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, 17 Mar 2010 15:02:28 +0100 http://www.medworm.com/index.php?rid=3340854&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809022546%2Fabstract%3Frss%3Dyes We report a case of a rudimentary horn pregnancy with herniation of a fetal arm and umbilical cord into the main uterine cavity that presented as an incidental finding on a routine second-trimester ultrasound scan. We also review the literature that guides the diagnosis and management of these rare complicated pregnancies. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3340854 Mon, 01 Mar 2010 00:00:00 +0100 3340854 http://www.medworm.com/index.php?rid=3340853&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809022467%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:Elliott C, Warrick PA, Graham E, et al. Graded classification of fetal heart rate tracings: association with neonatal metabolic acidosis and neurologic morbidity. Am J Obstet Gynecol 2010;202:258.e1-8. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3340853 Mon, 01 Mar 2010 00:00:00 +0100 3340853 http://www.medworm.com/index.php?rid=3340850&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809022558%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:Elliott C, Warrick PA, Graham E, et al. Graded classification of fetal heart rate tracings: association with neonatal metabolic acidosis and neurologic morbidity. Am J Obstet Gynecol 2010;202:258.e1-8.The full discussion appears at www.AJOG.org, pages e1-4. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3340850 Mon, 01 Mar 2010 00:00:00 +0100 3340850 http://www.medworm.com/index.php?rid=3340849&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937810000098%2Fabstract%3Frss%3Dyes Conclusion: Although patients with renal transplants had perioperative complications, none of these complications led to renal graft loss. Hysterectomy can be considered in these patients when accompanied by diligent postoperative care. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3340849 Mon, 01 Mar 2010 00:00:00 +0100 3340849 http://www.medworm.com/index.php?rid=3340848&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937810000050%2Fabstract%3Frss%3Dyes Conclusion: Only a minority of women who are at risk for perinatal depression and receive mental health referrals ultimately engage in treatment. Successful linkage may be enhanced via interventions targeting identified barriers; such interventions require prospective evaluation. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3340848 Mon, 01 Mar 2010 00:00:00 +0100 3340848 http://www.medworm.com/index.php?rid=3340847&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937810000062%2Fabstract%3Frss%3Dyes Conclusion: Vaginal cleansing with povidone iodine before cesarean delivery may decrease postoperative morbidities, although the reduction is not statistically significant. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3340847 Mon, 01 Mar 2010 00:00:00 +0100 3340847 http://www.medworm.com/index.php?rid=3340846&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937810000074%2Fabstract%3Frss%3Dyes Conclusion: Puerperal group A streptococcal sepsis may be associated with innate immune response gene polymorphisms in TLR9, HSP70-2, and IL1β. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3340846 Mon, 01 Mar 2010 00:00:00 +0100 3340846 http://www.medworm.com/index.php?rid=3340845&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937810000839%2Fabstract%3Frss%3Dyes Conclusion: Extended antibiotic prophylaxis can reduce surgical-site infections in obese women after combined hysterectomy and panniculectomy. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3340845 Mon, 01 Mar 2010 00:00:00 +0100 3340845 http://www.medworm.com/index.php?rid=3340844&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937810000104%2Fabstract%3Frss%3Dyes The privilege of serving a year as president of the Central Association of Obstetricians and Gynecologists is accompanied by the prerogative of selecting both the theme of the Annual Scientific Meeting and the topic for the presidential address. Topics traditionally have ranged from historical to scientific to futuristic to self-reflective. After nearly a quarter century as chair of an academic department of obstetrics and gynecology, I find myself more and more drawn to topics that are vitally important to successful career development but which formal education traditionally either neglects or omits entirely. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3340844 Mon, 01 Mar 2010 00:00:00 +0100 3340844 http://www.medworm.com/index.php?rid=3340843&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809022753%2Fabstract%3Frss%3Dyes Conclusion: Serum sFas levels were lower in idiopathic SGA pregnancies in the second trimester, but not in the first. There was no difference in serum PlGF levels in either trimester. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3340843 Mon, 01 Mar 2010 00:00:00 +0100 3340843 http://www.medworm.com/index.php?rid=3340840&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937810000335%2Fabstract%3Frss%3Dyes Conclusion: Amelioration of neuronal injury in inflammation-associated PTB may be a key mechanism by which MgSO4 prevents cerebral palsy. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3340840 Mon, 01 Mar 2010 00:00:00 +0100 3340840 http://www.medworm.com/index.php?rid=3340826&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937810000359%2Fabstract%3Frss%3Dyes Conclusion: Results indicate strong, independent associations of fasting C-peptide and BMI with preeclampsia. Maternal glucose levels (below diabetes mellitus) had weaker associations with preeclampsia, particularly after adjustment for fasting C-peptide and BMI. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3340826 Mon, 01 Mar 2010 00:00:00 +0100 3340826 http://www.medworm.com/index.php?rid=3340825&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937810000621%2Fabstract%3Frss%3Dyes Conclusion: Universal prenatal screening for SMA is not cost-effective. For populations at high risk, such as those with a family history, SMA testing may be a cost-effective strategy. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3340825 Mon, 01 Mar 2010 00:00:00 +0100 3340825 http://www.medworm.com/index.php?rid=3340824&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937810000827%2Fabstract%3Frss%3Dyes Objective: We sought to evaluate number and timing of elective cesarean sections at term and to assess perinatal outcome associated with this timing.Study Design: We conducted a recent retrospective cohort study including all elective cesarean sections of singleton pregnancies at term (n = 20,973) with neonatal follow-up. Primary outcome was defined as a composite of neonatal mortality and morbidity.Results: More than half of the neonates were born at (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3340824 Mon, 01 Mar 2010 00:00:00 +0100 3340824 http://www.medworm.com/index.php?rid=3340823&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937810000815%2Fabstract%3Frss%3Dyes Conclusion: Some neonatal outcomes improved until 39 weeks. Babies born with elective induction are associated with better neonatal outcomes compared to spontaneous labor. Elective induction may be associated with an increased hysterectomy risk. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3340823 Mon, 01 Mar 2010 00:00:00 +0100 3340823 http://www.medworm.com/index.php?rid=3340822&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937810000748%2Fabstract%3Frss%3Dyes Objective: We sought to reduce scheduled births between 360/7-386/7 weeks that lack appropriate medical indication.Study Design: Twenty Ohio maternity hospitals collected baseline data for 60 days and then selected locally appropriate Institute for Healthcare Improvement Breakthrough Series interventions to reduce the incidence of scheduled births. Deidentified birth data were analyzed centrally. Rates of scheduled births without a documented indication, birth certificate data, and implementation issues were shared regularly among sites.Results: The rate of scheduled births between 360/7-386/7 weeks without a documented medical indication declined from 25% to (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3340822 Mon, 01 Mar 2010 00:00:00 +0100 3340822 http://www.medworm.com/index.php?rid=3340821&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937810000347%2Fabstract%3Frss%3Dyes Objective: We sought to determine if periconceptional exposure to agrichemicals was associated with the development of gastroschisis.Study Design: We conducted a retrospective, case-controlled study using Washington State Birth Certificate and US Geological Survey databases. Cases included all live-born singleton infants with gastroschisis. Distance between a woman's residence and site of elevated exposure to agrichemicals was calculated. Multivariate regression was used to estimate the association between surface water concentrations of agrichemicals and the risk of gastroschisis.Results: Eight hundred five cases and 3616 control subjects were identified. Gastroschisis occurred more frequently among those who resided (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3340821 Mon, 01 Mar 2010 00:00:00 +0100 3340821 http://www.medworm.com/index.php?rid=3340820&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937810000803%2Fabstract%3Frss%3Dyes Conclusion: Vitamin C and E supplementation did not reduce the rate of preeclampsia or GH, but increased the risk of fetal loss or perinatal death and preterm prelabor rupture of membranes. