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This page shows you the most recent publications within this specialty of the MedWorm directory. This is page number 32.

Primary Ovarian Rhabdomyosarcoma
Journal of Gynecologic Surgery , Vol. 0, No. 0.
Source: Journal of Gynecologic Surgery - November 5, 2012 Category: OBGYN Tags: article Source Type: research

A randomized trial of vitamin D supplementation in 2 community health center networks in South Carolina
Conclusion: Maternal supplementation with vitamin D 2000 and 4000 IU/d during pregnancy improved maternal/neonatal vitamin D status. Evidence of risk reduction in infection, preterm labor, and preterm birth was suggestive, requiring additional studies powered for these endpoints.
Source: American Journal of Obstetrics and Gynecology - November 5, 2012 Category: OBGYN Authors: Carol L. Wagner, Rebecca McNeil, Stuart A. Hamilton, Joyce Winkler, Carolina Rodriguez Cook, Gloria Warner, Betty Bivens, Deborah J. Davis, Pamela G. Smith, Martha Murphy, Judy R. Shary, Bruce W. Hollis Tags: Obstetrics Source Type: research

Partial Colpectomy is a Risk Factor for Urologic Complications of Colorectal Resection for Endometriosis
Conclusion: Colorectal resection for endometriosis can lead to urologic complications, particularly for patients requiring partial colpectomy, of which patients need to be informed.
Source: The Journal of Minimally Invasive Gynecology - November 5, 2012 Category: OBGYN Authors: Sonia Zilberman, Marcos Ballester, Cyril Touboul, Elisabeth Chéreau, Philippe Sèbe, Marc Bazot, Emile Daraï Tags: Original Articles Source Type: research

The Pelvic Floor Complication Scale: a new instrument for reconstructive pelvic surgery
Conclusion: The PFCS compares favorably to the validated modified Clavien-Dindo instrument.
Source: American Journal of Obstetrics and Gynecology - November 5, 2012 Category: OBGYN Authors: Robert E. Gutman, Ingrid E. Nygaard, Wen Ye, David D. Rahn, Matthew D. Barber, Halina M. Zyczynski, Leslie Rickey, Charles W. Nager, R. Edward Varner, Kimberly Kenton, Kimberly J. Dandreo, Holly E. Richter, Pelvic Floor Disorders Network and the Urinary I Tags: Urogynecology Source Type: research

Vaginal progesterone or cerclage to prevent recurrent preterm birth?
Until recently, prevention of preterm birth (PTB) seemed to be an elusive goal. In the United States, the rate of PTB rose steadily from 9.4% in 1981 to a peak of 12.8% in 2006. Much of our clinical effort during this time involved tocolytic therapy, which proved to be generally ineffective at prolonging pregnancy or reducing the rate of neonatal complications. Until recently, antenatal corticosteroid treatment was practically the only evidence-based weapon in our arsenal to attack the problem of PTB.
Source: American Journal of Obstetrics and Gynecology - November 5, 2012 Category: OBGYN Authors: C. Andrew Combs Tags: Editorial Source Type: research

Denial of abortion care due to gestational age limits
Many women are denied wanted abortions in the US. This happens for medical, personal and financial reasons and because women are just too far advanced in pregnancy by the time they present at the abortion facility near them. In the US, each abortion facility sets their own gestational limits, based on physician training, clinician and staff comfort, facility regulations, institutional policy and legal restrictions. Although the phenomenon of women presenting at an abortion facility beyond the gestational limit is not uncommon, it has not been well documented or studied.
Source: Contraception - November 5, 2012 Category: OBGYN Authors: Diana Greene Foster, Loren M. Dobkin, Ushma D. Upadhyay Tags: Commentaries Source Type: research

The fetal head-symphysis distance: a simple and reliable ultrasound index of fetal station in labor.
Conclusions:Fetal head-symphysis distance is a new simple and reliable method for the assessment of fetal head descent in labor. Copyright © 2012 ISUOG. Published by John Wiley & Sons, Ltd. PMID: 23124698 [PubMed - as supplied by publisher]
Source: The Ultrasound Review of Obstetrics and Gynecology - November 5, 2012 Category: Radiology Authors: Youssef A, Maroni E, Ragusa A, De Musso F, Salsi G, Iammarino MT, Paccapelo A, Rizzo N, Pilu G, Ghi T Tags: Ultrasound Obstet Gynecol Source Type: research

