MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'American Journal of Obstetrics and Gynecology' source. Wed, 08 Feb 2012 23:00:52 +0100 http://www.medworm.com/index.php?rid=5650609&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811024380%2Fabstract%3Frss%3Dyes (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5650609 Wed, 01 Feb 2012 05:00:00 +0100 5650609 http://www.medworm.com/index.php?rid=5650608&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811024379%2Fabstract%3Frss%3Dyes (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5650608 Wed, 01 Feb 2012 05:00:00 +0100 5650608 http://www.medworm.com/index.php?rid=5650640&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811024173%2Fabstract%3Frss%3Dyes In the roundtable that follows, clinicians discuss a study published in this issue of the Journal in light of its methodology, relevance to practice, and implications for future research. Article discussed: Chen Y-H, Kang J-H, Lin C-C, et al. Obstructive sleep apnea and the risk of adverse pregnancy outcomes. Am J Obstet Gynecol 2012;206:136.e1-5. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5650640 Mon, 26 Dec 2011 05:00:00 +0100 5650640 http://www.medworm.com/index.php?rid=5539533&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811022587%2Fabstract%3Frss%3Dyes (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5539533 Sun, 25 Dec 2011 15:57:02 +0100 5539533 http://www.medworm.com/index.php?rid=5539532&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811022563%2Fabstract%3Frss%3Dyes (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5539532 Sun, 25 Dec 2011 15:57:02 +0100 5539532 http://www.medworm.com/index.php?rid=5650638&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811024264%2Fabstract%3Frss%3Dyes The article below summarizes a roundtable discussion of a study published in this issue of the Journal in light of its methodology, relevance to practice, and implications for future research. Article discussed: Chen Y-H, Kang J-H, Lin C-C, et al. Obstructive sleep apnea and the risk of adverse pregnancy outcomes. Am J Obstet Gynecol 2012;206:136.e1-5. The full discussion appears at www.AJOG.org, pages e1-2. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5650638 Fri, 23 Dec 2011 05:00:00 +0100 5650638 http://www.medworm.com/index.php?rid=5650639&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811024033%2Fabstract%3Frss%3Dyes When postpartum hemorrhage does not respond to medical treatment, arterial embolization or surgery is required. The surgical techniques of uterine compression or vascular ligation are attempted before resorting, if necessary, to hysterectomy. We have evaluated the efficacy of total uterine ligation, which is a new technique that combines vascular and uterine compression and avoids invasion of the uterine cavity, which can cause synechiae. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5650639 Mon, 19 Dec 2011 05:00:00 +0100 5650639 http://www.medworm.com/index.php?rid=5650612&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811024045%2Fabstract%3Frss%3Dyes A short cervix detected in midpregnancy by transvaginal sonography carries a high risk of early preterm birth (PTB). The shorter the transvaginal cervical length (TVCL) and the earlier in pregnancy a short cervix is detected, the higher the risk. The strong association between cervical shortening and early PTB raises 2 critical but independent clinical questions: (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5650612 Mon, 19 Dec 2011 05:00:00 +0100 5650612 http://www.medworm.com/index.php?rid=5650617&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811023581%2Fabstract%3Frss%3Dyes Objective: To determine whether the use of vaginal progesterone in asymptomatic women with a sonographic short cervix (≤25 mm) in the midtrimester reduces the risk of preterm birth and improves neonatal morbidity and mortality. Study Design: Individual patient data metaanalysis of randomized controlled trials. Results: Five trials of high quality were included with a total of 775 women and 827 infants. Treatment with vaginal progesterone was associated with a significant reduction in the rate of preterm birth (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5650617 Mon, 12 Dec 2011 05:00:00 +0100 5650617 http://www.medworm.com/index.php?rid=5443451&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811021843%2Fabstract%3Frss%3Dyes (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5443451 Fri, 25 Nov 2011 15:56:15 +0100 5443451 http://www.medworm.com/index.php?rid=5443450&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811021831%2Fabstract%3Frss%3Dyes (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5443450 Fri, 25 Nov 2011 15:56:15 +0100 5443450 http://www.medworm.com/index.php?rid=5539564&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS000293781102299X%2Fabstract%3Frss%3Dyes In the roundtable that follows, clinicians discuss a study published in this issue of the Journal in light of its methodology, relevance to practice, and implications for future research. Article discussed: Rose SB, Lawton BA. Impact of long-acting reversible contraception on return for repeat abortion. Am J Obstet Gynecol 2012;206:37.e1-6. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5539564 Mon, 21 Nov 2011 05:00:00 +0100 5539564 http://www.medworm.com/index.php?rid=5539563&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811022976%2Fabstract%3Frss%3Dyes An 84-year-old woman with a chronic indwelling Foley catheter for urinary incontinence was sent to the emergency department after 24 hours of gross hematuria. The patient was otherwise asymptomatic and denied fever, chills, dysuria, or any other pain. Urinalysis revealed the following: pH, 8; leukocyte esterase, 3+; and blood, 3+. A microscopic examination showed 12 white blood cells/high-power field, 5 red blood cells/high-power field, and many squamous epithelial cells. Mixed bacterial flora grew on a urine culture. Since the hematuria continued, a urinary cystogram was performed, and this disclosed a salpingovesical fistula–a communication between a fallopian tube and the bladder (). (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5539563 Mon, 21 Nov 2011 05:00:00 +0100 5539563 http://www.medworm.com/index.php?rid=5539562&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811022988%2Fabstract%3Frss%3Dyes The article below summarizes a roundtable discussion of a study published in this issue of the Journal in light of its methodology, relevance to practice, and implications for future research. Article discussed: Rose SB, Lawton BA. Impact of long-acting reversible contraception on return for repeat abortion. Am J Obstet Gynecol 2012;206:37.e1-6. The full discussion appears at www.AJOG.org, pages e10-11. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5539562 Mon, 21 Nov 2011 05:00:00 +0100 5539562 http://www.medworm.com/index.php?rid=5650621&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811022241%2Fabstract%3Frss%3Dyes Conclusion: Primary and secondary chronic hypertension were both strongly associated with adverse pregnancy outcomes and accounted for a substantial fraction of maternal morbidity. Prioritizing research efforts in this area is needed. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5650621 Wed, 09 Nov 2011 05:00:00 +0100 5650621 http://www.medworm.com/index.php?rid=5650620&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS000293781102223X%2Fabstract%3Frss%3Dyes Conclusion: Obstetrician-gynecologists' beliefs about when pregnancy begins appear to be shaped significantly by whether they object to abortion and by the importance of religion in their lives. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5650620 Wed, 09 Nov 2011 05:00:00 +0100 5650620 http://www.medworm.com/index.php?rid=5650611&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811022277%2Fabstract%3Frss%3Dyes Categorization, such as that represented by the taxonomy of Linnaeus and periodic table of Mendeleev, can help us make sense of and understand the world around us. The success of systems such as these underscores the lack of accepted categories and the corresponding dearth of insight that we have with regard to preterm birth, despite the fact that it remains one of our major public health problems. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5650611 Wed, 09 Nov 2011 05:00:00 +0100 5650611 http://www.medworm.com/index.php?rid=5366304&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811011720%2Fabstract%3Frss%3Dyes In response to a reader's query about possible conflicts of interest relative to a Letter to the Editor published in the May issue of the Journal (O'Brien JM. 17-hydroxy progesterone caproate, progesterone, preterm birth prevention, and safety; who decides? Someone should. Am J Obstet Gynecol 2011;204:5.e16-7) Dr John O'Brien wishes to disclose the following: (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5366304 Tue, 01 Nov 2011 04:00:00 +0100 5366304 http://www.medworm.com/index.php?rid=5366277&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811012178%2Fabstract%3Frss%3Dyes (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5366277 Tue, 01 Nov 2011 04:00:00 +0100 5366277 http://www.medworm.com/index.php?rid=5366276&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811012166%2Fabstract%3Frss%3Dyes (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5366276 Tue, 01 Nov 2011 04:00:00 +0100 5366276 http://www.medworm.com/index.php?rid=5650632&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811021727%2Fabstract%3Frss%3Dyes Conclusion: The angle of progression measurements obtained by transperineal ultrasound and open MRI showed very good agreement. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5650632 Fri, 28 Oct 2011 04:00:00 +0100 5650632 http://www.medworm.com/index.php?rid=5650629&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811021685%2Fabstract%3Frss%3Dyes Conclusion: Maternal report of pregnancy, labor, and birth factors was very reliable and considered more accurate in relation to maternal position in labor and birth, smoking, prior terminations, and miscarriages. Use of routine birthing outcome summaries may introduce measurement error as hospitals differ in their definitions and reporting practices. Using primary data sources (eg, partograms) with clearly defined prespecified criteria will provide the most accurate obstetric exposure and outcome data. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5650629 Fri, 28 Oct 2011 04:00:00 +0100 5650629 http://www.medworm.com/index.php?rid=5650616&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811021715%2Fabstract%3Frss%3Dyes Preterm birth is a syndrome with many causes and phenotypes. We propose a classification that is based on clinical phenotypes that are defined by ≥1 characteristics of the mother, the fetus, the placenta, the signs of parturition, and the pathway to delivery. Risk factors and mode of delivery are not included. There are 5 components in a preterm birth phenotype: (1) maternal conditions that are present before presentation for delivery, (2) fetal conditions that are present before presentation for delivery, (3) placental pathologic conditions, (4) signs of the initiation of parturition, and (5) the pathway to delivery. This system does not force any preterm birth into a predefined phenotype and allows all relevant conditions to become part of the phenotype. Needed data can be collected fr... American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5650616 Fri, 28 Oct 2011 04:00:00 +0100 5650616 http://www.medworm.com/index.php?rid=5650615&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811021703%2Fabstract%3Frss%3Dyes A comprehensive classification system for preterm birth requires expanded gestational boundaries that recognize the early origins of preterm parturition and emphasize fetal maturity over fetal age. Exclusion of stillbirths, pregnancy terminations, and multifetal gestations prevents comprehensive consideration of the potential causes and presentations of preterm birth. Any step in parturition (cervical softening and ripening, decidual-membrane activation, and/or myometrial contractions) may initiate preterm parturition, and should be recorded for every preterm birth, as should the condition of the mother, fetus, newborn, and placenta, before a phenotype is assigned. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5650615 Fri, 28 Oct 2011 04:00:00 +0100 5650615 http://www.medworm.com/index.php?rid=5650614&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811021697%2Fabstract%3Frss%3Dyes In 2009, the Global Alliance to Prevent Prematurity and Stillbirth Conference charged the authors to propose a new comprehensive, consistent, and uniform classification system for preterm birth. This first article reviews issues related to measurement of gestational age, clinical vs etiologic phenotypes, inclusion vs exclusion of multifetal and stillborn infants, and separation vs combination of pathways to preterm birth. The second article proposes answers to the questions raised here, and the third demonstrates how the proposed system might work in practice. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5650614 Fri, 28 Oct 2011 04:00:00 +0100 5650614 http://www.medworm.com/index.php?rid=5443480&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811021600%2Fabstract%3Frss%3Dyes Clinical and ultrasound examinations raised suspicion for an ectopic pregnancy in a 42-year-old woman. She had a history of right salpingectomy because of a tubal pregnancy. Intraabdominal inspection revealed an interstitial or cornual pregnancy in the right uterine cornu. Laparoscopy was performed. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5443480 Mon, 24 Oct 2011 04:00:00 +0100 5443480 http://www.medworm.com/index.php?rid=5443479&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811021612%2Fabstract%3Frss%3Dyes A 29-year-old woman, at 40 weeks' gestation in her first pregnancy, was admitted to the maternity ward, and labor was induced with prostaglandins. Surprisingly, a subsequent vaginal examination revealed a mass behind the posterior vaginal wall. Although the patient had undergone routine vaginal examinations during her pregnancy, this was the first time the tumor was detected. Its presence prevented progression of fetal descent, despite active pushing during the second stage of delivery. Assisted delivery was considered and then accomplished with a vacuum pump. The baby, a healthy boy, weighed 4300 g and had an Apgar score of 9/10. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5443479 Mon, 24 Oct 2011 04:00:00 +0100 5443479 http://www.medworm.com/index.php?rid=5539546&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811013160%2Fabstract%3Frss%3Dyes Conclusion: Autopsy, placental examination, cytogenetic analysis, and testing for fetal maternal hemorrhage are basic tests for workup after fetal death. Based on the results of these tests or on specific clinical characteristics, further sequential testing is indicated. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5539546 Fri, 21 Oct 2011 04:00:00 +0100 5539546 http://www.medworm.com/index.php?rid=5539534&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811013159%2Fabstract%3Frss%3Dyes Stillbirth is one of the most devastating, as well as common, obstetric complications, affecting over 3 million pregnancies per year throughout the world. Definitions of stillbirth (and thus stillbirth rates) vary in different countries, based on gestational age. In the United States, stillbirth (defined as fetal death at ≥20 weeks' gestation) affects about 1 in 160 pregnancies (6-7 per 1000 births). The rate is similar in most high-income countries (3-5 per 1000 births), but is considerably higher (20-100 per 1000 births) in low- and middle-income countries. A recent series published in the Lancet underscored the relative lack of attention and research funding stillbirth has received, as well as suggestions for reducing the rate of stillbirth. (Source: American Journal of Obstetrics and... American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5539534 Fri, 21 Oct 2011 04:00:00 +0100 5539534 http://www.medworm.com/index.php?rid=5650645&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS000293781101297X%2Fabstract%3Frss%3Dyes We read with interest the article by Dr de Bie and colleagues assessing the screening history of women with cervical cancer in which half were never screened before diagnosis. Given recent guideline revisions on cervical cancer screening, which no longer recommend routine annual examinations for all women, there is a need to promote the continued importance of screening, especially for women at increased risk. Women identified in guidelines as high-risk include women with human immunodeficiency virus or those previously treated for advanced cervical intraepithelial neoplasia. Although women with inflammatory bowel disease (IBD) are unnamed among the high-risk, numerous articles published in recent years support an increased risk of cervical abnormalities, largely attributed to the use of i... American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5650645 Mon, 17 Oct 2011 04:00:00 +0100 5650645 http://www.medworm.com/index.php?rid=5650630&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811012981%2Fabstract%3Frss%3Dyes Objective: We sought to determine an optimal gestational-age cutoff of preterm twin deliveries for predicting subsequent singleton preterm birth (PTB). Study Design: We performed a retrospective study of women with a spontaneous twin delivery who subsequently had a singleton gestation. Univariate and multivariate analyses determined the risk of a spontaneous singleton PTB after a PTB of a twin gestation. Different gestational-age cutoffs of the previous twin PTB were evaluated. Results: Among 255 women, previous twin PTB at (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5650630 Mon, 17 Oct 2011 04:00:00 +0100 5650630 http://www.medworm.com/index.php?rid=5650644&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811012725%2Fabstract%3Frss%3Dyes We thank Drs Illuzzi and Bracken for their letter to the editor regarding our article which ascertained the association between the use of electronic fetal monitoring (EFM) and risk of adverse infant morbidity and mortality. We concur that one of the strengths of our investigation is the large sample size but there are other strengths as well. The first is the consistency of our findings with those previously reported, and subsequently corroborated by a large metaanalysis with respect to operative deliveries and perinatal mortality. The second is the number needed to treat (NNT) to avert 1 neonatal death in our analysis is similar to prior publications. The third is the biologic plausibility of our findings. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5650644 Thu, 13 Oct 2011 04:00:00 +0100 5650644 http://www.medworm.com/index.php?rid=5650643&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811012713%2Fabstract%3Frss%3Dyes Chen et al found decreased early neonatal mortality rates among infants who were recorded on birth certificates as having had electronic fetal monitoring (EFM) during labor compared with those who did not have EFM recorded on the birth certificate. The authors invoke the large size of this study as a major strength over RCTs comparing EFM and intermittent auscultation (IA). At first glance, this observational study would seem to affirm widely supported, validated recommendations to monitor the fetal heart rate during labor, but on closer examination many of its findings may be substantially biased. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5650643 Thu, 13 Oct 2011 04:00:00 +0100 5650643 http://www.medworm.com/index.php?rid=5650637&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811012701%2Fabstract%3Frss%3Dyes Conclusion: The availability and ongoing validation of normative fetal brain growth trajectories will provide important tools for early detection of impaired fetal brain growth upon which to manage high-risk pregnancies. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5650637 Thu, 13 Oct 2011 04:00:00 +0100 5650637 http://www.medworm.com/index.php?rid=5443481&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811012841%2Fabstract%3Frss%3Dyes In the roundtable that follows, clinicians discuss a study published in this issue of the Journal in light of its methodology, relevance to practice, and implications for future research. Article discussed:Quintero RA, Quintero LF, Chmait R, et al. The quantitative lung index (QLI): a gestational age–independent sonographic predictor of fetal lung growth. Am J Obstet Gynecol 2011;205:544.e1-8. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5443481 Thu, 13 Oct 2011 04:00:00 +0100 5443481 http://www.medworm.com/index.php?rid=5443478&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS000293781101283X%2Fabstract%3Frss%3Dyes The article below summarizes a roundtable discussion of a study published in this issue of the Journal in light of its methodology, relevance to practice, and implications for future research. Article discussed:Quintero RA, Quintero LF, Chmait R, et al. The quantitative lung index (QLI): a gestational age–independent sonographic predictor of fetal lung growth. Am J Obstet Gynecol 2011;205:544.e1-8.The full discussion appears at www.AJOG.org, pages e1-2. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5443478 Thu, 13 Oct 2011 04:00:00 +0100 5443478 http://www.medworm.com/index.php?rid=5650627&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811012671%2Fabstract%3Frss%3Dyes Conclusion: Intrapartum sentinel events are associated with a high incidence of perinatal morbidity and hypoxic-ischemic encephalopathy. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5650627 Fri, 07 Oct 2011 04:00:00 +0100 5650627 http://www.medworm.com/index.php?rid=5650625&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811012683%2Fabstract%3Frss%3Dyes Conclusion: A strong association between hypertensive disorders of pregnancy and an increased risk of atherosclerosis and cardiovascular diseases was demonstrated by the assessment of risk factors that can be potentially modified. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5650625 Fri, 07 Oct 2011 04:00:00 +0100 5650625 http://www.medworm.com/index.php?rid=5275962&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811005102%2Fabstract%3Frss%3Dyes Infants born at (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5275962 Sat, 01 Oct 2011 04:00:00 +0100 5275962 http://www.medworm.com/index.php?rid=5275961&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811005096%2Fabstract%3Frss%3Dyes In the 3 large, well-done randomized placebo-controlled trials, antenatal magnesium sulfate (MgSO4) reduced the risk of cerebral palsy among children who survived early preterm birth. Crowther and colleagues studied 1062 women. Moderate or severe cerebral palsy (inability to walk unaided) was significantly less frequent among children in the MgSO4 group, 3.4% vs 6.6%. In the National Institutes of Health Maternal-Fetal Medicine Units Network trial (the BEAM trial) 2241 women were enrolled. As in the trial of Crowther et al, MgSO4 significantly reduced the risk of moderate to severe cerebral palsy, 1.9% vs 3.5%. Among the offspring of women randomized (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5275961 Sat, 01 Oct 2011 04:00:00 +0100 5275961 http://www.medworm.com/index.php?rid=5275960&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811001694%2Fabstract%3Frss%3Dyes THE ISSUE: Cerebral palsy is infrequent, but causes devastating neurologic consequences in preterm infants. Three recent randomized trials and several metaanalyses have evaluated the role of antenatal magnesium sulfate for neuroprotection in patients at risk for early preterm delivery. Despite the recommendations from the metaanalyses, there is uncertainty about whether to treat or who to treat, if any, with magnesium sulfate. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5275960 Sat, 01 Oct 2011 04:00:00 +0100 5275960 http://www.medworm.com/index.php?rid=5275958&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811010969%2Fabstract%3Frss%3Dyes (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5275958 Sat, 01 Oct 2011 04:00:00 +0100 5275958 http://www.medworm.com/index.php?rid=5275957&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811010957%2Fabstract%3Frss%3Dyes (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5275957 Sat, 01 Oct 2011 04:00:00 +0100 5275957 http://www.medworm.com/index.php?rid=5650633&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811012063%2Fabstract%3Frss%3Dyes Conclusion: These preliminary data suggest PlGF may identify placental IUGR antenatally. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5650633 Mon, 26 Sep 2011 04:00:00 +0100 5650633 http://www.medworm.com/index.php?rid=5650624&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811012117%2Fabstract%3Frss%3Dyes Conclusion: Incidence of neurodevelopmental impairment in children treated with intrauterine transfusion for fetal alloimmune anemia is low (4.8%). Prevention of fetal hydrops, the strongest preoperative predictor for impaired neurodevelopment, by timely detection, referral and treatment may improve long-term outcome. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5650624 Mon, 26 Sep 2011 04:00:00 +0100 5650624 http://www.medworm.com/index.php?rid=5650623&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811012105%2Fabstract%3Frss%3Dyes Conclusion: Women who deliver their first baby with a cesarean are at increased risk of adverse reproductive outcomes in subsequent pregnancies and should be counseled accordingly. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5650623 Mon, 26 Sep 2011 04:00:00 +0100 5650623 http://www.medworm.com/index.php?rid=5650619&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811012087%2Fabstract%3Frss%3Dyes Conclusion: The administration of naproxen resulted in a reduction in bleeding and spotting days compared with placebo. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5650619 Mon, 26 Sep 2011 04:00:00 +0100 5650619 http://www.medworm.com/index.php?rid=5539566&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811012129%2Fabstract%3Frss%3Dyes We report a case of sex cord tumor with annular tubules featuring a giant multilocular cyst, grossly similar to cystadenoma, in the ovary of an 8.5 year old girl. Estrogen-related symptoms, including precocious puberty and irregular uterine bleeding, immediately improved after tumor resection. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5539566 Mon, 26 Sep 2011 04:00:00 +0100 5539566 http://www.medworm.com/index.php?rid=5539565&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811012051%2Fabstract%3Frss%3Dyes We report a case of postpartum hemorrhage in which conservative interventions had failed. The use of a chitosan-covered gauze that originally was developed for combat trauma allowed us to achieve hemostasis, and a seemingly inevitable hysterectomy was avoided. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5539565 Mon, 26 Sep 2011 04:00:00 +0100 5539565 http://www.medworm.com/index.php?rid=5539545&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811012099%2Fabstract%3Frss%3Dyes Conclusion: After accounting for labor duration, induction is not associated with an increased risk of uterine rupture in women undergoing TOLAC. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5539545 Mon, 26 Sep 2011 04:00:00 +0100 5539545 http://www.medworm.com/index.php?rid=5539544&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811012130%2Fabstract%3Frss%3Dyes Conclusion: Selective intervention constitutes the highest utility and least costly treatment for infants at the margin of viability. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5539544 Mon, 26 Sep 2011 04:00:00 +0100 5539544 http://www.medworm.com/index.php?rid=5443483&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS000293781101204X%2Fabstract%3Frss%3Dyes Using prenatal BACs-on-Beads technology, the first prenatal case of Williams-Beuren syndrome (WBS) was diagnosed. In light of this result, an ultrasound scan confirmed the presence of well-characterized features of WBS. This case report emphasizes the fact that new genomic technologies will generate prenatal information and provide helpful additional information. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5443483 Mon, 26 Sep 2011 04:00:00 +0100 5443483 http://www.medworm.com/index.php?rid=5443453&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811012014%2Fabstract%3Frss%3Dyes Tamoxifen (T) is a synthetic antiestrogen having both agonist and antiagonist properties. It was originally developed as a contraceptive that was successful in rats but not in women. In fact, ovulation was induced in some. Its estrogen agonist is noted in the bone, liver, endometrium, and vaginal epithelium, whereas its antiagonist effects are mainly on the breast duct endothelium and the central nervous system. T was shown to block estrogen binding to human tumor estrogen receptors (ER) in a rat and this led to testing breast cancer in women. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5443453 Mon, 26 Sep 2011 04:00:00 +0100 5443453 http://www.medworm.com/index.php?rid=5366315&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811012038%2Fabstract%3Frss%3Dyes In February 2011, a 67-year-old multiparous woman with a 2-month history of postmenopausal bleeding was admitted to a local hospital, where a cervical biopsy was performed. Histopathologic examination of the tissue sample indicated a cervical malignant melanoma. She was then referred to our institution. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5366315 Mon, 26 Sep 2011 04:00:00 +0100 5366315 http://www.medworm.com/index.php?rid=5366279&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811012075%2Fabstract%3Frss%3Dyes The article titled “Individual deviations of human chorionic gonadotropin concentrations during pregnancy” was published in March 2011 (Am J Obstet Gynecol 2011;204:349.e1-7). The Journal received an allegation that the author failed to declare conflict of interest and that the assays that were used for determinations of human chorionic gonadotropin (hCG) and luteinizing hormone (LH) were flawed. In accordance with the published guidelines of the Journal, the initial inquiry process was conducted to investigate the allegation. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5366279 Mon, 26 Sep 2011 04:00:00 +0100 5366279 http://www.medworm.com/index.php?rid=5650642&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS000293781101194X%2Fabstract%3Frss%3Dyes We thank Dr Gercel-Taylor et al for their interest in our recent article. In the letter, they ask about the selection of the subjects who were included in the study. Subjects were selected from among 2929 women in the original study. Cases were selected randomly by an independent statistical center. Thereafter, control subjects were chosen by matching on maternal race, gestational age at sampling, and site of enrollment. Such selection of cases and matching of control subjects should eliminate these biases in the sample. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5650642 Thu, 22 Sep 2011 04:00:00 +0100 5650642 http://www.medworm.com/index.php?rid=5650641&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811011938%2Fabstract%3Frss%3Dyes We read the article by Esplin et al on the proteomic identification of serum peptides that predict subsequent spontaneous preterm birth with great interest because it is a very relevant topic. However, there appears to be biased sample selection and incomplete statistical analysis that lead to results that need additional interpretation. In study 1, 40 cases (spontaneous preterm birth) and 40 control subjects were selected from 2929 women who were eligible with serum samples at 24 weeks' gestation. It is not clear whether the cases were matched with control subjects. In study 2, another 40 cases (spontaneous preterm birth) and another 40 control subjects were selected from 2929 women who were eligible with serum samples at 28 weeks gestation. Again, it does not appear that cases and contro... American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5650641 Thu, 22 Sep 2011 04:00:00 +0100 5650641 http://www.medworm.com/index.php?rid=5650613&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811011732%2Fabstract%3Frss%3Dyes One standard by which obstetrical practice is measured is the ability to achieve a time line of ≤30 minutes from decision for surgery to time of surgical incision for women in labor for whom a cesarean delivery is indicated due to fetal intolerance to labor. We reviewed our institution's performance regarding this standard and identified an initial rate of 25% of cases actually meeting this standard. Using a program of continuous quality improvement, various systematic and individual barriers were identified and overcome resulting in a significant change in performance. This is a report of the various processes and identified areas of challenge encountered to improve on the ability to achieve this important standard of care. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5650613 Tue, 20 Sep 2011 04:00:00 +0100 5650613 http://www.medworm.com/index.php?rid=5650610&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811011744%2Fabstract%3Frss%3Dyes The fifth edition of Standards for Obstetrics and Gynecology published in 1982 stated that, “An obstetric service that generally cares for high-risk patients should be staffed and equipped to handle emergencies and to be able to begin cesarean delivery within 15 minutes.” However, in 1987, Shiono et al reported that in a survey of 538 hospitals almost all hospitals had the ability to perform an emergency cesarean section within 30 minutes; and therefore the 15-minute rule was changed in 1988 to a 30-minute rule in the sixth edition of the American College of Obstetricians and Gynecologists (ACOG) Standards for Obstetric Services as well in the second edition of the Guidelines for Perinatal Care. Since then, labor and delivery units all across the United States have been held to this 30... American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5650610 Tue, 20 Sep 2011 04:00:00 +0100 5650610 http://www.medworm.com/index.php?rid=5650634&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811011707%2Fabstract%3Frss%3Dyes Conclusion: Preeclampsia is not associated with FOXP3 gene polymorphisms that have been associated with other autoimmune disorders. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5650634 Fri, 16 Sep 2011 04:00:00 +0100 5650634 http://www.medworm.com/index.php?rid=5650622&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811011719%2Fabstract%3Frss%3Dyes Conclusion: Pregnant women with OSA are at increased risk for having LBW, preterm, and SGA infants, CS, and preeclampsia, compared with pregnant women without OSA. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5650622 Fri, 16 Sep 2011 04:00:00 +0100 5650622 http://www.medworm.com/index.php?rid=5443470&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811011549%2Fabstract%3Frss%3Dyes Conclusion: Women who undergo lymphadenectomy are less likely to receive whole pelvic radiotherapy. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5443470 Fri, 16 Sep 2011 04:00:00 +0100 5443470 http://www.medworm.com/index.php?rid=5443461&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS000293781101163X%2Fabstract%3Frss%3Dyes Objective: We sought to estimate the cost-effectiveness of magnesium neuroprophylaxis for all women at risk for preterm birth (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5443461 Fri, 16 Sep 2011 04:00:00 +0100 5443461 http://www.medworm.com/index.php?rid=5443452&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811011562%2Fabstract%3Frss%3Dyes The contemporary view of endometrial cancer suggests that most women, fortunately, have low-risk disease, with a low probability of recurrence following hysterectomy. Identifying the smaller subset of patients with disease spread at presentation or who may benefit from adjuvant therapy remains the challenge. Risk of disease recurrence and survival has been related to simple models evaluating uterine characteristics, nodal status, and use of adjuvant therapy. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5443452 Fri, 16 Sep 2011 04:00:00 +0100 5443452 http://www.medworm.com/index.php?rid=5650631&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811011483%2Fabstract%3Frss%3Dyes Conclusion: Improved prenatal screening and administration of indicated treatments or interventions, particularly for syphilis, GBS, chlamydia, and gonorrhea, will further protect newborns from infection. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5650631 Fri, 09 Sep 2011 04:00:00 +0100 5650631 http://www.medworm.com/index.php?rid=5650626&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811011495%2Fabstract%3Frss%3Dyes Conclusion: Umbilical cord blood cytokine values are higher than maternal levels, suggesting significant fetal/placental contribution. Maternal and umbilical cord cytokine levels are not adequately predictive to be used clinically. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5650626 Fri, 09 Sep 2011 04:00:00 +0100 5650626 http://www.medworm.com/index.php?rid=5171446&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811008374%2Fabstract%3Frss%3Dyes In a Review in the January 2010 issue of the Journal (Lancaster CA, Gold KJ, Flynn HA, Yoo H, Marcus SM, Davis MM. Risk factors for depressive symptoms during pregnancy: a systematic review. Am J Obstet Gynecol 2010;202:5-14), an author's affiliation was erroneously listed as “Mr.” The fourth author, Harim Yoo, is Ms Yoo. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5171446 Mon, 29 Aug 2011 19:34:44 +0100 5171446 http://www.medworm.com/index.php?rid=5171421&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811005084%2Fabstract%3Frss%3Dyes Oligohydramnios, or decreased amniotic fluid, is associated with morbidities (cesarean delivery [CD] for nonreassuring fetal heart rate tracing [NR FHR], low Apgar score) and mortality, even among nonanomalous fetuses. Summation of the deepest pocket measurement in 4 quadrants, called the amniotic fluid index (AFI), or measuring the single deepest pocket (SDP) in any quadrant is used to sonographically assess amniotic fluid. The AFI should be abandoned in favor of SDP because metaanalysis of 5 randomized clinical trials (RCTs), with more than 3200 women, noted that use of AFI significantly increased the likelihood of being categorized as oligohydramnios, being induced and undergoing CD for NR FHR, without concomitant improvement in neonatal outcomes. Additionally, the substantial literatur... American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5171421 Mon, 29 Aug 2011 19:34:39 +0100 5171421 http://www.medworm.com/index.php?rid=5171420&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811005072%2Fabstract%3Frss%3Dyes Oligohydramnios, defined either as an amniotic fluid index (AFI) of less than 5, an AFI less than the fifth percentile for gestational age, or a maximum vertical pocket of less than 2 cm is a complication of pregnancy that leads to concern for both the patient and their provider. After approximately 16 weeks' gestation, amniotic fluid concentration is determined by fetal urine excretion, secretion by the fetal respiratory tract, and fetal swallowing. A defect in any of these 3 can lead to either oligo- or polyhydramnios. The most common cause of oligohydramnios is ruptured membranes. Other causes include congenital anomalies and postdates pregnancies. However, when the etiology is unclear, management of this complication can be confusing at best. Does early delivery prevent impending fetal... American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5171420 Mon, 29 Aug 2011 19:34:39 +0100 5171420 http://www.medworm.com/index.php?rid=5171419&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811001712%2Fabstract%3Frss%3Dyes THE ISSUE: Although there is an agreement that oligohydramnios is associated with poor outcomes (growth restriction, operative delivery, stillbirth), there is a disagreement about how to define inadequate amniotic fluid and how to manage these pregnancies, especially when preterm. Considering there are no practice bulletins on the topic, there is conundrum on how to manage women with oligohydramnios and intact membranes, especially at 340/7 to 366/7 weeks. The options include delivery to avoid the unforeseeable complication of stillbirth despite surveillance vs observations to avoid sequelae of late preterm birth. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5171419 Mon, 29 Aug 2011 19:34:38 +0100 5171419 http://www.medworm.com/index.php?rid=5171418&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811009665%2Fabstract%3Frss%3Dyes (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5171418 Mon, 29 Aug 2011 19:34:38 +0100 5171418 http://www.medworm.com/index.php?rid=5171417&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811009653%2Fabstract%3Frss%3Dyes (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5171417 Mon, 29 Aug 2011 19:34:38 +0100 5171417 http://www.medworm.com/index.php?rid=5650628&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811010763%2Fabstract%3Frss%3Dyes Objective: We sought to evaluate the impact of severity of growth restriction on mortality and major neonatal morbidity among very-low-birthweight small-for-gestational-age infants. Study Design: This was a population-based observational study using data collected by the Israel National Very-Low-Birth-Weight Infant Database 1995 through 2007 including infants 24-31 weeks' gestation, with birthweight (BW) ≤50th percentile without major malformations. Four BW percentile groups were considered: (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5650628 Mon, 29 Aug 2011 04:00:00 +0100 5650628 http://www.medworm.com/index.php?rid=5275991&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811010787%2Fabstract%3Frss%3Dyes Conclusion: In triplet pregnancy, the addition of nasal bone lowers the false-positive rate of nuchal translucency screening. More data are required on the effectiveness of biochemistry. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5275991 Mon, 29 Aug 2011 04:00:00 +0100 5275991 http://www.medworm.com/index.php?rid=5366314&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS000293781101074X%2Fabstract%3Frss%3Dyes The article below summarizes a roundtable discussion of a study published in this issue of the Journal in light of its methodology, relevance to practice, and implications for future research. Article discussed:Wikström A-K, Svensson T, Kieler H, et al. Recurrence of placental dysfunction disorders across generations. Am J Obstet Gynecol 2011;205:454.e1-8. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5366314 Thu, 25 Aug 2011 04:00:00 +0100 5366314 http://www.medworm.com/index.php?rid=5650636&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811010611%2Fabstract%3Frss%3Dyes Conclusion: Vulvodynia is common, although rarely diagnosed. Prevalence remains high among sexually active women of any age. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5650636 Mon, 22 Aug 2011 04:00:00 +0100 5650636 http://www.medworm.com/index.php?rid=5539574&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811010647%2Fabstract%3Frss%3Dyes We would like to thank Dr Cohan and colleagues for their comments on our recent publication, enhancing our discussion of safer conception options for human immunodeficiency virus (HIV)-discordant couples and the potential role of antiretroviral preexposure prophylaxis (PrEP). In addition to the FEM-PrEP and HPTN 052 trials described in the letter, 2 important studies regarding the use of PrEP in heterosexuals reported findings in July 2011 at the Sixth International AIDS Society Conference on HIV Pathogenesis, Treatment, and Prevention. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5539574 Mon, 22 Aug 2011 04:00:00 +0100 5539574 http://www.medworm.com/index.php?rid=5539573&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811010635%2Fabstract%3Frss%3Dyes In the short time since publication of the review of Lampe et al of preexposure prophylaxis (PrEP) and other safer conception options for human immunodeficiency virus (HIV)-serodiscordant couples, results from 2 important studies have been released. These studies are significant additions to the landscape of safer conception options. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5539573 Mon, 22 Aug 2011 04:00:00 +0100 5539573 http://www.medworm.com/index.php?rid=5539538&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811010714%2Fabstract%3Frss%3Dyes Determination of the reasonable treatment options and the appropriate clinical treatment of women with uterine fibroid tumors often depends on the ability of imaging modalities to accurately detect and localize fibroid tumors. Magnetic resonance imaging (MRI) gives the most complete evaluation (sizes, positions, number) of submucous, intramural, and subserosal myomas and is the most sensitive modality for the detection of small fibroid tumors. MRI allows the evaluation of fibroid tumor proximity to the bladder, rectum, and endometrial cavity, helps define what can be expected at surgery, and may help the gynecologist avoid missing fibroid tumors during surgery. MRI can also make the diagnosis of adenomyosis reliably and may be able to identify uterine sarcoma when present. (Source: America... American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5539538 Mon, 22 Aug 2011 04:00:00 +0100 5539538 http://www.medworm.com/index.php?rid=5443482&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811010684%2Fabstract%3Frss%3Dyes We present a case of placental mesenchymal dysplasia with a favorable outcome. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5443482 Mon, 22 Aug 2011 04:00:00 +0100 5443482 http://www.medworm.com/index.php?rid=5366318&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811010623%2Fabstract%3Frss%3Dyes A rare case of prelabor uterine rupture in a primigravida was reported. A woman with a history of uterine perforation during hysteroscopy became pregnant after donor oocyte in vitro fertilization. To provide more insight into the possible risk factors for prelabor uterine rupture in primigravidae, a literature review was performed. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5366318 Mon, 22 Aug 2011 04:00:00 +0100 5366318 http://www.medworm.com/index.php?rid=5366316&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811010702%2Fabstract%3Frss%3Dyes In the roundtable that follows, clinicians discuss a study published in this issue of the Journal in light of its methodology, relevance to practice, and implications for future research. Article discussed:Wikström A-K, Svensson T, Kieler H, et al. Recurrence of placental dysfunction disorders across generations. Am J Obstet Gynecol 2011;205:454.e1-8. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5366316 Mon, 22 Aug 2011 04:00:00 +0100 5366316 http://www.medworm.com/index.php?rid=5276004&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811010672%2Fabstract%3Frss%3Dyes We developed, in portable document format (PDF), a detailed 3-dimensional (3D) interactive anatomic model of 23 pelvic structures that include the muscles, ligaments, and fascia of the pelvic floor and the organs it supports. Bones, blood vessels, and the perineum are illustrated as well. To produce this tool, 3D volumetric models were created from serial 5-mm–thick images that were obtained with a 3-Tesla magnetic resonance scanner. The subject was a healthy, 45-year-old, multiparous woman who was at the 50th percentile for height. Magnetic resonance images were then imported into 3D Slicer software (version 3.4.1; Brigham and Women's Hospital, Boston, MA). Each structure was traced with the use of the most clearly visible axial and/or coronal plane images and lofted into a 3D virtual m... American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5276004 Mon, 22 Aug 2011 04:00:00 +0100 5276004 http://www.medworm.com/index.php?rid=5650635&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811010209%2Fabstract%3Frss%3Dyes Conclusion: OTG was well tolerated and provided significant improvement in urinary symptoms and health-related quality of life in women with OAB. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5650635 Tue, 16 Aug 2011 04:00:00 +0100 5650635 http://www.medworm.com/index.php?rid=5539572&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS000293781101043X%2Fabstract%3Frss%3Dyes We appreciate the comments of Harmanli et al and agree with their point that this ancillary study was not a case-control study design. We want to thank the authors for clarifying the oversight. A more accurate title for our study may have been “Lower abdominal and pelvic pain with advanced pelvic organ prolapse.” Additionally, we acknowledge in the manuscript this study does not fully investigate all possible confounders that could have an impact on lower abdominal and pelvic pain symptoms. A variety of strategies were considered in the study design to control for baseline differences including matching and statistical modeling. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5539572 Tue, 16 Aug 2011 04:00:00 +0100 5539572 http://www.medworm.com/index.php?rid=5539571&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811010441%2Fabstract%3Frss%3Dyes We were pleased to see this report focusing on the frequency of lower abdominal and pelvic pain in women with advanced pelvic organ prolapse. We would like to congratulate the authors for including a control group of women with normal vaginal support, the use of valid and reliable questionnaires, and the demonstration of differences seen in all pain-related questions within these questionnaires. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5539571 Tue, 16 Aug 2011 04:00:00 +0100 5539571 http://www.medworm.com/index.php?rid=5539570&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811010428%2Fabstract%3Frss%3Dyes We are delighted that our article exploring the association between the utilization of electronic fetal monitoring (EFM) and risk of adverse infant morbidity and mortality has evinced interest from Klebanoff et al. At the outset, we were surprised to note that Klebanoff et al have expressed concerns regarding an evaluation of the benefits of EFM based on vital statistics data when they themselves, since 1992, have collectively published at least 36 articles that are based on the vital statistics data. This irony aside, let us address the primary concerns about our publication. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5539570 Tue, 16 Aug 2011 04:00:00 +0100 5539570 http://www.medworm.com/index.php?rid=5539569&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811010416%2Fabstract%3Frss%3Dyes The Journal recently published an article suggesting a causal association between electronic fetal monitoring (EFM) and decreased infant mortality. We have strong reservations regarding the ability of that paper to offer guidance regarding the effectiveness of EFM because it is inappropriate to use vital statistics data to make the leap from statistical association to causation. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5539569 Tue, 16 Aug 2011 04:00:00 +0100 5539569 http://www.medworm.com/index.php?rid=5366288&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811010404%2Fabstract%3Frss%3Dyes Conclusion: Over half of nonspontaneous late preterm births were NEB. EB guidelines are needed. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5366288 Tue, 16 Aug 2011 04:00:00 +0100 5366288 http://www.medworm.com/index.php?rid=5366278&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811010398%2Fabstract%3Frss%3Dyes Dr Gyamfi-Bannerman and her colleagues report data that illustrate the problem of late preterm birth and point the way to an answer. We in obstetrics have a problem with the indications for choosing preterm birth over continuing complicated pregnancies >34 weeks. Our neonatal colleagues wonder why we didn't continue pregnancies complicated by placenta previa, oligohydramnios, or preterm premature rupture of membranes for another week when the nonstress test was reassuring. Largely unaware of the problem of stillbirth, they ask, “Why not wait ‘til 36 weeks? Why now?” We can rightfully point to the declining rate of stillbirth as evidence that we are saving fetal lives by choosing iatrogenic birth over prolongation of pregnancy, but with rare exceptions, we lack data to support decisio... American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5366278 Tue, 16 Aug 2011 04:00:00 +0100 5366278 http://www.medworm.com/index.php?rid=5650618&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811010192%2Fabstract%3Frss%3Dyes Conclusion: Among US postpartum women, IUD insertion occurs considerably less frequently than tubal sterilization, even among younger women for whom poststerilization regret is a concern. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5650618 Fri, 12 Aug 2011 04:00:00 +0100 5650618 http://www.medworm.com/index.php?rid=5539559&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811010180%2Fabstract%3Frss%3Dyes Conclusion: Objective and subjective improvement is seen after vaginal prolapse repair with or without mesh. However, mesh resulted in a higher reoperation rate and did not improve 1-year cure. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5539559 Fri, 12 Aug 2011 04:00:00 +0100 5539559 http://www.medworm.com/index.php?rid=5539552&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811010179%2Fabstract%3Frss%3Dyes Objective: We propose a novel amniotic fluid inflammatory score from a comprehensive cytokine analysis of patients with mid-trimester short cervix. Study Design: Amniotic fluid from singleton gestations (n = 44) with a cervical length of ≤25 mm between 16-24 weeks was assayed for 25 inflammatory mediators. Patient data were stratified according to gestational age at delivery ( (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5539552 Fri, 12 Aug 2011 04:00:00 +0100 5539552 http://www.medworm.com/index.php?rid=5276006&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811010167%2Fabstract%3Frss%3Dyes In the roundtable that follows, clinicians discuss a study published in this issue of the Journal in light of its methodology, relevance to practice, and implications for future research. Article discussed:van der Kooij SM, Bipat S, Hehenkemp WJK, et al. Uterine artery embolization vs surgery in the treatment of symptomatic fibroids: a systematic review and metaanalysis. Am J Obstet Gynecol 2011;205:317.e1-18. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5276006 Mon, 08 Aug 2011 04:00:00 +0100 5276006 http://www.medworm.com/index.php?rid=5276003&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811010155%2Fabstract%3Frss%3Dyes The article below summarizes a roundtable discussion of a study published in this issue of the Journal in light of its methodology, relevance to practice, and implications for future research. Article discussed:van der Kooij SM, Bipat S, Hehenkemp WJK, et al. Uterine artery embolization vs surgery in the treatment of symptomatic fibroids: a systematic review and metaanalysis. Am J Obstet Gynecol 2011;205:317.e1-18. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5276003 Mon, 08 Aug 2011 04:00:00 +0100 5276003 http://www.medworm.com/index.php?rid=5275959&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811009628%2Fabstract%3Frss%3Dyes The reduction in maternal deaths over the last 100 years in high-income countries is one of the greatest achievements of modern medicine, but one that, in recent years, seems to have been almost forgotten. In a walk through nearly any old cemetery, one finds the grave markers of large numbers of young women, many of whom died in childbirth. The statistics confirm these observations. Around 1900, depending on the country, between 300 and 1000 women per 100,000 of those who gave birth (0.3% to nearly 1%) died of the pregnancy. In 1900, the maternal mortality rate in the United States was approximately 850 per 100,000 births. In contrast, today in most high-income countries, approximately 10-20 per 100,000 women die in conjunction with childbirth, which is almost a 99% reduction. Based on dat... American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5275959 Mon, 08 Aug 2011 04:00:00 +0100 5275959 http://www.medworm.com/index.php?rid=5539560&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811009562%2Fabstract%3Frss%3Dyes Conclusion: This study demonstrates feasibility and accuracy of sentinel lymph node mapping using indocyanine green adsorbed to human serum albumin. Considering safety, cost, and pharmacy preferences, an indocyanine green adsorbed to human serum albumin concentration of 500 μM appears optimal for sentinel lymph node mapping in vulvar cancer. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5539560 Mon, 01 Aug 2011 04:00:00 +0100 5539560 http://www.medworm.com/index.php?rid=5539558&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811009574%2Fabstract%3Frss%3Dyes Conclusion: The global reoperation rate after transvaginal Prolift mesh repair was 11.6%, with urinary incontinence surgery being the most common indication. Rates of mesh complications and prolapse recurrence are relatively low in an experienced team. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5539558 Mon, 01 Aug 2011 04:00:00 +0100 5539558 http://www.medworm.com/index.php?rid=5539556&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811009537%2Fabstract%3Frss%3Dyes Conclusion: When revising management schemes for CD, anesthetic procedures should be reconsidered as surgical competence in cases with placenta previa, placental abruption, and low hemoglobin. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5539556 Mon, 01 Aug 2011 04:00:00 +0100 5539556 http://www.medworm.com/index.php?rid=5539555&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811009550%2Fabstract%3Frss%3Dyes Conclusion: Reduced fetal growth was associated with elevated ambient temperatures throughout and late in pregnancy, independently of air pollution and other risk factors. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5539555 Mon, 01 Aug 2011 04:00:00 +0100 5539555 http://www.medworm.com/index.php?rid=5539554&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811009501%2Fabstract%3Frss%3Dyes Conclusion: Our results do not support any association of folic acid supplementation in pregnancy and asthma risk in offspring by age 6 years. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5539554 Mon, 01 Aug 2011 04:00:00 +0100 5539554 http://www.medworm.com/index.php?rid=5539551&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811009586%2Fabstract%3Frss%3Dyes Conclusion: The Bakri balloon with or without B-Lynch sutures in a stepwise approach is an effective option for the treatment of severe PPH. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5539551 Mon, 01 Aug 2011 04:00:00 +0100 5539551 http://www.medworm.com/index.php?rid=5539549&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811009525%2Fabstract%3Frss%3Dyes Conclusion: Sustained-released dinoprostone followed 6 hours later by an oxytocin infusion in term women with PROM was associated with a higher rate of vaginal delivery within 24 hours, and no difference in maternal-neonatal complications was observed compared with oxytocin infusion alone. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5539549 Mon, 01 Aug 2011 04:00:00 +0100 5539549 http://www.medworm.com/index.php?rid=5539548&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811009549%2Fabstract%3Frss%3Dyes Objective: The soluble fms-like tyrosine kinase (sFlt-1)/placental growth factor (PlGF) ratio is a reliable tool in the assessment of preeclampsia. We tested the hypothesis that the sFlt-1/PlGF ratio is able to identify women at risk for imminent delivery. We characterized the sFlt-1/PlGF ratio in different types of hypertensive pregnancy disorders. Study Design: We investigated 388 singleton pregnancies with normal pregnancy outcome, 164 with PE, 36 with gestational hypertension, and 42 with chronic hypertension. sFlt-1 and PlGF were measured in serum samples. Results: Patients with preeclampsia had a significantly increased sFlt-1/PlGF ratio as compared with controls and with patients with chronic and gestational hypertension in (Source: American Journal of Obstetrics and Gynecology... American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5539548 Mon, 01 Aug 2011 04:00:00 +0100 5539548 http://www.medworm.com/index.php?rid=5539547&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811009495%2Fabstract%3Frss%3Dyes Conclusion: Closure or nonclosure of the peritoneum at cesarean section did not lead to large differences in the adhesion rate. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5539547 Mon, 01 Aug 2011 04:00:00 +0100 5539547 http://www.medworm.com/index.php?rid=5539537&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811009513%2Fabstract%3Frss%3Dyes Selenium is an essential trace element of importance to human biology and health. Increasing evidence suggests that this mineral plays an important role in normal growth and reproduction in animals and humans, and selenium supplementation is now recommended as part of public health policy in geographical areas with severe selenium deficiency in soil. This review addresses the biological functions of selenium followed by a detailed review of associations between selenium status and reproductive health. In many countries, selenium dietary intake falls below the recommended nutrient intakes and is inadequate to support maximal expression of the selenoenzymes. Numerous reports implicate selenium deficiency in several reproductive and obstetric complications including male and female infertilit... American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5539537 Mon, 01 Aug 2011 04:00:00 +0100 5539537 http://www.medworm.com/index.php?rid=5275973&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811009616%2Fabstract%3Frss%3Dyes Conclusion: Almost one third of maternal deaths in New Zealand can be considered to be potentially avoidable. This methodology has the potential to identify areas for improvement in the quality of maternity care. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5275973 Mon, 01 Aug 2011 04:00:00 +0100 5275973 http://www.medworm.com/index.php?rid=5072303&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811005060%2Fabstract%3Frss%3Dyes In February 2011, the Society for Maternal-Fetal Medicine, at its Annual Clinical Meeting, held a debate session. One of the topics debated was whether or not cerclage should be performed in women with a prior preterm birth and a short cervix on ultrasound. My position in that debate was the contrary one (no surprise to those who know me). Beyond a healthy skepticism the facts are needed in order to properly answer this question, so what are the facts? (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5072303 Fri, 29 Jul 2011 16:20:01 +0100 5072303 http://www.medworm.com/index.php?rid=5072302&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811005059%2Fabstract%3Frss%3Dyes Five randomized trials have assessed efficacy of cervical cerclage in prevention of preterm birth (PTB) in singleton gestations with prior PTB and a short cervical length (CL) (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5072302 Fri, 29 Jul 2011 16:20:01 +0100 5072302 http://www.medworm.com/index.php?rid=5072301&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811001736%2Fabstract%3Frss%3Dyes THE ISSUE: Undeniably, the 2 major risk factors for preterm births, the bane of modern obstetrics, are history of spontaneous delivery (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5072301 Fri, 29 Jul 2011 16:20:01 +0100 5072301 http://www.medworm.com/index.php?rid=5072300&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS000293781100843X%2Fabstract%3Frss%3Dyes (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5072300 Fri, 29 Jul 2011 16:20:01 +0100 5072300 http://www.medworm.com/index.php?rid=5072299&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811008428%2Fabstract%3Frss%3Dyes (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5072299 Fri, 29 Jul 2011 16:20:01 +0100 5072299 http://www.medworm.com/index.php?rid=5539561&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811009392%2Fabstract%3Frss%3Dyes Conclusion: A transplacental transfer of oseltamivir phosphate and its metabolite oseltamivir carboxylate was detected and might have clinical relevance. Clinicians should be encouraged to report oseltamivir treatment outcomes during pregnancy. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5539561 Mon, 25 Jul 2011 04:00:00 +0100 5539561 http://www.medworm.com/index.php?rid=5539557&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811009458%2Fabstract%3Frss%3Dyes Conclusion: Survival is similar for microinvasive adenocarcinomas and squamous cell carcinomas. Conization appears to be adequate treatment for microinvasive adenocarcinoma. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5539557 Mon, 25 Jul 2011 04:00:00 +0100 5539557 http://www.medworm.com/index.php?rid=5539553&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811009410%2Fabstract%3Frss%3Dyes Objective: We sought to determine whether twin gestations with an anomalous fetus are at increased risk of preterm delivery or intrauterine growth restriction (IUGR) compared to twins with 2 normal fetuses. Study Design: This was a retrospective cohort of twins undergoing ultrasound 15-22 weeks' gestation. Groups were defined by the presence of 1 twin with a major anomaly (discordant) or by twins with no major anomalies (normal). The primary outcomes were preterm delivery ( (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5539553 Mon, 25 Jul 2011 04:00:00 +0100 5539553 http://www.medworm.com/index.php?rid=5539550&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS000293781100946X%2Fabstract%3Frss%3Dyes Conclusion: Rates of peripartum hysterectomy increased substantially in the United States from 1994 to 2007; much of this increase was due to rising rates of cesarean delivery. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5539550 Mon, 25 Jul 2011 04:00:00 +0100 5539550 http://www.medworm.com/index.php?rid=5539543&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811009409%2Fabstract%3Frss%3Dyes Conclusion: The Addressing the Need for Advanced HPV Diagnostics study provides important estimates of the prevalence of cytologic abnormalities, hrHPV positivity, and CIN2 or greater in a US screening population. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5539543 Mon, 25 Jul 2011 04:00:00 +0100 5539543 http://www.medworm.com/index.php?rid=5539542&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811009367%2Fabstract%3Frss%3Dyes Conclusion: Three-dimensional OV estimation might present improvement in means of lower mean bias than 2D USG. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5539542 Mon, 25 Jul 2011 04:00:00 +0100 5539542 http://www.medworm.com/index.php?rid=5443468&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811009380%2Fabstract%3Frss%3Dyes Objective: We sought to estimate whether the presence of a maternal uterine anomaly is associated with adverse pregnancy outcomes.Study Design: This retrospective cohort study included singleton pregnancies undergoing routine anatomic survey from 1990 through 2008 at a major tertiary care medical center. Pregnancies with a diagnosis of uterine anomaly (uterine septum, unicornuate uterus, bicornuate uterus, uterine didelphys) were compared to those with normal anatomy. Primary outcomes of interest were spontaneous preterm birth (PTB), breech presentation, and cesarean delivery.Results: The presence of an anomaly was associated with PTB (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5443468 Mon, 25 Jul 2011 04:00:00 +0100 5443468 http://www.medworm.com/index.php?rid=5443463&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811009379%2Fabstract%3Frss%3Dyes Conclusion: At 11-14 weeks, ultrasound may help risk stratification for PA with a specific follow-up. Early recognition of patients at risk might improve the perinatal outcome of PA. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5443463 Mon, 25 Jul 2011 04:00:00 +0100 5443463 http://www.medworm.com/index.php?rid=5443462&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811009471%2Fabstract%3Frss%3Dyes Objective: We sought to develop a gestational age–independent sonographic parameter to characterize lung growth.Study Design: Reported descriptors of lung growth, including lung-to-head circumference (HC) ratio (LHR) and observed/expected LHR, were examined. A new index, the quantitative lung index (QLI) was derived using published data on HC and the area of the base of the right lung.Results: Neither the LHR nor the observed/expected LHR proved to be gestational age independent. Right lung growth can be expressed using the following formula: QLI = lung area/(HC/10)^2. The 50th percentile of the QLI remained constant at approximately 1.0 for the gestational age between 16-32 weeks. A small lung ( (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5443462 Mon, 25 Jul 2011 04:00:00 +0100 5443462 http://www.medworm.com/index.php?rid=5276002&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811009446%2Fabstract%3Frss%3Dyes Conclusion: Midtrimester D&E is associated with fewer complications than prostaglandin induction. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5276002 Mon, 25 Jul 2011 04:00:00 +0100 5276002 http://www.medworm.com/index.php?rid=5276001&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811009434%2Fabstract%3Frss%3Dyes Conclusion: Using MRI, chorioamnionitis is associated with long-term widespread regional effects on brain development in children born prematurely. Our study is limited by its small sample size. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5276001 Mon, 25 Jul 2011 04:00:00 +0100 5276001 http://www.medworm.com/index.php?rid=5171473&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811009422%2Fabstract%3Frss%3Dyes In the roundtable that follows, clinicians discuss a study published in this issue of the Journal in light of its methodology, relevance to practice, and implications for future research. Article discussed:Josefsson A, Blomberg M, Bladh M, Frederiksen SG, Sydsjö G. Bariatric surgery in a national cohort of women: sociodemographics and obstetric outcomes. Am J Obstet Gynecol 2011;205:206.e1-8. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5171473 Sun, 24 Jul 2011 23:00:00 +0100 5171473 http://www.medworm.com/index.php?rid=5171472&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811009355%2Fabstract%3Frss%3Dyes Uterine fibroid embolization (UFE) and magnetic resonance (MR)–guided high-intensity focused ultrasound (HIFU) ablation are increasingly used in clinical practice as nonsurgical treatment modalities for symptomatic uterine fibroids. However, UFE is inevitably accompanied by exposure to ionizing radiation, and it is usually followed by severe pelvic pain. MR-HIFU ablation requires a lengthy procedure time, especially when treating larger fibroids; to overcome this drawback, a new strategy, volumetric MR-HIFU ablation, has been recently developed. While the conventional point-by-point sonication method only achieves a relatively small ablation zone, volumetric ablation can target treatment cells ranging from 4-16 mm in axial diameter, and this is expected to reduce treatment time. (Source:... American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5171472 Wed, 20 Jul 2011 23:00:00 +0100 5171472 http://www.medworm.com/index.php?rid=5171471&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811009343%2Fabstract%3Frss%3Dyes The article below summarizes a roundtable discussion of a study published in this issue of the Journal in light of its methodology, relevance to practice, and implications for future research. Article discussed:Josefsson A, Blomberg M, Bladh M, Frederiksen SG, Sydsjö G. Bariatric surgery in a national cohort of women: sociodemographics and obstetric outcomes. Am J Obstet Gynecol 2011;205:206.e1-8.The full discussion appears at www.AJOG.org, pages e1-2. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5171471 Wed, 20 Jul 2011 23:00:00 +0100 5171471 http://www.medworm.com/index.php?rid=5539568&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811009069%2Fabstract%3Frss%3Dyes We appreciate the letter to the editor by Drs Meijer, Knol, and Veeger regarding our article. Because 5% of reproductive age females present to physicians with complaints of menorrhagia, universal laboratory testing is not feasible. The multiple laboratory tests necessary for the diagnosis of von Willebrand disease, platelet dysfunction, and coagulation defects, prevalent in women with menorrhagia, are complex, expensive, not readily available, and are not generally undertaken by gynecology practices where most women with menorrhagia seek medical attention. The average delay in diagnosis of bleeding disorders from symptom onset has been estimated to be 16 years. Therefore, a simple easy to administer, no cost screening tool that would capture large numbers of women with bleeding disorders ... American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5539568 Mon, 18 Jul 2011 04:00:00 +0100 5539568 http://www.medworm.com/index.php?rid=5539567&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811009057%2Fabstract%3Frss%3Dyes Dr Philipp and her colleagues propose an elegant screening tool to select women with menorrhagia for hemostatic testing. They must be commended for their work on the improvement of care for these women. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5539567 Mon, 18 Jul 2011 04:00:00 +0100 5539567 http://www.medworm.com/index.php?rid=5443460&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811009045%2Fabstract%3Frss%3Dyes Conclusion: Neonatal morbidity in the late preterm period is considerable. Hypertensive disorders appear to protect for neonatal respiratory morbidity, but higher rates of cesarean section diminish this protective effect. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5443460 Mon, 18 Jul 2011 04:00:00 +0100 5443460 http://www.medworm.com/index.php?rid=5443457&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811009033%2Fabstract%3Frss%3Dyes Conclusion: Erroneous diagnosis of intrauterine pregnancies as ectopic with subsequent first-trimester exposure to methotrexate may result in the birth of severely malformed babies or fetal demise. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5443457 Mon, 18 Jul 2011 04:00:00 +0100 5443457 http://www.medworm.com/index.php?rid=5366313&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS000293781100915X%2Fabstract%3Frss%3Dyes Conclusion: The clitoral and perineal branches of the pudendal nerve should be at low risk of direct nerve injury during midurethral slings and similar procedures as they course caudal to the ventral portion of the perineal membrane. The inferior rectal nerve might be at risk of injury during procedures that involve passage of needles through the ischioanal fossa. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5366313 Mon, 18 Jul 2011 04:00:00 +0100 5366313 http://www.medworm.com/index.php?rid=5366312&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811009148%2Fabstract%3Frss%3Dyes Conclusion: Resolution of urinary symptoms, ability to perform daily activities, and sexual function goals are at least as important as resolution of prolapse symptoms and may be the reason for seeking care. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5366312 Mon, 18 Jul 2011 04:00:00 +0100 5366312 http://www.medworm.com/index.php?rid=5366311&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811009136%2Fabstract%3Frss%3Dyes Conclusion: This model suggests that consideration should be given to adding metronidazole to standard surgical site infection prophylaxis before hysterectomy. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5366311 Mon, 18 Jul 2011 04:00:00 +0100 5366311 http://www.medworm.com/index.php?rid=5366310&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811009124%2Fabstract%3Frss%3Dyes Conclusion: Adverse events vary by procedure, but are common after midurethral sling. Most events resolve without significant sequelae. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5366310 Mon, 18 Jul 2011 04:00:00 +0100 5366310 http://www.medworm.com/index.php?rid=5366309&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811009112%2Fabstract%3Frss%3Dyes Conclusion: These data indicate satisfactory objective and subjective cure rates 10 years after tension-free vaginal tape procedure placement. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5366309 Mon, 18 Jul 2011 04:00:00 +0100 5366309 http://www.medworm.com/index.php?rid=5366308&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811009100%2Fabstract%3Frss%3Dyes Conclusion: All energy sources demonstrated tissue damage, with ultrasonic showing the least and bipolar the greatest. Further study of tissue damage relative to cuff closure at laparoscopic hysterectomy is warranted. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5366308 Mon, 18 Jul 2011 04:00:00 +0100 5366308 http://www.medworm.com/index.php?rid=5366307&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811009094%2Fabstract%3Frss%3Dyes Conclusion: Leiomyoma-related inpatient care and major surgery remains substantial despite advances in less invasive treatment options. Given population growth, the projected burden of leiomyoma-related inpatient care will increase significantly by 2050, differentially impacting black vs white women. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5366307 Mon, 18 Jul 2011 04:00:00 +0100 5366307 http://www.medworm.com/index.php?rid=5366306&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811009082%2Fabstract%3Frss%3Dyes Conclusion: Use of unblinded POP-Q staging resulted in underestimation of 1-year overall recurrence after prolapse repair. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5366306 Mon, 18 Jul 2011 04:00:00 +0100 5366306 http://www.medworm.com/index.php?rid=5366305&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811009070%2Fabstract%3Frss%3Dyes Conclusion: The incidence of de novo stress urinary incontinence after total vaginal mesh procedures in this cohort was 25%. Patients should be appropriately counseled regarding the same. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5366305 Mon, 18 Jul 2011 04:00:00 +0100 5366305 http://www.medworm.com/index.php?rid=5276000&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811009173%2Fabstract%3Frss%3Dyes Objective: We sought to determine if treatment of periodontal disease during pregnancy with an alcohol-free antimicrobial mouth rinse containing cetylpyridinium chloride impacts the incidence of preterm birth (PTB) in a high-risk population.Study Design: This single-blind clinical trial studied pregnant women (6-20 weeks' gestation) with periodontal disease who refused dental care. Subjects receiving mouth rinse were compared to designated controls who did not receive rinse (1 rinse:2 controls), balanced on prior PTB and smoking. Primary outcome was PTB (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5276000 Mon, 18 Jul 2011 04:00:00 +0100 5276000 http://www.medworm.com/index.php?rid=5275996&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811009161%2Fabstract%3Frss%3Dyes Objective: Late-preterm infants (34 weeks 0/7 days-36 weeks 6/7 days' gestation) represent the largest proportion of singleton preterm births. A systematic review was performed to access the short- and/or long-term morbidity of late-preterm infants.Study Design: An electronic search was conducted for cohort studies published from January 2000 through July 2010.Results: We identified 22 studies studying 29,375,675 infants. Compared with infants born at term, infants born late preterm were more likely to suffer poorer short-term outcomes such as respiratory distress syndrome (relative risk [RR], 17.3), intraventricular hemorrhage (RR, 4.9), and death (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5275996 Mon, 18 Jul 2011 04:00:00 +0100 5275996 http://www.medworm.com/index.php?rid=5171425&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811009185%2Fabstract%3Frss%3Dyes Objective: We sought to review the risks and benefits of expectant management of severe preeclampsia remote from term, and to provide recommendations for expectant management, maternal and fetal evaluation, treatment, and indications for delivery.Methods: Studies were identified through a search of the MEDLINE database for relevant peer-reviewed articles published in the English language from January 1980 through December 2010. Additionally, the Cochrane Library, guidelines by organizations, and studies identified through review of the above documents and review articles were utilized to identify relevant articles. Where reliable data were not available, opinions of respected authorities were used.Results and Recommendations: Published randomized trials and observational studies regarding ... American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5171425 Sun, 17 Jul 2011 23:00:00 +0100 5171425 http://www.medworm.com/index.php?rid=5539541&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811009008%2Fabstract%3Frss%3Dyes Conclusion: This trial does not support the hypothesis that imiquimod, as used in this trial, has an impact on recurrence of cervical dysplasia, but the adequacy of findings are limited by sample size. The trial does support the feasibility and acceptability of the use of imiquimod on the cervix. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5539541 Mon, 11 Jul 2011 04:00:00 +0100 5539541 http://www.medworm.com/index.php?rid=5539540&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811008891%2Fabstract%3Frss%3Dyes Conclusion: Postpartum adolescents may reduce their risk of rapid repeat pregnancy by using IUDs. Providers and members of adolescents' support networks can be instrumental in method adoption. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5539540 Mon, 11 Jul 2011 04:00:00 +0100 5539540 http://www.medworm.com/index.php?rid=5539539&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811008970%2Fabstract%3Frss%3Dyes Conclusion: This study provides strong support for the promotion of immediate postabortion access to LARC methods (particularly intrauterine devices) to prevent repeat abortion. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5539539 Mon, 11 Jul 2011 04:00:00 +0100 5539539 http://www.medworm.com/index.php?rid=5443491&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811008933%2Fabstract%3Frss%3Dyes We appreciate Dr Sentilhes and colleagues' comments and interest in our work. The recognition of their reported case of an arteriovenous malformation (AVM) after “conservative therapy” has been noted. As stated in our article, a PubMed search failed to identify any other cases. While we did reference the work of Dr Sentilhes et al, it was unclear, based on that publication, if that patient had received adjunctive therapy in addition to a uterine devascularization procedure, uterine artery embolization, or vessel ligation, and therefore, we chose not to include it in our series. We agree with the commonality of the cases, including placenta percreta with uterine artery embolization, and cannot comment on the pathophysiology of AVM in placenta percreta based on our small series. We suspe... American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5443491 Mon, 11 Jul 2011 04:00:00 +0100 5443491 http://www.medworm.com/index.php?rid=5443490&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811008921%2Fabstract%3Frss%3Dyes We read with interest the case series reported by Barber et al, which highlights the risk of arteriovenous malformation (AVM) after conservative treatment of placenta percreta with uterine artery embolization (UAE) and adjunctive therapy. As these 3 reported cases occurred after adjunctive therapy (etoposide), the authors proposed the hypothesis that adjunctive therapy “may have less of an effect on newly formed vessels and their progression to form AVMs.” They also state that they report, to their knowledge, the first case of AVM following conservative treatment of placenta percreta. We would like to note that we have, in fact, previously published a case of AVM that occurred after a conservative treatment of placenta percreta without bladder invasion. Additional treatment included UA... American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5443490 Mon, 11 Jul 2011 04:00:00 +0100 5443490 http://www.medworm.com/index.php?rid=5443489&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS000293781100891X%2Fabstract%3Frss%3Dyes We read with great interest the insightful comments of Sandmire et al. Our protocol called for the “hands off” procedure when the diagnosis of shoulder dystocia was made; no gentle downward traction was allowed. This was followed by an assessment of the position of the shoulders. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5443489 Mon, 11 Jul 2011 04:00:00 +0100 5443489 http://www.medworm.com/index.php?rid=5443488&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811008908%2Fabstract%3Frss%3Dyes We have some questions and comments on the interesting article by Inglis et al. Did their protocol permit initial gentle downward traction as required by the American College of Obstetricians and Gynecologists and the Royal College of Obstetricians and Gynaecologists definition? (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5443488 Mon, 11 Jul 2011 04:00:00 +0100 5443488 http://www.medworm.com/index.php?rid=5443473&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937811008969%2Fabstract%3Frss%3Dyes Conclusion: Guided cytological screening performed with prior knowledge of HPV status results in an improved detection of CIN2 or higher-grade lesions. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=5443473 Mon, 11 Jul 2011 04:00:00 +0100 5443473