abstract：:Major advances in treatment for epithelial ovarian cancer have occurred over the last decade, giving hope to patients and families. Surgery remains a cornerstone of therapy. In early-stage epithelial ovarian cancer, a meticulous staging procedure should be performed to aid in determining patients who require appropria...

journal_title：Obstetrics and gynecology clinics of North America

authors： Im DD,McGuire WP,Rosenshein NB

更新日期：2001-12-01 00:00:00

abstract：:Although the advent of broad-spectrum antibiotics has markedly improved the maternal outcomes of pneumonia complicating pregnancy, pneumonia remains a significant condition that may complicate pregnancy. This article has reviewed the inherent physiologic respiratory changes that accompany pregnancy and the common caus...

journal_title：Obstetrics and gynecology clinics of North America

authors： Ramsey PS,Ramin KD

更新日期：2001-09-01 00:00:00

abstract：:Dyspepsia with or without nausea is common during pregnancy. Known ulcer disease, gastritis, and GERD may improve during pregnancy. Many women have a stoic and long-suffering posture during pregnancy owing to an unrealistic expectation concerning the teratogenicity of commonly used drugs. It is appropriate in medicine...

journal_title：Obstetrics and gynecology clinics of North America

authors： Winbery SL,Blaho KE

更新日期：2001-06-01 00:00:00

abstract：:The discovery that insulin resistance has a key role in the pathophysiology of PCOS has led to a novel and promising form of therapy in the form of the insulin-sensitizing drugs. Although no extremely large trials using these drugs for this indication have been performed, more than 18 trials have specifically examined...

journal_title：Obstetrics and gynecology clinics of North America

authors： Iuorno MJ,Nestler JE

更新日期：2001-03-01 00:00:00

abstract：:Despite the problems associated with coitus-dependent methods of contraception, barrier methods have an important role. The fact that they work as contraceptives without systemic effects makes them particularly appropriate for women with medical conditions that prevent the use of hormonal contraception. In addition, c...

journal_title：Obstetrics and gynecology clinics of North America

authors： Gilliam ML,Derman RJ

更新日期：2000-12-01 00:00:00

abstract：:Several clinical advances in the field of assisted reproductive technology have improved the success rates of IVF. These advances include improvements in ovulation induction protocols, the introduction of recombinant gonadotropins, GnRH agonists, and, most recently, GnRH antagonists. ICSI has proved to be the most suc...

journal_title：Obstetrics and gynecology clinics of North America

authors： Thornton KL

更新日期：2000-09-01 00:00:00

abstract：:Medical treatment of ectopic pregnancy with methotrexate has been shown to be effective and safe in appropriate patients. When considering medical management, the definitive diagnosis of an ectopic pregnancy and the assurance that the patient is a candidate are of paramount concern. An understanding of the mechanism o...

journal_title：Obstetrics and gynecology clinics of North America

authors： Barnhart K,Esposito M,Coutifaris C

更新日期：2000-09-01 00:00:00

abstract：:Abnormal uterine bleeding occurs secondary to a wide variety of functional and structural abnormalities. Although there is clearly a place for surgery, medical therapy has enormous potential for most women, especially those with dysfunctional uterine bleeding. To provide women with appropriate options for therapy, the...

journal_title：Obstetrics and gynecology clinics of North America

authors： Munro MG

更新日期：2000-06-01 00:00:00

abstract：:It appears that both laparoscopic and laparotomy approaches to myomectomy are viable surgical procedures. Both surgeries can be performed with minimal risk. Pregnancy rates after either procedure are high. The advantage of laparotomy over laparoscopy is that it is technically easier. On the other hand, laparoscopy ena...

journal_title：Obstetrics and gynecology clinics of North America

authors： Miller CE

更新日期：2000-06-01 00:00:00

abstract：:Despite the wide range of breast abnormalities that affect patients in the pediatric and adolescent populations, some conclusions can be drawn. Breast self-examination in the adolescent population is controversial but is recommended for girls who carry the BRCA1 or BRCA2 gene beginning at age 18 to 21 years. All girls...