Severe cerebral injury in a recipient with twin anemia-polycythemia sequence.
We report a case of TAPS detected antenatally by Doppler ultrasound examination at 15(+6) weeks' gestation. After counseling, the parents opted for an expectant management. Bi-weekly Doppler measurements were performed and remained fairly stable. An emergency Caesarean section was performed at 34(+5) weeks. The donor was severely anemic (hemoglobin level 4.3 g/dL) while the recipient twin had severe polycythemia-hyperviscosity (hemoglobin level 25.4 g/dL). On day 1, he developed respiratory insufficiency and subclinical status epilepticus. MRI showed a total loss of grey-white matter differentiation as sign of severe diffu...
Source: The Ultrasound Review of Obstetrics and Gynecology - November 5, 2012 Category: Radiology Authors: Lopriore E, Slaghekke F, Kersbergen K, de Vries L, Drogtrop A, Middeldorp J, Oepkes D, Benders M Tags: Ultrasound Obstet Gynecol Source Type: research

Fluid shift out of the fetal circulation during intrauterine red cell transfusion.
Conclusion Around one third of transfused volume is lost from the intravascular compartment already during intrauterine transfusion. A large variation, partly explained by volume and speed of transfusion, was observed. Neither severity of anemia or hydrops played a clear-cut role, thus other factors may explain the variation in fluid shift. The probability that hematocrit will still increase after transfusion, due to a continuing fluid shift, should be considered in transfusion policy. Advice is given on gestational age adjusted speed of transfusion. Copyright © 2012 ISUOG. Published by John Wiley & Sons, Ltd. PMI...
Source: The Ultrasound Review of Obstetrics and Gynecology - November 5, 2012 Category: Radiology Authors: Kamping MA, Pasman SA, Bil-van den Brink CP, Oepkes D, Adama van Scheltema PN, Vandenbussche FP Tags: Ultrasound Obstet Gynecol Source Type: research

Use of Specialty OB Consults During High-Risk Pregnancies in a Medicaid-Covered Population: Initial Impact of the Arkansas ANGELS Intervention
This study examines the impact of a Medicaid-supported intervention (Antenatal and Neonatal Guidelines, Education and Learning System) to expand a high-risk obstetrics consulting service on the use of specialty consults between 2001 and 2006. Using a Medicaid claims-birth certificate data set, we find a decline over time in use of specialty consults for lower risk diagnoses and a shift to remote modalities for contact. Local physician participation in grand rounds via teleconference was associated both with specialty contact and use of remote modalities. Local physician use of a Call Center service was also associated with...
Source: Medical Care Research and Review - November 5, 2012 Category: Health Management Authors: Bronstein, J. M., Ounpraseuth, S., Jonkman, J., Fletcher, D., Nugent, R. R., McGhee, J., Lowery, C. L. Tags: Empirical Research Source Type: research

Incidence, Risk Factors, and Obstetrical Outcomes of Women with Breast Cancer in Pregnancy
The objective of our study was to describe the incidence, risk factors, and obstetrical outcomes of breast cancer in pregnancy. We conducted a population‐based cohort study on 8.8 million births using data from the Healthcare Cost and Utilization Project – Nationwide Inpatient Sample from 1999–2008. The incidence of breast cancer was calculated and logistic regression analysis was used to evaluate the independent effects of demographic determinants on the diagnosis of breast cancer and to estimate the adjusted effect of breast cancer on obstetrical outcomes. There were 8,826,137 births in our cohort of which 573 ca...
Source: The Breast Journal - November 5, 2012 Category: Cancer & Oncology Authors: Haim Arie Abenhaim, Laurent Azoulay, Christina A. Holcroft, Lionel A. Bure, Jonathan Assayag, Alice Benjamin Tags: ORIGINAL ARTICLE Source Type: research

Peripartum outcomes and anaesthetic management of parturients with moderate to complex congenital heart disease or pulmonary hypertension*
This study provides detailed anaesthetic and peripartum management of women with congenital heart disease, a patient population in whom evidence‐based practice and data are largely lacking. We observed a predominance of neuraxial anaesthetic techniques, increased caesarean and operative delivery rates, and favourable maternal and neonatal outcomes. Multicentre studies and registries to compare anaesthetic and obstetric management strategies further and delineate risk factors for adverse outcomes are required.
Source: Anaesthesia - November 5, 2012 Category: Anesthesiology Authors: B. G. Maxwell, Y. Y. El‐Sayed, E. T. Riley, B. Carvalho Tags: Original Article Source Type: research

