that is curable when it is detected early. For advanced-stage cancer, the prognosis is worse. Over the years, much progress has been made in radiation therapy and in chemotherapy, but it took three decades for the arrival of concurrent chemoradiation therapy, which significantl...

journal_title：Obstetrics and gynecology clinics of North America

authors： Im SS,Monk BJ

更新日期：2002-12-01 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：:Canavan disease is a severe leukodystrophy more common among Ashkenazi Jews. The enzyme defect, apartoacylase, has been identified, and the gene cloned. Only two mutations account for over 98% of all Jewish alleles with Canavan disease. The carrier frequency among healthy Jews is 1:37-58. Carrier detection and prenata...

journal_title：Obstetrics and gynecology clinics of North America

authors： Matalon R,Matalon KM

更新日期：2002-06-01 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：: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