journal_title：Obstetrics and gynecology clinics of North America

authors： Templeman C,Hertweck SP

更新日期：2000-03-01 00:00:00

abstract：:The contemporary legal and policy environment has increased the challenges associated with providing health care services to the adolescent population. The issue of reproductive health care services is particularly intense because of the controversial nature of services for contraception and abortion. As the debates c...

journal_title：Obstetrics and gynecology clinics of North America

authors： English A

更新日期：2000-03-01 00:00:00

abstract：:The use of fetal blood sampling has been advocated widely to improve the specificity of fetal heart rate monitoring, but it remains a clinically unpopular procedure. This article considers its physiologic rationale and evidence base. It includes descriptions of the technique with suggestions for improved clinical inte...

journal_title：Obstetrics and gynecology clinics of North America

authors： Greene KR

更新日期：1999-12-01 00:00:00

abstract：:Since its introduction more than 20 years ago, continuous electronic FHR monitoring has become the standard in most modern obstetric units. Practitioners well versed in FHR pattern interpretation do not question the value of fetal monitoring. Not only does this modality detect hypoxia early in its evolution, but also ...

journal_title：Obstetrics and gynecology clinics of North America

authors： Penning S,Garite TJ

更新日期：1999-06-01 00:00:00

abstract：:The use of laparoscopic ultrasound probes has been shown to improve outcomes and facilitate surgery for hepatobiliary and pancreatic cancers. It is a useful, inexpensive, and safe imaging technique that should also supplement operative laparoscopy for gynecologic indications. These techniques are new, and their use in...

journal_title：Obstetrics and gynecology clinics of North America

authors： Letterie GS

更新日期：1999-03-01 00:00:00

abstract：:The ever-increasing value of diagnostic and operative hysteroscopy for patients with AUB serves as an appropriate, although belated, tribute to Pantaleoni who in 1869 dared to look inside a woman's uterus. Future generations of women and their physicians will be indebted to this physician-pioneer. Contemporary instrum...

journal_title：Obstetrics and gynecology clinics of North America

authors： Cooper JM,Brady RM

更新日期：1999-03-01 00:00:00

abstract：:In the 50 years since pelvic muscle exercises were introduced for the nonsurgical management of pelvic floor dysfunction related to parturition, a variety of approaches have been introduced and the scope of indications has grown. This article describes the evaluation of patients with pelvic floor complaints, discusses...

journal_title：Obstetrics and gynecology clinics of North America

authors： Visco AG,Figuers C

更新日期：1998-12-01 00:00:00

abstract：:Urinary tract abnormalities are fairly common in the perinatal period. Ultrasonography is an effective diagnostic tool for identifying fetal urinary tract anomalies and can be helpful in establishing prognosis and guiding treatment decisions. The sonographer is encouraged to characterize and localize the fetal urinary...

journal_title：Obstetrics and gynecology clinics of North America

authors： Stamilio DM,Morgan MA

更新日期：1998-09-01 00:00:00

abstract：:This article evaluates the complicated scenario for physicians when they must advise pregnant oncology patients and their families. Included in this discussion are a review of literature that addresses both maternal and fetal rights and an analysis of metaphysical considerations unique to this situation. Additionally,...

journal_title：Obstetrics and gynecology clinics of North America

authors： Iseminger KA,Lewis MA

更新日期：1998-06-01 00:00:00

abstract：:The incidence of malignant melanoma is rising, and this may be the most frequently encountered malignancy during pregnancy. Because effective treatment of advanced or metastatic disease remains elusive, the key to adequate therapy is surveillance for early disease with prompt diagnostic work-up and treatment. Review o...

journal_title：Obstetrics and gynecology clinics of North America

authors： Squatrito RC,Harlow SP

更新日期：1998-06-01 00:00:00

abstract：:Marihuana and tobacco smoking are two of the most commonly abused substances in pregnancy. Smoke from both agents contain a multitude of potentially active components, which make them difficult to study. Both have been associated with adverse effects in pregnancy in animal and human studies. Data on marihuana use duri...