Advances in maternal fetal medicine practice
Abstract Maternal fetal medicine (MFM) is a subspecialty of obstetrics that focuses on identified risk pregnancies. The role includes obstetric ultrasound for fetal assessment and diagnosis of anomalies, invasive prenatal diagnosis and management of pregnancies complicated by maternal medical disorders, multiple fetuses and the antenatal management of extreme prematurity. Skill specialisation within MFM includes fetal interventions such as fetal shunting procedures, intrauterine transfusion, fetoscopic laser photocoagulation of anastomotic vessels for twin to twin transfusion syndrome and ex utero intrapartum treatment. MF...
Source: Journal of Paediatrics and Child Health - November 5, 2012 Category: Pediatrics Authors: Woo Syong Tan, Robert Guaran, Daniel Challis Source Type: research

Ethics and “Normal Birth”
Abstract The concept of “normal birth” has been promoted as ideal by several international organizations, although debate about its meaning is ongoing. In this article, I examine the concept of normalcy to explore its ethical implications and raise a trio of concerns. First, in its emphasis on nonuse of technology as a goal, the concept of normalcy may marginalize women for whom medical intervention is necessary or beneficial. Second, in its emphasis on birth as a socially meaningful event, the mantra of normalcy may unintentionally avert attention to meaning in medically complicated births. Third, the emphasis on birt...
Source: Birth - November 5, 2012 Category: OBGYN Authors: Anne Drapkin Lyerly Tags: Original Article Source Type: research

Labor Pain Management Other Than Neuraxial: What Do We Know and Where Do We Go Next?
Abstract Analgesia and coping with labor pain can prevent suffering during childbirth. Nonpharmacologic methods help women manage labor pain. Strong evidence is available for the efficacy of continuous one‐to‐one support from a woman trained to provide nonmedical care during labor, immersion in warm water during first‐stage labor, and sterile water injected intracutaneously or subcutaneously at locations near a woman's lumbosacral spine to reduce back‐labor pain. Sterile water injections also reduce the incidence of cesarean deliveries. Nitrous oxide labor analgesia is not potent, but helps women relax, gives them ...
Source: Birth - November 5, 2012 Category: OBGYN Authors: Judith P. Rooks Tags: Original Article Source Type: research

Every Woman Needs a Midwife, and Some Women Need a Doctor Too
Abstract Global recognition is increasing of the contribution of midwifery services to optimal outcomes for women and babies, and evidence around how to organize services and the roles of maternity providers. However, a sociological analysis can provide some insight into why the role of midwives varies so widely in different countries. Evidence is necessary, but more important is the role of the state in legalizing and financially supporting midwifery practice, how professional boundaries are negotiated in the maternity care domain, and consumer mobilization in support of midwifery and around maternity issues. (BIRTH 39:4 December 2012)
Source: Birth - November 5, 2012 Category: OBGYN Authors: Jane Sandall Tags: Original Article Source Type: research

Moving Beyond the Debate: A Holistic Approach to Understanding and Treating Effects of Neuraxial Analgesia
Abstract Neuraxial analgesia is here to stay, yet, spirited debate continues over potential harms and the quality of research that fails to identify them. This paper proposes moving beyond the debate and examining holistically the impact of neuraxial analgesia on the psychophysiology of mother and baby. A review of alterations in functioning of many systems is followed by a suggested four‐part protocol to partially restore normal physiology and emotional well‐being, and improve outcomes of neuraxial analgesia. (BIRTH 39:4 December 2012)
Source: Birth - November 5, 2012 Category: OBGYN Authors: Penny Simkin Tags: Original Article Source Type: research

Evidence‐Based Medicine and Perinatal Care: From Dawn to Dusk
Abstract Since the concept of “evidence‐based medicine” was first launched 20 years ago as a new method of teaching the practice of medicine, it has had an enormous impact on practice in many fields of health care. From the very start, professionals in pregnancy and perinatal care were at the forefront of attempts to collect good evidence systematically on the benefits and harms of health care interventions during pregnancy and in and around childbirth. Perinatal practice has largely benefitted from that endeavor. However, it has also suffered from the ill‐effects of the narrow view that evidence, to be good evide...
Source: Birth - November 5, 2012 Category: OBGYN Authors: Marc J. N. C. Keirse Tags: Original Article Source Type: research

Rediscovering the Social Model of Childbirth
Abstract The assumption is often made that women in a traditional birth culture are bound to benefit by its replacement with a medical system. In a technocratic system, birth usually takes place in an alien environment among strangers, with routine use of invasive procedures that are promoted by multinational drug and equipment companies. For many women, it is an experience comparable to rape that leads to posttraumatic stress disorder. We need to rediscover woman‐to‐woman support, celebrate birth as a social process, and acknowledge that it is a political issue. (BIRTH 39:4 December 2012)
Source: Birth - November 5, 2012 Category: OBGYN Authors: Sheila Kitzinger Tags: Original Article Source Type: research

Cesarean Section on Maternal Request: A Societal and Professional Failure and Symptom of a Much Larger Problem
Abstract The scientific literature was silent about a relationship of pelvic floor, urinary, and fecal incontinence and sexual issues with mode of birth until 1993, when Sultan et al's impressive rectal ultrasound studies were published. They showed that perirectal fibers were damaged in many vaginal births, but not as a result of a cesarean section. These findings helped to pioneer a new area of research, ultimately leading to increasing support among health professionals and the public that maternal choice of cesarean delivery could be justified—even that maternal choice and autonomous decision‐making trump other co...
Source: Birth - November 5, 2012 Category: OBGYN Authors: Michael C. Klein Tags: Original Article Source Type: research

Breastfeeding Triumphs
Abstract The Renaissance of breastfeeding is at hand. With the energy of an epidemic and the passion of a crusade, breastfeeding has become the norm for infant feeding. The World Health Organization (WHO) and the Centers for Disease Control and Prevention have affirmed breastfeeding's value to public health. Strong organizations such as the American Academy of Pediatrics, American College of Obstetricians and Gynecologists, American Association of Family Practice, and the Academy of Breastfeeding Medicine have confirmed the value of human milk. The discussion is over. Leading the charge is an eclectic group of health profe...
Source: Birth - November 5, 2012 Category: OBGYN Authors: Ruth A. Lawrence Tags: Original Article Source Type: research

Childbirth Across Cultures: Research and Practice
Abstract Countries and cultures differ in their approach to childbirth, as well as in their research practices. This paper examines 10 surveys of women's reports of their labor and birth in seven countries spanning North America and Western Europe and Eastern Europe. Similarities and differences in practice are highlighted, and the methodological difficulties of conducting research in cross‐cultural settings are examined. This paper discusses innovative and culturally unique perinatal practices that are not revealed by such surveys and stresses the importance of sharing such ideas globally. (BIRTH 39:4 December 2012)
Source: Birth - November 5, 2012 Category: OBGYN Authors: Beverley Chalmers Tags: Original Article Source Type: research

The Politics of Home Birth in the United States
Abstract Home birth has emerged as a political issue in several states in the United States, and this essay examines two aspects of home births politics. First, legislative battles over home birth policy do not conform to our typical models of partisan (i.e., Democratic vs Republican) politics, and attempts at advocacy cannot rely on classical strategies of alignment with a dominant party in a state. Second, the debates over home birth have increasingly begun to parallel current partisan battles in their emotion and intensity with the related gridlock and reluctance to consider compromises that are often necessary to achie...
Source: Birth - November 5, 2012 Category: OBGYN Authors: Eugene Declercq Tags: Original Article Source Type: research

Obstetric Variation, Intervention, and Outcomes: Doing More but Accomplishing Less
Abstract Obstetric interventions, particularly induction of labor and cesarean section, are done more and more commonly, although there is a wide variation between hospitals and practitioners in specific rates. This degree of variation implies imprecision and uncertainty about diagnoses and indicated management. Although the net result of this variation has been a “more is better” approach leading to increasing use of obstetric interventions, little evidence of commensurate improvements in outcome is available. A combined package of using currently available evidence, formulating best practices, instituting regular rev...
Source: Birth - November 5, 2012 Category: OBGYN Authors: J. Christopher Glantz Tags: Original Article Source Type: research