journal_title：Obstetrics and gynecology clinics of North America

authors： Lee MJ

更新日期：1998-03-01 00:00:00

abstract：:The concept of Drug Treatment Court is relatively new and is an innovative response by local communities to deal with the escalation of criminal activity associated with substance abuse. The frequency of repeated offenses by drug users, the overcrowding of jail space, and a diminished sense of community well-being con...

journal_title：Obstetrics and gynecology clinics of North America

authors： Schwartz JR,Schwartz LP

更新日期：1998-03-01 00:00:00

abstract：:The use of antiretroviral agents to treat patients infected with HIV has become increasingly complex. Obstetricians caring for the pregnant woman infected with HIV must, no less than the HIV specialist, be familiar with the various medications now available. This article profiles each of the antiretroviral agents curr...

journal_title：Obstetrics and gynecology clinics of North America

authors： Augenbraun M,Minkoff HL

更新日期：1997-12-01 00:00:00

abstract：:The information available concerning the effects of chemotherapy administered during pregnancy is limited and consists of case reports and small series. A registry has been established at the National Cancer Institute, but there are currently only several hundred cases of neonates exposed to chemotherapy registered. A...

journal_title：Obstetrics and gynecology clinics of North America

authors： Sorosky JI,Sood AK,Buekers TE

更新日期：1997-09-01 00:00:00

abstract：:Diagnosis of endometriosis requires careful interpretation of objective surgical and pathologic findings in the context of the patient's clinical presentation. Clinical assessment helps to identify patients at high risk of endometriosis and selects those who warrant further testing. Determination of the serum level of...

journal_title：Obstetrics and gynecology clinics of North America

authors： Duleba AJ

更新日期：1997-06-01 00:00:00

abstract：:Chorionic villus sampling (CVS) has been used a successful and safe first-trimester prenatal diagnostic technique for over 12 years. Developed to avoid the medical and psychological complications of later prenatal diagnosis by amniocentesis, CVS rapidly has become a primary tool for the diagnosis of fetal cytogenetic,...

journal_title：Obstetrics and gynecology clinics of North America

authors： Wapner RJ

更新日期：1997-03-01 00:00:00

abstract：:Penile HPV infection and disease are very common in sexually active men, and may be manifest in many forms. Treatment of clinically detectable lesions is advisable not only to relieve symptoms but also to prevent the spread of HPV infection to new sexual partners. Treatment of subclinical disease is more controversial...

journal_title：Obstetrics and gynecology clinics of North America

authors： Palefsky JM,Barrasso R

更新日期：1996-12-01 00:00:00

abstract：:The role of cytology in cervical cancer screening is rapidly evolving. Widespread implementation of The Bethesda System with its accompanying atlas has provided uniform terminology and criteria for reporting cervical pathology. The development of new methods for preparing cytologic specimens as well as many other scre...

journal_title：Obstetrics and gynecology clinics of North America

authors： Sherman ME,Kurman RJ

更新日期：1996-09-01 00:00:00

abstract：:The history of the medical success in treatment of the pregnant diabetic woman and her infant in the twentieth century illustrates how the combined efforts of dedicated clinicians and researchers have resulted in dramatic improvements in outcome for this patient group. This article discusses fetal growth, metabolic co...

journal_title：Obstetrics and gynecology clinics of North America

authors： Tyrala EE

更新日期：1996-03-01 00:00:00

abstract：:If the contraindications to hysteroscopy are observed, complications should be small. The risks of fluid overload, especially in operative cases, is the most common critical problem, so that accurate recording of fluid use and collection are essential. The inexperienced, unsupervised surgeon is most likely to encounte...

journal_title：Obstetrics and gynecology clinics of North America

authors： Loffer FD

更新日期：1995-09-01 00:00:00

abstract：:Hysteroscopy and hysterography approach the uterine cavity in different ways and each has advantages and limitations. Hysteroscopy is more accurate for the diagnosis of abnormalities that project into the uterine cavity such as polyps, submucous myomas, endometrial hyperplasia, and endometrial adenocarcinoma. Contrast...