Spontaneous resolution of fetal dural sinus thrombosis following term delivery of a live infant
Source: Ultrasound in Obstetrics and Gynecology - November 5, 2012 Category: Radiology Authors: Y. Simsek, N. Oztanir, A. Sigirci, E. Celik, E. Yilmaz, O. Celik, C. Onal Tags: Picture of the Month Source Type: research

Reply
Source: Ultrasound in Obstetrics and Gynecology - November 5, 2012 Category: Radiology Authors: F. S. Molina, G. Rus, L. F. Gómez, J. Florido, K. H. Nicolaides Tags: Correspondence Source Type: research

Quantitative cervical elastography in pregnancy
Source: Ultrasound in Obstetrics and Gynecology - November 5, 2012 Category: Radiology Authors: A. Fruscalzo, R. Schmitz Tags: Correspondence Source Type: research

A challenging case of late‐onset gastroschisis
Source: Ultrasound in Obstetrics and Gynecology - November 5, 2012 Category: Radiology Authors: E. Blondiaux, L. Guilbaud, F. Auber, J. Rosenblatt, F. Richard, J‐M. Jouannic, H. Ducou Pointe, C. Garel Tags: Letter to the Editor Source Type: research

Polymicrogyria in a fetus with human parvovirus B19 infection: a case with radiologic–pathologic correlation
We report the prenatal magnetic resonance imaging (MRI) appearance of polymicrogyria with pathologic correlation in a fetus with congenital parvovirus B19 infection. Prenatal ultrasound revealed non‐immune hydrops, but detected no fetal brain abnormalities. A subsequent fetal MRI scan performed at 23 weeks' gestation demonstrated bilateral polymicrogyria, which was confirmed at autopsy. To our knowledge, prenatal diagnosis of polymicrogyria in association with congenital parvovirus B19 infection has not been previously described. This case provides further evidence for brain abnormalities resulting from congenital parvov...
Source: Ultrasound in Obstetrics and Gynecology - November 5, 2012 Category: Radiology Authors: J. Courtier, G. M. Schauer, J. T. Parer, A. C. Regenstein, P. W. Callen, O. A. Glenn Tags: Case Report Source Type: research

Accuracy of transvaginal sonography and contrast‐enhanced magnetic resonance‐colonography for the presurgical staging of deep infiltrating endometriosis
ConclusionsBoth TVS and CE‐MR‐C showed satisfactory results for the presurgical assessment of DIE. TVS appears to be a powerful, simple, feasible, cost‐effective tool for preoperative staging of DIE. CE‐MR‐C is an ‘X‐ray free’ technique, which could be reserved for cases with deep infiltrating rectosigmoid lesions and for the prediction of stenosis and involvement of the upper part of the colon and small intestine.
Source: Ultrasound in Obstetrics and Gynecology - November 5, 2012 Category: Radiology Authors: A. Vimercati, M. T. Achilarre, A. Scardapane, F. Lorusso, O. Ceci, G. Mangiatordi, G. Angelelli, B. Van Herendael, L. Selvaggi, S. Bettocchi Tags: Original Paper Source Type: research

Clinically oriented three‐step strategy for assessment of adnexal pathology
ConclusionA diagnostic strategy using simple descriptors and ultrasound rules when applied to the variables contained in the IOTA database obtains results that are at least as good as those obtained by subjective assessment of a mass by an expert. Copyright © 2012 ISUOG. Published by John Wiley & Sons, Ltd.
Source: Ultrasound in Obstetrics and Gynecology - November 5, 2012 Category: Radiology Authors: L. Ameye, D. Timmerman, L. Valentin, D. Paladini, J. Zhang, C. Van Holsbeke, A. A. Lissoni, L. Savelli, J. Veldman, A. C. Testa, F. Amant, S. Van Huffel, T. Bourne Tags: Original Paper Source Type: research

Impact of concomitant anterior vaginal reconstructive surgery on transobturator suburethral tape procedures
ConclusionsConcomitant anterior vaginal reconstructive surgery neither aggravates the functional outcome nor affects the ultrasound findings of TOT procedures.
Source: Ultrasound in Obstetrics and Gynecology - November 5, 2012 Category: Radiology Authors: W.‐C. Huang, S.‐H. Yang, J.‐M. Yang, C.‐R. Tzeng Tags: Original Paper Source Type: research

Does the presence of a Cesarean section scar influence the site of placental implantation and subsequent migration in future pregnancies: a prospective case–control study
ConclusionThe presence of CS scars in the uterus are associated with an increase in the number of posterior placentae and a reduced number that implant in the fundus of the cavity. Migration of a low‐lying placenta is independent of the presence of a CS scar in the uterus.
Source: Ultrasound in Obstetrics and Gynecology - November 5, 2012 Category: Radiology Authors: O. Naji, A. Daemen, A. Smith, Y. Abdallah, E. Bradburn, R. Giggens, D. C. Y. Chan, C. Stalder, S. Ghaem‐Maghami, D. Timmerman, T. Bourne Tags: Original Paper Source Type: research

Visibility and measurement of Cesarean section scars in pregnancy: a reproducibility study
ConclusionCS scars remain visible in the majority of women throughout pregnancy. They can be reproducibly measured in three dimensions when assessed by TVS in all trimesters of pregnancy. The agreement between two observers for CS scar measurement can be considered good for the first trimester, compared with relatively moderate agreement for the second and third trimesters.
Source: Ultrasound in Obstetrics and Gynecology - November 5, 2012 Category: Radiology Authors: O. Naji, A. Daemen, A. Smith, Y. Abdallah, S. Saso, C. Stalder, A. Sayasneh, A. McIndoe, S. Ghaem‐Maghami, D. Timmerman, T. Bourne Tags: Original Paper Source Type: research

First‐trimester combined screening for trisomy 21 with different combinations of placental growth factor, free β‐human chorionic gonadotropin and pregnancy‐associated plasma protein‐A
ConclusionIn pregnancies with trisomy 21 PlGF is reduced. The impact on the overall screening performance for trisomy 21 is low and does not justify the measurement of PlGF solely for trisomy 21 screening. However, as PlGF is measured with the aim of assessing the risk for pre‐eclampsia, further improvement in screening for trisomy 21 can be considered as an added benefit.
Source: Ultrasound in Obstetrics and Gynecology - November 5, 2012 Category: Radiology Authors: K. O. Kagan, M. Hoopmann, H. Abele, R. Alkier, K. LÜthgens Tags: Original Paper Source Type: research

Recurrent twin–twin transfusion syndrome after selective fetoscopic laser photocoagulation: a systematic review of the literature
ConclusionsThe published rate of TTTS recurrence following SFLP in monochorionic twin pregnancies ranges from 0 to 16%. Although limited follow‐up data suggest that recurrence is associated with significant perinatal mortality and morbidity, further study is needed. Currently, there are insufficient data available to guide recommendations for clinical management of TTTS recurrence. Future studies on SFLP for TTTS must include details on recurrence rates and provide outcome data specific to the recurrent subset.
Source: Ultrasound in Obstetrics and Gynecology - November 5, 2012 Category: Radiology Authors: C. A. Walsh, F. M. McAuliffe Tags: Systematic Review Source Type: research

Re: Accuracy of transvaginal sonography and contrast‐enhanced magnetic resonance‐colonography for the presurgical staging of deep infiltrating endometriosis. A. Vimercati, M.T. Achilarre, A. Scardapane, F. Lorusso, O. Ceci, G. Mangiatordi, G. Angelelli, B. Van Herendael, L. Selvaggi and S. Bettocchi. Ultrasound Obstet Gynecol 2012; 40: 592–603
Source: Ultrasound in Obstetrics and Gynecology - November 5, 2012 Category: Radiology Authors: L. Saba Tags: Referee Commentaries Source Type: research

Re: First‐trimester combined screening for trisomy 21 with different combinations of placental growth factor, free β‐human chorionic gonadotropin and pregnancy‐associated plasma protein‐A. K. O. Kagan, M. Hoopmann, H. Abele, R. Alkier and K. Lüthgens. Ultrasound Obstet Gynecol 2012; 40: 530–535
Source: Ultrasound in Obstetrics and Gynecology - November 5, 2012 Category: Radiology Authors: A. Galindo, I. Herraiz Tags: Referee Commentaries Source Type: research