journal_title：Obstetrics and gynecology clinics of North America

authors： Barbot J

更新日期：1995-09-01 00:00:00

abstract：:Puerperal inversion of the uterus is an unusual and potentially life-threatening event occurring in the third stage of labor, but when managed promptly and aggressively inversion can result in minimal maternal morbidity and mortality. Once the diagnosis of inversion is made, measures should be undertaken to manage and...

journal_title：Obstetrics and gynecology clinics of North America

authors： Wendel PJ,Cox SM

更新日期：1995-06-01 00:00:00

abstract：:Acute pulmonary dysfunction and distress is not uncommon in the obstetric patient. In these situations, however, a quick assessment and intervention is necessary in many cases. This article familiarizes the practicing obstetrician with the physiology and therapy to evaluate and effectively treat these patients. ...

journal_title：Obstetrics and gynecology clinics of North America

authors： Nolan TE,Hankins GD

更新日期：1995-03-01 00:00:00

abstract：:It is now widely accepted that cancer of the breast is a systemic disease and that some patients will not be cured even with the most extensive local treatment. This acceptance has resulted in a more conservative approach and participation of the patient in treatment planning. A number of factors influence the definit...

journal_title：Obstetrics and gynecology clinics of North America

authors： Marchant DJ

更新日期：1994-12-01 00:00:00

abstract：:Breast symptoms are appropriately evaluated by a breast-oriented history and by the diagnostic triad of clinical breast examination, FNA, and mammography. In the case of a palpable dominant mass, concordance of the diagnostic triad yields a reliable clinical diagnosis. If there is not concordance, or if there is any d...

journal_title：Obstetrics and gynecology clinics of North America

authors： Hindle WH

更新日期：1994-09-01 00:00:00

abstract：:Hormone replacement therapy should be discussed with every postmenopausal woman and should be the first therapy offered to treat hot flashes owing to its high efficacy and other beneficial properties. Women who are ineligible for or uncomfortable with estrogen replacement therapy and who suffer from hot flashes that i...

journal_title：Obstetrics and gynecology clinics of North America

authors： Ginsburg ES

更新日期：1994-06-01 00:00:00

abstract：:It is undeniable that most patients with advanced ovarian cancer derive benefit from primary cytoreductive surgery, with relief of symptoms, prolonged survival, improved quality of life, and establishment of a definitive diagnosis. Several questions, however, remain unanswered, including the relative effects of surgic...

journal_title：Obstetrics and gynecology clinics of North America

authors： Gershenson DM

更新日期：1994-03-01 00:00:00

abstract：:The surgical procedures used for the treatment of chronic pelvic pain, their indications, and success rates are reviewed. A thorough preoperative evaluation is presented that will enable the physician to detect patients at high risk for surgical failure and those who will be more appropriately managed with nonsurgical...

journal_title：Obstetrics and gynecology clinics of North America

authors： Parsons LH,Stovall TG

更新日期：1993-12-01 00:00:00

abstract：:The introduction of transabdominal fiberoptic thin-gauge visualization of the embryo or fetus in the first trimester allows an earlier diagnosis of congenital anomalies currently beyond the resolution of ultrasound. In addition, it has the true potential of providing access to the fetal circulation at an early age, an...

journal_title：Obstetrics and gynecology clinics of North America

authors： Quintero RA,Puder KS,Cotton DB

更新日期：1993-09-01 00:00:00

abstract：:There is approximately a 50% decrease in the fertility rate of unselected women attempting pregnancy at age 40 or older compared with younger women and a two to three fold increased rate of spontaneous abortion. Approximately 45% of older women achieve a term outcome, however. Proper counseling of the older patient sh...

journal_title：Obstetrics and gynecology clinics of North America

authors： Toner JP,Flood JT

更新日期：1993-06-01 00:00:00

abstract：:As women's doctors, we have a commitment and responsibility to promote effective cancer screening for cervical cancer and breast cancer. At present, the screening tests for ovarian cancer cannot be applied to the mass population. For an individual patient, however, the role of sonography, tumor markers, and physical e...

journal_title：Obstetrics and gynecology clinics of North America

authors： Runowicz CD,Goldberg GL,Smith HO

更新日期：1993-06-01 00:00:00