Severe cerebral injury in a recipient with twin anemia‐polycythemia sequence
We report a case of TAPS detected antenatally by Doppler ultrasound examination at 15+6 weeks' gestation. After counseling, the parents opted for an expectant management. Bi‐weekly Doppler measurements were performed and remained fairly stable. An emergency Caesarean section was performed at 34+5 weeks. The donor was severely anemic (hemoglobin level 4.3 g/dL) while the recipient twin had severe polycythemia‐hyperviscosity (hemoglobin level 25.4 g/dL). On day 1, he developed respiratory insufficiency and subclinical status epilepticus. MRI showed a total loss of grey‐white matter differentiation as sign of severe dif...
Source: Ultrasound in Obstetrics and Gynecology - November 5, 2012 Category: Radiology Authors: E Lopriore, F Slaghekke, KJ Kersbergen, LS de Vries, AP Drogtrop, JM Middeldorp, D Oepkes, MJ Benders Tags: Case Report Source Type: research

The fetal head‐symphysis distance: a simple and reliable ultrasound index of fetal station in labor
Conclusions:Fetal head‐symphysis distance is a new simple and reliable method for the assessment of fetal head descent in labor. Copyright © 2012 ISUOG. Published by John Wiley & Sons, Ltd.
Source: Ultrasound in Obstetrics and Gynecology - November 5, 2012 Category: Radiology Authors: Aly Youssef, Elisa Maroni, Antonio Ragusa, Francesca De Musso, Ginevra Salsi, Maria Teresa Iammarino, Alexandro Paccapelo, Nicola Rizzo, Gianluigi Pilu, Tullio Ghi Tags: Original Paper Source Type: research

Regional variation in obstetrical intervention for hospital birth in the Republic of Ireland, 2005--2009
Conclusions: Substantial regional variation in intrapartum care was observed within this small, relatively homogeneous population. The association of intervention use with region illustrates the need to encourage uptake of scientific based practice guidelines to better inform clinical judgment.
Source: BMC Pregnancy and Childbirth - Latest articles - November 5, 2012 Category: OBGYN Authors: Jennifer LutomskiJohn MorrisonMona Lydon-Rochelle Source Type: research

Identifying implausible gestational ages in preterm babies with Bayesian mixture models
This article is a US Government work and is in the public domain in the USA.
Source: Statistics in Medicine - November 4, 2012 Category: Statistics Authors: Guangyu Zhang, Nathaniel Schenker, Jennifer D. Parker, Dan Liao Tags: Research Article Source Type: research

Circulating activin-A is elevated in postmenopausal women with low bone mass: the three-month effect of zoledronic acid treatment
Conclusions Serum activin-A is increased in postmenopausal women with low bone mass compared with postmenopausal women with normal bone mass and is positively correlated to age and negatively to LS BMD. Content Type Journal ArticleCategory Short CommunicationPages 1-6DOI 10.1007/s00198-012-2198-0Authors A. D. Anastasilakis, Department of Endocrinology, 424 General Military Hospital, Ring Road, 564 29 N.Efkarpia, Thessaloniki, GreeceS. A. Polyzos, Second Medical Clinic, Department of Medicine, Aristotle University of Thessaloniki, Ippokration General Hospital, Thessaloniki, GreeceP. Makras, Department...
Source: Osteoporosis International - November 3, 2012 Category: Orthopaedics Tags: Osteoporosis International Source Type: research

Lack of effect of concomitant stage II cystocele repair on lower urinary tract symptoms and surgical outcome after tension-free vaginal tape procedure: randomized controlled trial
Conclusions In patients with stage II cystocele and SUI, there was no difference in the surgical outcome and lower urinary tract symptoms between the TVT sling only group and concomitant repair group. Cystocele repair can be safely omitted in patients with stage II cystocele. Content Type Journal ArticleCategory Original ArticlePages 1-4DOI 10.1007/s00192-012-1961-2Authors Hyoung Keun Park, Department of Urology, School of Medicine, Konkuk University, 4-12 Hwayang-dong, Gwangjin-gu, Seoul, 143-729 South KoreaSung Hyun Paick, Department of Urology, School of Medicine, Konkuk University, 4-12 Hwayang-...
Source: International Urogynecology Journal - November 3, 2012 Category: OBGYN Tags: International Urogynecology Journal Source Type: research

[Particular maternal or fetal clinical conditions influencing the choice of the mode of delivery in case of previous cesarean.]
CONCLUSIONS: Only few particular clinical conditions justify, by themselves, a planned cesarean delivery (EL3). PMID: 23131716 [PubMed - as supplied by publisher]
Source: Journal de Gynecologie, Obstetrique et Biologie de la Reproduction - November 3, 2012 Category: OBGYN Authors: Schmitz T Tags: J Gynecol Obstet Biol Reprod (Paris) Source Type: research

A cross sectional study of satisfaction of in-patients in a private medical college hospital in A.P
Rajagopal Rao Kodali, P Sita RamacharyuluIndian Journal of Medical Sciences 2011 65(1):32-35Objectives: To study the level of satisfaction of in-patients and to find out the causes for dissatisfaction. Materials and Methods : Study area - Pinnamaneni Siddhartha General Hospital.Study population: In-patients admitted in the Medicine, Surgery, Obstetrics and Gynecology, Orthopedics wards. Sample size: 200. Study Design: A well designed cross-sectional study using pre tested structural pro forma. Duration of study: 2 Months. Survey method: The sample size is randomly selected. Respondent is the patient. Patient satisfaction w...
Source: Indian Journal of Medical Sciences - November 3, 2012 Category: Journals (General) Authors: Rajagopal Rao KodaliP Sita Ramacharyulu Source Type: research

Factors Associated with Depressive Symptoms in the Early Postpartum Period Among Women with Recent Gestational Diabetes Mellitus
In this study, cesarean delivery and greater gestational weight gain were correlated with postpartum depressive symptoms among women with recent GDM (Clinicaltrials.gov NCT01158131). Content Type Journal ArticlePages 1-8DOI 10.1007/s10995-012-1180-yAuthors Jacinda M. Nicklas, Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, Boston, MA, USALaura J. Miller, Department of Psychiatry, Brigham and Women’s Hospital, Boston, MA, USAChloe A. Zera, Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Brigham and Women’s Hospital, Boston, MA, USARoger B. Davis,...
Source: Maternal and Child Health Journal - November 2, 2012 Category: Health Management Tags: Maternal and Child Health Journal Source Type: research

Endoloop ligation technique for prolapsed pedunculated submucous uterine myoma: utility and reliability
Conclusions Endoloop ligation is feasible for eliminating prolapsed pedunculated submucous myoma. It is simple and safe and can be performed in the outpatient setting. Content Type Journal ArticleCategory General GynecologyPages 1-5DOI 10.1007/s00404-012-2610-1Authors Takafumi Ujihira, Department of Obstetrics and Gynecology, Juntendo Nerima Hospital, 3-1-10 Takanodai, Nerima-ku, Tokyo, 177-8521 JapanTsuyoshi Ota, Department of Obstetrics and Gynecology, Juntendo Nerima Hospital, 3-1-10 Takanodai, Nerima-ku, Tokyo, 177-8521 JapanHiroshi Nagano, Department of Obstetrics and Gynecology, Juntendo Nerima...
Source: Archives of Gynecology and Obstetrics - November 2, 2012 Category: OBGYN Tags: Archives of Gynecology and Obstetrics Source Type: research

Immune responses against human papillomavirus (HPV) infection and evasion of host defense in cervical cancer
Abstract Human papillomavirus (HPV) is the most important etiological factor for cervical cancer. A recent study demonstrated that more than 20 HPV types were thought to be oncogenic for uterine cervical cancer. Notably, more than one-half of women show cervical HPV infections soon after their sexual debut, and about 90 % of such infections are cleared within 3 years. Immunity against HPV might be important for elimination of the virus. The innate immune responses involving macrophages, natural killer cells, and natural killer T cells may play a role in the first line of defense against HPV infecti...
Source: Journal of Infection and Chemotherapy - November 2, 2012 Category: Infectious Diseases Tags: Journal of Infection and Chemotherapy Source Type: research

Improved Prenatal Detection of Congenital Heart Disease in an Integrated Health Care System
Abstract The reported prenatal detection rates (PDRs) for significant congenital heart disease (sCHD) have been suboptimal, even in the current era. Changes in prenatal ultrasound policy and training may lead to improved prenatal detection of sCHD. This study analyzed the results of a policy to assess fetal cardiac outflow tracts shown by screening prenatal ultrasound using the electronic medical record (EMR). During a 6-year period, fetuses and patients younger than 1 year with sCHD were identified. The EMR was used to gather detection and outcome data. As an internal control within the same health car...
Source: Pediatric Cardiology - November 2, 2012 Category: Cardiology Tags: Pediatric Cardiology Source Type: research