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3340820 Mon, 01 Mar 2010 00:00:00 +0100 3340820 http://www.medworm.com/index.php?rid=3340816&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809008540%2Fabstract%3Frss%3Dyes This article discusses common mental health problems exacerbated by the menstrual cycle, with a particular focus on premenstrual dysphoric disorder and perimenopausal depression. Throughout the reproductive lifespan, routine screening and assessment for the presence of common psychiatric disorders are critical for accurate diagnosis and provision of effective treatment. Management options include referral or consultation with a primary care provider or psychiatrist; treatment options for premenstrual dysphoric disorder and perimenopausal depression include pharmacotherapy with antidepressant agents and/or psychotherapy. Hormones may be helpful. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3340816 Mon, 01 Mar 2010 00:00:00 +0100 3340816 http://www.medworm.com/index.php?rid=3340815&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809009478%2Fabstract%3Frss%3Dyes Prominent racial/ethnic and socioeconomic disparities in rates of unintended pregnancy, abortion, and unintended births exist in the United States. These disparities can contribute to the cycle of disadvantage experienced by specific demographic groups when women are unable to control their fertility as desired. In this review we consider 3 factors that contribute to disparities in family planning outcomes: patient preferences and behaviors, health care system factors, and provider-related factors. Through addressing barriers to access to family planning services, including abortion and contraception, and working to ensure that all women receive patient-centered reproductive health care, health care providers and policy makers can substantially improve the ability of women from all racial/... American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3340815 Mon, 01 Mar 2010 00:00:00 +0100 3340815 http://www.medworm.com/index.php?rid=3340814&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809022455%2Fabstract%3Frss%3Dyes An article in this issue of the Journal, titled “Family Planning Disparities,” is the first in a series of 4 articles to address disparities in the area of obstetrics and gynecology. The remaining articles will appear in subsequent issues and will address disparities in reproductive endocrinology and infertility, obstetrics, and gynecology. Because the field of health disparities research is evolving rapidly and is conceptually complex, in this editorial we provide a background of the definitions and current understanding of health disparities to serve as a foundation for understanding this series. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3340814 Mon, 01 Mar 2010 00:00:00 +0100 3340814 http://www.medworm.com/index.php?rid=3340813&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS000293781000061X%2Fabstract%3Frss%3Dyes Little et al pose an important question: would the universal offer of carrier screening for spinal muscular atrophy (SMA) during prenatal care be cost-effective, ie, provide good value for money spent? The rapid expansion of the availability of molecular genetic tests for rare disorders, with approximately 1700 tests currently available, poses a challenge to health care providers and payers. We as a society do not have sufficient funds to pay for all possible genetic tests, and prioritization in some form must be undertaken. Little et al and the American College of Obstetricians and Gynecologists are to be commended for addressing the balance of technological opportunity in genetic testing and opportunity cost of scarce health care resources implicit in the concept of cost-effectiveness. (... American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3340813 Mon, 01 Mar 2010 00:00:00 +0100 3340813 http://www.medworm.com/index.php?rid=3340812&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937810000736%2Fabstract%3Frss%3Dyes This issue includes 8 Fast-Track articles given as oral presentations at the Annual Meeting of the Society for Maternal-Fetal Medicine in February 2010. Three of these articles focus on an important issue in obstetrics: elective delivery (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3340812 Mon, 01 Mar 2010 00:00:00 +0100 3340812 http://www.medworm.com/index.php?rid=3340811&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937810000992%2Fabstract%3Frss%3Dyes This month's issue includes 8 articles that describe research presented at the 2010 meeting of the Society for Maternal-Fetal Medicine (SMFM) in Chicago on February 4-6. From 1256 abstracts submitted, 86 were selected by the Society for oral presentation. Authors of these 86 abstracts were invited to submit their manuscripts through the “Fast-Track” process, in which AJOG reviewers provided rapid reviews in time to allow revision to meet the deadline for inclusion in this issue. These fast-track articles are easily identified by the checkered racing flags on the first page of each as well as next to their titles in the Contents section. We hope our readers will enjoy reading these articles based on oral presentations at the SMFM meeting and those that will appear in upcoming issues of ... American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3340811 Mon, 01 Mar 2010 00:00:00 +0100 3340811 http://www.medworm.com/index.php?rid=3340810&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS000293781000116X%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=3340810 Mon, 01 Mar 2010 00:00:00 +0100 3340810 http://www.medworm.com/index.php?rid=3340809&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937810001158%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=3340809 Mon, 01 Mar 2010 00:00:00 +0100 3340809 http://www.medworm.com/index.php?rid=3340836&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS000293780902211X%2Fabstract%3Frss%3Dyes Conclusion: Aberrant methylation of apoptotic signaling genes results in acquired resistance to therapy. Detection of methylation in apoptotic signaling genes is potentially useful as a molecular predictive marker for strategic planning of treatment efficacy and evaluation of therapeutic outcome in CXCA, leading to an improvement of patients' survival. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3340836 Mon, 01 Feb 2010 00:00:00 +0100 3340836 http://www.medworm.com/index.php?rid=3214558&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809021966%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:Heisler CA, Aletti GD, Weaver AL, et al. Improving quality of care: development of a risk-adjusted perioperative morbidity model for vaginal hysterectomy. Am J Obstet Gynecol 2010;202:137.e1-5. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3214558 Thu, 28 Jan 2010 15:10:13 +0100 3214558 http://www.medworm.com/index.php?rid=3214556&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809021401%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:Heisler CA, Aletti GD, Weaver AL, et al. Improving quality of care: development of a risk-adjusted perioperative morbidity model for vaginal hysterectomy. Am J Obstet Gynecol 2010;202:137.e1-5.The full discussion appears at www.AJOG.org, pages e1-3. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3214556 Thu, 28 Jan 2010 15:10:13 +0100 3214556 http://www.medworm.com/index.php?rid=3214545&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809019796%2Fabstract%3Frss%3Dyes Conclusion: Alternative ranking systems provide additional information over FIGO for complete resectability, complications, and survival. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3214545 Thu, 28 Jan 2010 15:10:11 +0100 3214545 http://www.medworm.com/index.php?rid=3214539&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809011016%2Fabstract%3Frss%3Dyes Conclusion: We document increased risk of adverse birth outcomes for women with PUD during pregnancy. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3214539 Thu, 28 Jan 2010 15:10:11 +0100 3214539 http://www.medworm.com/index.php?rid=3214531&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809021188%2Fabstract%3Frss%3Dyes Objective: The purpose of this study was to test whether treating periodontal disease (PD) in pregnancy will reduce the incidence of spontaneous preterm delivery (SPTD) at ≤35 weeks of gestation.Study Design: A multicenter, randomized clinical trial was performed. Subjects with PD were randomized to scaling and root planing (active) or tooth polishing (control). The primary outcome was the occurrence of SPTD at (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3214531 Thu, 28 Jan 2010 15:10:10 +0100 3214531 http://www.medworm.com/index.php?rid=3214525&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809008382%2Fabstract%3Frss%3Dyes This systematic review of uterosacral ligament suspension provides a metaanalysis of anatomic outcomes and a summary of subjective outcomes. A successful anatomic outcome was considered present when women had “optimal” or “satisfactory” (pelvic organ prolapse quantification system stage 0 or 1) outcomes. In the anterior, apical, and posterior compartments, the pooled rates for a successful outcome were 81.2% (95% confidence interval [CI], 67.5–94.5%), 98.3% (95% CI, 95.7–100%), and 87.4% (95% CI, 67.5–94.5%). In the anterior compartment, women with preoperative stage 2 prolapse were more likely than those with preoperative stage 3 prolapse to have a successful anatomic outcome (92.4% vs 66.8%; P = .06). Outcomes, with respect to subjective symptoms, were reassuring; however, ... American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3214525 Thu, 28 Jan 2010 15:10:09 +0100 3214525 http://www.medworm.com/index.php?rid=3214524&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809009521%2Fabstract%3Frss%3Dyes In conclusion, paternal characteristics including age, height, and birthweight are associated with LBW. Paternal occupational exposure and low levels of education may be associated with LBW; however, further studies are needed. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3214524 Thu, 28 Jan 2010 15:10:09 +0100 3214524 http://www.medworm.com/index.php?rid=3214523&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809022765%2Fabstract%3Frss%3Dyes Preterm birth is one of the most complicated and challenging research issues in perinatal medicine. Despite decades of scientific inquiry, the preterm birth rate has remained constant or increased annually in the United States. Nearly 12% of all deliveries occur at (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3214523 Thu, 28 Jan 2010 15:10:09 +0100 3214523 http://www.medworm.com/index.php?rid=3214522&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809022054%2Fabstract%3Frss%3Dyes Studies have rarely considered the impact of paternal factors on perinatal outcomes generally or on racial differences therein. Shah et al have produced a literature review that begins to delve into the contribution of fathers to the risk of adverse birth outcomes. Paternal exposures that were selected for inclusion in their database search were father's age, anthropometry (eg, height, weight), self birthweight, occupational exposures, and education. After a systematic search of the literature, the authors identified the father's age, current weight, and his own birthweight as risk factors for low birthweight and suggest that paternal occupation and education may be important but have not consistently been reported to increase the risk of adverse birth outcomes. (Source: American Journal o... American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3214522 Thu, 28 Jan 2010 15:10:09 +0100 3214522 http://www.medworm.com/index.php?rid=3214521&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809021280%2Fabstract%3Frss%3Dyes The American Journal of Obstetrics & Gynecology is altering the way it publishes basic science articles. Beginning in 2010, basic science original research articles will be published in their entirety online, and only the abstracts will be published in the print edition of the Journal. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3214521 Thu, 28 Jan 2010 15:10:09 +0100 3214521 http://www.medworm.com/index.php?rid=3214520&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809021255%2Fabstract%3Frss%3Dyes Periodically, studies with implications for important changes in clinical practice emerge. Such reports are most often presented at scientific meetings and then submitted for publication. Although this is usually the most expeditious method of communicating such important developments to the clinical and scientific community, this process has major limitations. The appropriate scientific meeting is often held only yearly. The immediate dissemination of this information is then limited to those attending the meeting and subsequent word-of-mouth communications. By the time the study is submitted for publication, there is substantial delay because of the necessity to write the article, the peer-review process, and journal-publishing delays. Few journals have the option of expedited review and... American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3214520 Thu, 28 Jan 2010 15:10:09 +0100 3214520 http://www.medworm.com/index.php?rid=3214519&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809022832%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=3214519 Thu, 28 Jan 2010 15:10:09 +0100 3214519 http://www.medworm.com/index.php?rid=3214518&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809022820%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=3214518 Thu, 28 Jan 2010 15:10:09 +0100 3214518 http://www.medworm.com/index.php?rid=3340855&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809022522%2Fabstract%3Frss%3Dyes A 50-year-old woman came to the emergency department with vaginal evisceration that occurred 7 months after a total laparoscopic radical hysterectomy. Vaginal evisceration was repaired by a laparoscopic-vaginal approach without a laparotomy. This is the first report of vaginal evisceration after a total laparoscopic radical hysterectomy. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3340855 Thu, 28 Jan 2010 00:00:00 +0100 3340855 http://www.medworm.com/index.php?rid=3340852&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809022777%2Fabstract%3Frss%3Dyes In recent years, nerve-sparing radical hysterectomy for cervical cancer has proven successful in reducing postoperative bladder, colorectal and sexual dysfunction. At our institution, we perform this procedure using a magnified laparoscopic view to better identify fibers and surgical landmarks; this improves dissection of the pars vasculosa from the pars nervosa of the parametrium. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3340852 Mon, 25 Jan 2010 00:00:00 +0100 3340852 http://www.medworm.com/index.php?rid=3340839&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809021024%2Fabstract%3Frss%3Dyes Conclusion: EGCG effectively inhibits proliferation and induces apoptosis in rat ELT3 uterine leiomyoma cells in vitro and in vivo. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3340839 Thu, 14 Jan 2010 00:00:00 +0100 3340839 http://www.medworm.com/index.php?rid=3340842&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809021383%2Fabstract%3Frss%3Dyes Conclusion: Maternal reinfection by new strains of cytomegalovirus is a major source of congenital infection in this population. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3340842 Fri, 08 Jan 2010 00:00:00 +0100 3340842 http://www.medworm.com/index.php?rid=3340841&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809021309%2Fabstract%3Frss%3Dyes Conclusion: Stem cells derived from human placenta can be differentiated into neural progenitors. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3340841 Fri, 08 Jan 2010 00:00:00 +0100 3340841 http://www.medworm.com/index.php?rid=3340833&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809020870%2Fabstract%3Frss%3Dyes Conclusion: The use of labor epidural analgesia is decreased with decreasing neighborhood economic and education levels. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3340833 Mon, 04 Jan 2010 00:00:00 +0100 3340833 http://www.medworm.com/index.php?rid=3340831&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809020912%2Fabstract%3Frss%3Dyes Conclusion: Postterm-delivered infants had more HLA A and B antigens in common with their mothers, suggesting that recognition of HLA antigen differences by adaptive immunity may have a role in triggering labor onset. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3340831 Mon, 04 Jan 2010 00:00:00 +0100 3340831 http://www.medworm.com/index.php?rid=3340837&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809021012%2Fabstract%3Frss%3Dyes Conclusion: Prevalence of smoking and tobacco consumption was twice that of the North American female population. Few smokers quit or decreased consumption during treatment. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3340837 Thu, 31 Dec 2009 00:00:00 +0100 3340837 http://www.medworm.com/index.php?rid=3340819&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809021036%2Fabstract%3Frss%3Dyes Conclusion: An electronic prescription for over-the-counter calcium supplements is associated with a significant increase in compliance, compared with verbal counseling alone. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3340819 Thu, 31 Dec 2009 00:00:00 +0100 3340819 http://www.medworm.com/index.php?rid=3121609&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809021322%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:Maayan-Metzger A, Schushan-Eisen I, Todris L, et al. Maternal hypotension during elective cesarean section and short-term neonatal outcome. Am J Obstet Gynecol 2010;202:56.e1-5. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3121609 Sat, 26 Dec 2009 14:41:32 +0100 3121609 http://www.medworm.com/index.php?rid=3121607&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809021048%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:Maayan-Metzger A, Schushan-Eisen I, Todris L, et al. Maternal hypotension during elective cesarean section and short-term neonatal outcome. Am J Obstet Gynecol 2010;202:56.e1-5.The full discussion appears at www.AJOG.org, pages e12-e14. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3121607 Sat, 26 Dec 2009 14:41:32 +0100 3121607 http://www.medworm.com/index.php?rid=3121606&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809022303%2Fabstract%3Frss%3Dyes s follow for a Review article in the November 2009 issue (Conde-Agudelo A, Romero R. Amniotic fluid embolism: an evidence-based review. Am J Obstet Gynecol 2009;201:445.e1-13). (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3121606 Sat, 26 Dec 2009 14:41:32 +0100 3121606 http://www.medworm.com/index.php?rid=3121603&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809008369%2Fabstract%3Frss%3Dyes Conclusion: A synthetic hydrogel-type tissue adhesive that merits further evaluation in vivo emerged as a potential sealing modality for iatrogenic membrane defects. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3121603 Sat, 26 Dec 2009 14:41:31 +0100 3121603 http://www.medworm.com/index.php?rid=3121580&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809008400%2Fabstract%3Frss%3Dyes The incidence of interstitial pregnancy is rising. Traditional treatment with laparotomy, hysterectomy, or cornual wedge resection is associated with high morbidity and detrimental effects on future fertility. A diverse array of alternate treatments has been introduced over the last 3 decades, with the common goal of achieving a minimally invasive, standardized management strategy. This has been facilitated by impressive strides towards prompt diagnosis, both radiologically and chemically. In this review, we explore the current state of the art diagnostic criteria and the clinically significant diverse therapeutic options with supporting literature. Finally, we propose a structured, best-practice management plan for the once-lethal interstitial pregnancy, based on the current literature. (... American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3121580 Sat, 26 Dec 2009 14:41:21 +0100 3121580 http://www.medworm.com/index.php?rid=3121579&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS000293780901014X%2Fabstract%3Frss%3Dyes The purpose of this study was to evaluate risk factors for antepartum depressive symptoms that can be assessed in routine obstetric care. We evaluated articles in the English-language literature from 1980 through 2008. Studies were selected if they evaluated the association between antepartum depressive symptoms and ≥1 risk factors. For each risk factor, 2 blinded, independent reviewers evaluated the overall trend of evidence. In total, 57 studies met eligibility criteria. Maternal anxiety, life stress, history of depression, lack of social support, unintended pregnancy, Medicaid insurance, domestic violence, lower income, lower education, smoking, single status, and poor relationship quality were associated with a greater likelihood of antepartum depressive symptoms in bivariate analyse... American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3121579 Sat, 26 Dec 2009 14:41:21 +0100 3121579 http://www.medworm.com/index.php?rid=3121578&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809009545%2Fabstract%3Frss%3Dyes Extensive physiologic, endocrine, and immunologic adaptations occur in the mother in response to the demands of pregnancy, which includes support of the fetus, preparation of the uterus for labor, and protection of the mother from potential cardiovascular injury at delivery. Although these demands increase incrementally over many months, resumption of the prepregnancy physiologic state after childbirth occurs at a far more rapid pace. The postpartum period, which is also referred to as the postnatal period (Latin for “after birth,” from post meaning “after” and natalis meaning “of birth'”) or puerperium (Latin for “after childbirth,” from puerperal meaning “a woman in childbed”), refers to the period that begins immediately after delivery and continues for the next 6 we... American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3121578 Sat, 26 Dec 2009 14:41:21 +0100 3121578 http://www.medworm.com/index.php?rid=3121577&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809021620%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=3121577 Sat, 26 Dec 2009 14:41:21 +0100 3121577 http://www.medworm.com/index.php?rid=3121576&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809021607%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=3121576 Sat, 26 Dec 2009 14:41:21 +0100 3121576 http://www.medworm.com/index.php?rid=3214555&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809018286%2Fabstract%3Frss%3Dyes Conclusion: Three-dimensional ultrasound enables a rapid and easy evaluation of the corpus callosum that may facilitate its inclusion as an integral part of the routine anatomic survey. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3214555 Fri, 25 Dec 2009 00:00:00 +0100 3214555 http://www.medworm.com/index.php?rid=3214554&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809020936%2Fabstract%3Frss%3Dyes Conclusion: TO had effects on lung proliferation and advanced the morphologic appearance. Addition of albumin increased density of proliferating cells and LBWR, yet at the expense of additional fetal loss. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3214554 Fri, 25 Dec 2009 00:00:00 +0100 3214554 http://www.medworm.com/index.php?rid=3214553&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809020080%2Fabstract%3Frss%3Dyes Conclusion: Glucocorticoids regulate AM secretion and expression by human placenta thereby promoting increased AM concentration in maternal and fetal circulation in circumstances characterized by increased cortisol levels. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3214553 Fri, 25 Dec 2009 00:00:00 +0100 3214553 http://www.medworm.com/index.php?rid=3214551&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809020079%2Fabstract%3Frss%3Dyes Conclusion: Term placenta constitutes a rich, very reliable source of maternal mesenchymal stem cells that remain differentiable, even at high passage numbers. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3214551 Fri, 25 Dec 2009 00:00:00 +0100 3214551 http://www.medworm.com/index.php?rid=3214542&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809020067%2Fabstract%3Frss%3Dyes Conclusion: Eszopiclone treats insomnia and cooccurring menopause-related symptoms. Our results provide evidence that hypnotic therapies may improve multiple domains of well-being during midlife. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3214542 Fri, 25 Dec 2009 00:00:00 +0100 3214542 http://www.medworm.com/index.php?rid=3214530&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809020882%2Fabstract%3Frss%3Dyes Objective: We sought to compare myomectomy performed by laparotomy (LT), and 2 other modified approaches: ultraminilaparotomy (UMLT) and laparoscopically assisted UMLT for uterine fibroids with a size (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3214530 Fri, 25 Dec 2009 00:00:00 +0100 3214530 http://www.medworm.com/index.php?rid=3340838&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809020043%2Fabstract%3Frss%3Dyes Conclusion: Although women with IC/PBS were more likely to have experienced prior surgeries than controls, the apparent indications for surgeries, not the surgeries themselves, were stronger risk factors for IC/PBS. In particular, a prior history of CPP had a strong association with IC/PBS. Several features of study design, including extensive medical record review, suggest that prior CPP was not undiagnosed IC/PBS. Further investigation of CPP may yield insight into the pathogenesis of IC/PBS. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3340838 Mon, 21 Dec 2009 00:00:00 +0100 3340838 http://www.medworm.com/index.php?rid=3340835&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809020985%2Fabstract%3Frss%3Dyes Conclusion: An endometrial sampling diagnosis of FIGO grade 1 endometrial adenocarcinoma with a background of CAH is more likely to correlate with final posthysterectomy grade than a diagnosis not arising with a background of CAH. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3340835 Mon, 21 Dec 2009 00:00:00 +0100 3340835 http://www.medworm.com/index.php?rid=3340834&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS000293780901998X%2Fabstract%3Frss%3Dyes Conclusion: Because pelvic examination with surgical lubricant may decrease the detection of GBS, obstetric practitioners should collect GBS screening cultures before the use of surgical lubricant. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3340834 Mon, 21 Dec 2009 00:00:00 +0100 3340834 http://www.medworm.com/index.php?rid=3340832&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809020900%2Fabstract%3Frss%3Dyes Conclusion: Women with HELLP had fewer signs of abnormalities consistent with the metabolic syndrome and a 4-fold lower prevalence of thrombophilia as compared with PE women without HELLP. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3340832 Mon, 21 Dec 2009 00:00:00 +0100 3340832 http://www.medworm.com/index.php?rid=3340830&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809020924%2Fabstract%3Frss%3Dyes Conclusion: Active women have better aerobic fitness as compared to inactive women. The risk for operative delivery is lower in active women compared to inactive, when controlled for birthweight, maternal weight gain, and parity. Further studies with larger sample size are required to confirm the association between physical activity and pregnancy outcomes. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3340830 Mon, 21 Dec 2009 00:00:00 +0100 3340830 http://www.medworm.com/index.php?rid=3340829&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809019826%2Fabstract%3Frss%3Dyes Objective: The aim of this study was to determine the effect of maternal body mass index on the incidence of neonatal prematurity morbidities in those who receive corticosteroids.Study Design: This was a secondary analysis of a trial of corticosteroids in women at risk for preterm birth. Women receiving a single course of corticosteroids were classified by their prepregnancy body mass index ( (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3340829 Mon, 21 Dec 2009 00:00:00 +0100 3340829 http://www.medworm.com/index.php?rid=3340818&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809020948%2Fabstract%3Frss%3Dyes Conclusion: Risk of anterior abdominal wall nerve and vessel injury is minimized when lateral trocars are placed superior to the ASISs and >6 cm from midline and low transverse fascial incisions are not extended beyond the lateral borders of the rectus muscles. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3340818 Mon, 21 Dec 2009 00:00:00 +0100 3340818 http://www.medworm.com/index.php?rid=3214548&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809011077%2Fabstract%3Frss%3Dyes Conclusion: Half the clinical betamethasone dose produces maximal PVC improvement in fetal sheep at 0.75 gestation. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3214548 Mon, 21 Dec 2009 00:00:00 +0100 3214548 http://www.medworm.com/index.php?rid=3214544&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809019784%2Fabstract%3Frss%3Dyes Conclusion: Lymph node dissection did not adversely affect surgical outcomes in patients with atypical endometrial hyperplasia. Because many of these patients have concurrent endometrial cancer, we recommend consideration of lymph node dissection in atypical endometrial hyperplasia patients undergoing definitive surgical treatment. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3214544 Mon, 21 Dec 2009 00:00:00 +0100 3214544 http://www.medworm.com/index.php?rid=3214540&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809018274%2Fabstract%3Frss%3Dyes Conclusion: The concentration of maternal and fetal amino acids increases significantly after betamethasone administration. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3214540 Mon, 21 Dec 2009 00:00:00 +0100 3214540 http://www.medworm.com/index.php?rid=3214529&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809019772%2Fabstract%3Frss%3Dyes Conclusion: Mucinous cystadenoma recurrence is apparently not as rare as reported in the literature. Intraoperative cyst rupture and cystectomy instead of adnexectomy emerged as being two risk factors for recurrence. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3214529 Mon, 21 Dec 2009 00:00:00 +0100 3214529 http://www.medworm.com/index.php?rid=3340864&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809010941%2Fabstract%3Frss%3Dyes We thank Drs Khan and Bett for their interest in our work. Improvements in Down syndrome screening between 2001 and 2007 are probably the major factor that accounts for the reduced use of invasive testing. These improvements include wider use of first trimester combined screening, changes from triple to quadruple serum markers in the second trimester, greater use of second-trimester ultrasound to modify risks, and use of other sequential strategies. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3340864 Mon, 14 Dec 2009 00:00:00 +0100 3340864 http://www.medworm.com/index.php?rid=3340863&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809010916%2Fabstract%3Frss%3Dyes The recent article by Fang et al comparing Down syndrome screening in 2001 and 2007 reported a substantial increase in the number of women who screen positive for Down syndrome but declined invasive diagnostic genetic tests. In 2001, an estimated 46% of women who screened positive declined invasive diagnostic testing. In 2007, this number increased significantly to 66%. Even with the low false-positive rates reported for the quad screen, more than 90% of women who screen positive will not actually have a child with Down syndrome. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3340863 Mon, 14 Dec 2009 00:00:00 +0100 3340863 http://www.medworm.com/index.php?rid=3340862&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS000293780901093X%2Fabstract%3Frss%3Dyes Lanneau et al commented that “despite the prevalence of HPV in younger patients with vulvar dysplasia, the likelihood of progression to vulvar carcinoma appears lower than the likelihood of cervical dysplasia progressing to cervical cancer. …” (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3340862 Mon, 14 Dec 2009 00:00:00 +0100 3340862 http://www.medworm.com/index.php?rid=3340828&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809020055%2Fabstract%3Frss%3Dyes Conclusion: Pregnancies complicated by OSA are at increased risk for preeclampsia, medical complications, and indicated PTB. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3340828 Mon, 14 Dec 2009 00:00:00 +0100 3340828 http://www.medworm.com/index.php?rid=3214549&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809019991%2Fabstract%3Frss%3Dyes Conclusion: Pretreatment of either the fetal or maternal circuits of the placenta with 17-P attenuates U46619-mediated fetoplacental vasoconstriction. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3214549 Mon, 14 Dec 2009 00:00:00 +0100 3214549 http://www.medworm.com/index.php?rid=3214534&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809011119%2Fabstract%3Frss%3Dyes Objective: We sought to evaluate perinatal morbidity by delivery location (hospital, freestanding birth center, and home).Study Design: Selected 2006 US birth certificate data were accessed online from the Centers for Disease Control and Prevention. Low-risk maternal and newborn outcomes were tabulated and compared by birth facility.Results: A total of 745,690 deliveries were included, of which 733,143 (97.0%) occurred in hospital, 4661 (0.6%) at birth centers, and 7427 (0.9%) at home. Compared with hospital deliveries, home and birthing center deliveries were associated with more frequent prolonged and precipitous labors. Home births experienced more frequent 5-minute Apgar scores (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3214534 Mon, 14 Dec 2009 00:00:00 +0100 3214534 http://www.medworm.com/index.php?rid=3214528&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS000293780901103X%2Fabstract%3Frss%3Dyes Objective: We sought to determine the sensitivity and specificity of alternative monitoring regimens in predicting the need for a second methotrexate (MTX) dose in women undergoing medical therapy for ectopic pregnancy.Study Design: We reviewed 187 women who received MTX for ectopic pregnancy.Results: We defined MTX treatment success as a clinically stable patient whose day-7 beta human chorionic gonadotropin (β-hCG) level decreased by ≥50%, compared with the day-of-treatment (DOT) β-hCG. In comparison to the standard MTX monitoring protocol, this model was 100% sensitive and 57.4% specific in predicting the need for a second MTX dose in women whose DOT β-hCG was (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3214528 Fri, 04 Dec 2009 00:00:00 +0100 3214528 http://www.medworm.com/index.php?rid=3054690&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809006991%2Fabstract%3Frss%3Dyes Thank you for addressing the important issue of long-term maternal outcomes in patients with peripartum cardiomyopathy (PPCM). The authors identify left ventricular (LV) recovery as ejection fraction (EF) of “≥40%.” However, most cardiologists would agree that LVEF (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3054690 Tue, 01 Dec 2009 00:00:00 +0100 3054690 http://www.medworm.com/index.php?rid=3054683&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809010436%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:Bedient CE, Magrina JF, Noble BN, et al. Comparison of robotic and laparoscopic myomectomy. Am J Obstet Gynecol 2009;201:566.e1-5. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3054683 Tue, 01 Dec 2009 00:00:00 +0100 3054683 http://www.medworm.com/index.php?rid=3054681&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809010229%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:Bedient CE, Magrina JF, Noble BN, et al. Comparison of robotic and laparoscopic myomectomy. Am J Obstet Gynecol 2009;201:566.e1-5.The full discussion appears at www.AJOG.org, pages e1-e4. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3054681 Tue, 01 Dec 2009 00:00:00 +0100 3054681 http://www.medworm.com/index.php?rid=3054659&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809005596%2Fabstract%3Frss%3Dyes Conclusion: Most women with atypical squamous cells of unknown significance and negative high-risk human papillomavirus could obtain cytologic regression within 2 years. Women with antecedent cervical lesions need longer time to reach this regression. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3054659 Tue, 01 Dec 2009 00:00:00 +0100 3054659 http://www.medworm.com/index.php?rid=3054655&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809007765%2Fabstract%3Frss%3Dyes Beta 2 adrenergic receptor overstimulation during critical periods of prenatal development can induce a permanent shift in the balance of sympathetic-to-parasympathetic tone. This is a biologically plausible mechanism whereby beta 2 adrenergic agonists can induce functional and behavioral teratogenesis, which explains their association with increases in autism spectrum disorders, psychiatric disorders, poor cognitive, motor function and school performance, and changes in blood pressure in the offspring. The use of beta 2 adrenergic agonists should be limited to proven indications when alternate drugs are ineffective or unavailable; the risks of untreated disease to the mother and fetus are greater than the risk of the beta 2 adrenergic agonist. (Source: American Journal of Obstetrics and G... American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3054655 Tue, 01 Dec 2009 00:00:00 +0100 3054655 http://www.medworm.com/index.php?rid=3054653&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809020547%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=3054653 Tue, 01 Dec 2009 00:00:00 +0100 3054653 http://www.medworm.com/index.php?rid=3054652&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809020535%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=3054652 Tue, 01 Dec 2009 00:00:00 +0100 3054652 http://www.medworm.com/index.php?rid=3214550&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809020006%2Fabstract%3Frss%3Dyes Conclusion: Precipitated egg white has the potential to seal iatrogenic membrane defects for up to 14 days' duration. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3214550 Fri, 27 Nov 2009 00:00:00 +0100 3214550 http://www.medworm.com/index.php?rid=3214543&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809011004%2Fabstract%3Frss%3Dyes Conclusion: This nomogram is a predictive tool, upon external validation, that can be used to counsel patients in predicting outcomes. The discriminatory ability of the nomogram indicates that this population should not be considered homogeneous with respect to risk of death. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3214543 Mon, 23 Nov 2009 00:00:00 +0100 3214543 http://www.medworm.com/index.php?rid=3214547&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809010126%2Fabstract%3Frss%3Dyes Conclusion: There was a significant difference in Flt1/sFlt1 immunostaining intensity when molar placentas were compared to controls. This supports a hypothesis that the phenotype of preeclampsia in molar pregnancy may result from trophoblasts overproducing at least 1 antiangiogenic protein. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3214547 Wed, 18 Nov 2009 00:00:00 +0100 3214547 http://www.medworm.com/index.php?rid=3214532&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809010047%2Fabstract%3Frss%3Dyes Conclusion: The rate of obstetric hemorrhage that necessitates hysterectomy or arterial embolization in the Netherlands is 5.7 per 10,000 deliveries; fertility is preserved in 46% of women by successful arterial embolization. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3214532 Wed, 18 Nov 2009 00:00:00 +0100 3214532 http://www.medworm.com/index.php?rid=3121584&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809009636%2Fabstract%3Frss%3Dyes Conclusion: We found that the successful use of a staged embolization hysterectomy procedure for placenta accreta is associated with decreased maternal morbidity. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3121584 Wed, 18 Nov 2009 00:00:00 +0100 3121584 http://www.medworm.com/index.php?rid=3214541&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809011120%2Fabstract%3Frss%3Dyes Conclusion: The OC containing drospirenone does not seem to affect the surrogate markers of cardiovascular risk in lean patients with PCOS. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3214541 Mon, 16 Nov 2009 00:00:00 +0100 3214541 http://www.medworm.com/index.php?rid=3340861&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809010217%2Fabstract%3Frss%3Dyes Shobha H. Mehta and Robert J. Sokol question our recommendations on mode of delivery in women with a history of shoulder dystocia. Our aim was to estimate the absolute and relative risk of shoulder dystocia recurrence. We had the opportunity to study this in a population with almost complete follow-up and a relatively low cesarean section rate. In populations with high cesarean section rate, and differential mode of delivery according to history of shoulder dystocia, the recurrence rate estimates are likely to be biased. In the Western world today, the level of obstetrical interventions is high and true recurrence risk estimates of any delivery complication are difficult to obtain. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3340861 Thu, 05 Nov 2009 00:00:00 +0100 3340861 http://www.medworm.com/index.php?rid=3340860&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809010205%2Fabstract%3Frss%3Dyes We would like to bring to your readers' attention an issue with pregnancy management with history of shoulder dystocia (SD), as recommended by Overland et al in the Journal's May issue. In a large sample of vaginal deliveries during a 38-year period in Norway, the absolute risk of SD recurrence was 7.3%. They find that the most important risk factor for SD recurrence is very high birthweight (BW) and recommend planned cesarean for women with previous SD and estimated fetal weight (EFW) >4500g. This is based on recurrence rates of 19.9% (BW, 4500–5000 g) and 29.2% (BW, >5000 g). (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3340860 Thu, 05 Nov 2009 00:00:00 +0100 3340860 http://www.medworm.com/index.php?rid=3340859&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809010163%2Fabstract%3Frss%3Dyes I so fully appreciate the interest and the input of Drs McCausland in their letter regarding “The role of transvaginal ultrasound or endometrial biopsy in the evaluation of the menopausal endometrium.” They must have been a “fly on the wall” during the past several years when I have spoken on this topic as an invited faculty member at various postgraduate courses. Invariably the question arises as to what to do about the patient who has undergone a previous global endometrial ablation (GEA), who now experiences postmenopausal bleeding. My answer virtually always expresses the concerns that they have expressed so nicely in their letter. Virtually all modalities that have been used in the past or can be used in such patients will often be compromised and suboptimal, including transva... American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3340859 Thu, 05 Nov 2009 00:00:00 +0100 3340859 http://www.medworm.com/index.php?rid=3340857&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809010187%2Fabstract%3Frss%3Dyes We thank Drs Knight and Gardener for their interest in our study and are pleased to respond to their comments. Overall, antenatal magnesium sulfate was associated with a statistically significant reduction in the risk of cerebral palsy for all 6 studies that recruited women at (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3340857 Thu, 05 Nov 2009 00:00:00 +0100 3340857 http://www.medworm.com/index.php?rid=3340856&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809010175%2Fabstract%3Frss%3Dyes The recent Cochrane Review and similar metaanalysis by Conde-Agudelo and Romero establish a fetal neuroprotective role for antenatal magnesium sulfate (MgSO4) given to women at risk of preterm birth, with significant reductions in the risk of cerebral palsy (CP) and gross motor dysfunction. However, the upper gestational age that warrants treatment is not clear. CP is 20 times more common in babies born at (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3340856 Thu, 05 Nov 2009 00:00:00 +0100 3340856 http://www.medworm.com/index.php?rid=3214566&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809009570%2Fabstract%3Frss%3Dyes We are deeply gratified by the interest of colleagues in our recent publication. Their response is thought provoking and worthy of consideration. As geneticists, we were particularly interested in the reference to neurotrophin-3 and connexin-43 gene mutations as potential explanations of our findings of increased rates of microcephaly in newborn infants with congenital heart disease. For the benefit of our readers it bears pointing out, however, that null mice for Cx 43 died at or within hours of birth because of cyanosis that resulted from congenital obstruction of the right ventricular out-flow tract. No brain abnormalities were identified. Similarly, neurotropin-3 mutations were associated with right out-flow tract abnormalities and pulmonary and valvular stenosis with pulmonary hemorrh... American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3214566 Thu, 05 Nov 2009 00:00:00 +0100 3214566 http://www.medworm.com/index.php?rid=3214563&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809009594%2Fabstract%3Frss%3Dyes Lee et al have resurrected the free thyroxine index (FT4I) against modern analog-type (labeled analog/labeled antibody) free thyroxine (FT4) assays for diagnosis in pregnancy. This harkens back 40 years to a more innocent era, when shortcomings in thyroid hormone uptake methods were scarcely understood. All authentic FT4 assays must rigorously obey the law of mass action when measuring free hormone. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3214563 Thu, 05 Nov 2009 00:00:00 +0100 3214563 http://www.medworm.com/index.php?rid=3214562&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS000293780900951X%2Fabstract%3Frss%3Dyes We thank Drs Suzuki and Satomi for their interest and comments regarding our study of national trends of episiotomy rates using the National Hospital Discharge Survey database, 1979-2004. The authors of the letter ask whether pregnant women in the United States seem to be satisfied with the trends in episiotomy. Unfortunately, we do not have an answer to this question. Upon review of the literature, we could not find a study assessing patient satisfaction with decreasing trends in episiotomy use in the United States. However, an association between lower episiotomy rate and higher patient satisfaction has been demonstrated in a non-US population. We speculate that women delivering in the United States would also be happy with a lower rate of episiotomy because the risk of anal sphincter la... American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3214562 Thu, 05 Nov 2009 00:00:00 +0100 3214562 http://www.medworm.com/index.php?rid=3214561&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809009533%2Fabstract%3Frss%3Dyes We read with interest the article by Frankman et al, who reported the significant decreases in episiotomy rates between 1979–2004 in the United States. Are pregnant women in the United States satisfied with the trends in episiotomy? (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3214561 Thu, 05 Nov 2009 00:00:00 +0100 3214561 http://www.medworm.com/index.php?rid=3214559&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809009491%2Fabstract%3Frss%3Dyes Don't be fooled by Simcox's CIRCLE trial publication about cerclage. The randomization was between an objective measure as a determinant for an intervention vs individual clinical judgment—for which there were no prescribed criteria. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3214559 Thu, 05 Nov 2009 00:00:00 +0100 3214559 http://www.medworm.com/index.php?rid=3214546&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809011028%2Fabstract%3Frss%3Dyes Conclusion: We conclude that calcineurin inhibitors are an effective treatment for patients not responding to corticosteroid treatment. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3214546 Thu, 05 Nov 2009 00:00:00 +0100 3214546 http://www.medworm.com/index.php?rid=3121619&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809009181%2Fabstract%3Frss%3Dyes We agree with the comment about the distention media in operative hysteroscopy. In our study, short operative time ( (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3121619 Thu, 05 Nov 2009 00:00:00 +0100 3121619 http://www.medworm.com/index.php?rid=3121617&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809009168%2Fabstract%3Frss%3Dyes We thank Dr Farghaly for his interest in our article and for the issues raised with regard to the role of laparoscopic surgery in patients with early-stage endometrial cancer. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3121617 Thu, 05 Nov 2009 00:00:00 +0100 3121617 http://www.medworm.com/index.php?rid=3121614&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809009144%2Fabstract%3Frss%3Dyes Aspects of the full scope of the obstetric team's potential to detect and treat postnatal depression were possibly neglected in the otherwise useful review of Pearlstein and colleagues. That this neglect is perhaps commonplace in obstetric practice might be reflected in the high number of maternal deaths because of psychiatric illness. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3121614 Thu, 05 Nov 2009 00:00:00 +0100 3121614 http://www.medworm.com/index.php?rid=3121610&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809011041%2Fabstract%3Frss%3Dyes We report a cesarean hysterectomy for placenta accreta with synchronous autotransfusion using a standard cardiopulmonary bypass machine. This technique requires complete intraoperative heparinization yet has the advantage of autotransfusion of autologous clotting factors and platelets in addition to red blood cells. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3121610 Thu, 05 Nov 2009 00:00:00 +0100 3121610 http://www.medworm.com/index.php?rid=3121602&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809009454%2Fabstract%3Frss%3Dyes Objective: We hypothesized that repetitive umbilical cord occlusions (UCOs) with worsening acidosis will lead to a fetal inflammatory response.Study Design: Chronically instrumented fetal sheep underwent a series of UCOs until fetal arterial pH decreased to (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3121602 Thu, 05 Nov 2009 00:00:00 +0100 3121602 http://www.medworm.com/index.php?rid=3121601&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809009417%2Fabstract%3Frss%3Dyes Conclusion: This is the first report of miRNA expression in the human uterine cervix in pregnancy. Cervical remodeling after TL and delivery was associated with changes in miR-223, miR-34b, and miR-34c. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3121601 Thu, 05 Nov 2009 00:00:00 +0100 3121601 http://www.medworm.com/index.php?rid=3121583&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809009557%2Fabstract%3Frss%3Dyes Conclusion: The cause of postpartum readmission is primarily infectious in origin. A recent pregnancy appears to increase the risk of pneumonia, appendicitis, and cholecystitis. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3121583 Thu, 05 Nov 2009 00:00:00 +0100 3121583 http://www.medworm.com/index.php?rid=3121582&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809009612%2Fabstract%3Frss%3Dyes Conclusion: The Davydov technique seems to be a safe and effective treatment for vaginal agenesis in patients with Rokitansky syndrome. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3121582 Thu, 05 Nov 2009 00:00:00 +0100 3121582 http://www.medworm.com/index.php?rid=3121613&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809008576%2Fabstract%3Frss%3Dyes We wanted to notify your readers of an oversight and omission that pertains to our evidence-based recommendation for the preconception care of women with seizure disorders. In our published discussion of the “Recommendations of other groups” for women with seizure disorders, we misstated that the American Academy of Neurology recommends folic acid supplementation of 0.4 mg/d (rather than at least 0.4 mg/d) for all women, with or without a seizure disorder. Since the publication of our original article, the American Academy of Neurology has updated their practice guideline to acknowledge that there is insufficient published information to address dosing of folic acid for women with seizure disorders and/or who are taking anticonvulsant medications. The updated practice guideline specifi... American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3121613 Wed, 04 Nov 2009 00:00:00 +0100 3121613 http://www.medworm.com/index.php?rid=2945686&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809009673%2Fabstract%3Frss%3Dyes We report a case of placenta accreta that was managed conservatively by uterine arterial embolization and subsequently was complicated by hematuria. Ultrasound revealed a calcified mass at the posterior bladder wall. A careful resection under cystoscopy was carried out without hemorrhagic complication. Pathologic examination showed placental tissue that confirmed placenta percreta. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=2945686 Sat, 31 Oct 2009 14:41:46 +0100 2945686 http://www.medworm.com/index.php?rid=2945684&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS000293780900948X%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:Costa A, Ayres-de-Campos D, Costa F, et al. Prediction of neonatal acidemia by computer analysis of fetal heart rate and ST event signals. Am J Obstet Gynecol 2009;201:464.e1-6. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=2945684 Sat, 31 Oct 2009 14:41:46 +0100 2945684 http://www.medworm.com/index.php?rid=2945683&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809010886%2Fabstract%3Frss%3Dyes We studied the feasibility of performing balloon vaginoplasty (BV) with conventional laparoscopic instruments through 2 modified techniques aiming at providing BV for open use. Three of 6 cases with vaginal aplasia were offered modified laparoscopically assisted balloon vaginoplasty (LAB-V) and the other 3 cases underwent modified retropubic balloon vaginoplasty (RBV). We measured operative time, complications, anatomical outcomes, functional outcomes, and re-intervention rates. Modified RBV and LAB-V were performed successfully in the 6 cases within 9-12 and 29-38 min, respectively. The neovagina depths were 8-10 and 9-12 cm, respectively. Anterior rectal wall needle puncture was encountered in 1 case of LAB-V group and posterior urethral wall puncture in an abnormally dilated urethra in ... American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=2945683 Sat, 31 Oct 2009 14:41:46 +0100 2945683 http://www.medworm.com/index.php?rid=2945681&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809009041%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:Costa A, Ayres-de-Campos D, Costa F, et al. Prediction of neonatal acidemia by computer analysis of fetal heart rate and ST event signals. Am J Obstet Gynecol 2009;201:464.e1-6.The full discussion appears at www.AJOG.org, pages e1-4. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=2945681 Sat, 31 Oct 2009 14:41:46 +0100 2945681 http://www.medworm.com/index.php?rid=2945680&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809010023%2Fabstract%3Frss%3Dyes The authors of “Measures of acidosis with repetitive umbilical cord occlusions leading to fetal asphyxia in the near-term ovine fetus” (Am J Obstet Gynecol 2009;200:200.e1-7) have requested the addition of a coauthor's name. The full byline reads: Martin G. Grasch, MD, PhD; Roy Z. Mansano, MD; Laron McPhaul, MD; Robert Gagnon, MD; Bryan S. Richardson, MD; Michael G. Ross, MD, MPH. Dr McPhaul is with the Department of Pathology, Geffen School of Medicine at the University of California–Los Angeles, Los Angeles, CA. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=2945680 Sat, 31 Oct 2009 14:41:45 +0100 2945680 http://www.medworm.com/index.php?rid=2945679&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809009661%2Fabstract%3Frss%3Dyes An Editors' Commentary for the Review article “Uterine artery Doppler flow studies in obstetric practice” by Anthony C. Sciscione, DO, and Edward J. Hayes, MD, published in the August 2009 issue (Am J Obstet Gynecol 2009;201:121-6), states: “The Society for Maternal-Fetal Medicine has approved this article as representing a valid summary of the current use of uterine artery Doppler studies in obstetric practice.” (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=2945679 Sat, 31 Oct 2009 14:41:45 +0100 2945679 http://www.medworm.com/index.php?rid=2945676&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809008333%2Fabstract%3Frss%3Dyes Conclusion: In this largest comparison, short-term morbidity of TLH and LSH is overall similar. TLH presents a clinically small, but statistically significant, increased risk of urinary tract injury and conversion to laparotomy. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=2945676 Sat, 31 Oct 2009 14:41:45 +0100 2945676 http://www.medworm.com/index.php?rid=2945665&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809006413%2Fabstract%3Frss%3Dyes Conclusion: With moderate UI (not mild or severe), black women are more bothered than white women. At this discriminatory level of UI severity, racial differences are important, because they may dictate care-seeking behavior. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=2945665 Sat, 31 Oct 2009 14:41:44 +0100 2945665 http://www.medworm.com/index.php?rid=2945656&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809006371%2Fabstract%3Frss%3Dyes Conclusion: Our data indicate that, in women with cervical cancer lesions of (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=2945656 Sat, 31 Oct 2009 14:41:43 +0100 2945656 http://www.medworm.com/index.php?rid=2945644&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS000293780900444X%2Fabstract%3Frss%3Dyes We reviewed the best evidence on amniotic fluid embolism (AFE). The estimated incidence of AFE is 1:15,200 and 1:53,800 deliveries in North America and Europe, respectively. The case fatality rate and perinatal mortality associated with AFE are 13-30% and 9-44%, respectively. Risk factors associated with increased risk of AFE include advanced maternal age, placental abnormalities, operative deliveries, eclampsia, polyhydramnios, cervical laceration, and uterine rupture. Hemodynamic response to AFE is biphasic, with initial pulmonary hypertension and right ventricular failure, followed by left ventricular failure. Promising therapies include selective pulmonary vasodilators and recombinant activated factor VIIa. Important topics for future research are presented. (Source: American Journal o... American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=2945644 Sat, 31 Oct 2009 14:41:41 +0100 2945644 http://www.medworm.com/index.php?rid=2945643&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809002737%2Fabstract%3Frss%3Dyes The effects of complete methods of cesarean section (CS) were compared. Metaanalysis of randomized controlled trials of intention to perform CS using different techniques was carried out. Joel-Cohen–based CS compared with Pfannenstiel CS was associated with reduced blood loss, operating time, time to oral intake, fever, duration of postoperative pain, analgesic injections, and time from skin incision to birth of the baby. Misgav-Ladach compared with the traditional method was associated with reduced blood loss, operating time, time to mobilization, and length of postoperative stay for the mother. Joel-Cohen–based methods have advantages compared with Pfannenstiel and traditional (lower midline) CS techniques. However, these trials do not provide information on serious and long-term out... American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=2945643 Sat, 31 Oct 2009 14:41:41 +0100 2945643 http://www.medworm.com/index.php?rid=2945642&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809007029%2Fabstract%3Frss%3Dyes National health statistics help track trends in mortality and disease states and, in turn, governments have the opportunity to prioritize spending for research and ultimately to devise and implement prevention strategies. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=2945642 Sat, 31 Oct 2009 14:41:41 +0100 2945642 http://www.medworm.com/index.php?rid=2945641&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809010473%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=2945641 Sat, 31 Oct 2009 14:41:41 +0100 2945641 http://www.medworm.com/index.php?rid=2945640&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809010461%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=2945640 Sat, 31 Oct 2009 14:41:41 +0100 2945640 http://www.medworm.com/index.php?rid=3214538&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809010230%2Fabstract%3Frss%3Dyes Conclusion: Measurement of sFlt-1 and PIGF and calculation of sFlt-1/PIGF ratio can be performed quickly and in a platform available in clinical laboratories. This is a substantial step forward in bringing the determination of these analytes to clinical practice in obstetrics. We propose that sFlt-1, PIGF, and sFlt-1/PIGF ratio may be of value in the prediction of PE and in the differential diagnosis of patients with atypical presentations of PE, and perhaps in the differential diagnosis of women with chronic hypertension suspected to develop superimposed PE. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3214538 Thu, 22 Oct 2009 00:00:00 +0100 3214538 http://www.medworm.com/index.php?rid=3054654&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809011089%2Fabstract%3Frss%3Dyes The Centers for Disease Control and Prevention Advisory Committee on Immunization Practices recommends routine influenza vaccination for all women who are or will be pregnant during the influenza season. During seasonal influenza epidemics, during previous pandemics, and with the current influenza A (H1N1) pandemic, pregnancy places otherwise healthy women at increased risk for serious complications from influenza, including death. Inactivated influenza vaccine can be safely and effectively administered during any trimester of pregnancy. No study to date has demonstrated an increased risk of either maternal complications or adverse fetal outcomes associated with inactivated influenza vaccination. Moreover, no scientific evidence exists that thimerosal-containing vaccines are a cause of adv... American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3054654 Thu, 22 Oct 2009 00:00:00 +0100 3054654 http://www.medworm.com/index.php?rid=3214537&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809010151%2Fabstract%3Frss%3Dyes Conclusion: With an opt-in approach, 29% of women were not screened for HIV during their early prenatal care. An opt-in policy also leads to screening rates that are provider dependent. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3214537 Wed, 21 Oct 2009 00:00:00 +0100 3214537 http://www.medworm.com/index.php?rid=3214536&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809010138%2Fabstract%3Frss%3Dyes Conclusion: The SI as originally proposed is misleading and of limited use as it does not differentiate selective from nonselective procedures. We propose instead using a ratio of selective/nonselective procedures, and selectively coagulated/total number of coagulated vessels to appraise center-specific and patient-specific surgical performance of laser surgery for twin–twin transfusion syndrome. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3214536 Wed, 21 Oct 2009 00:00:00 +0100 3214536 http://www.medworm.com/index.php?rid=3214535&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809010114%2Fabstract%3Frss%3Dyes Objective: We sought to evaluate the change in cervical length (CL) as a predictor of preterm birth in asymptomatic twin pregnancies.Study Design: We studied a historical cohort of 121 twin pregnancies with CL testing between 18-24 weeks who had a follow-up CL 2-6 weeks after the initial CL.Results: A total of 19 patients had their CL decrease by ≥20% (shortened CL group) and 102 patients' CL decreased by less, or not at all (stable CL group). The shortened CL group had a significantly higher rate of spontaneous preterm birth (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3214535 Wed, 21 Oct 2009 00:00:00 +0100 3214535 http://www.medworm.com/index.php?rid=3121612&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809008242%2Fabstract%3Frss%3Dyes I appreciate the interest of Dr Andrews in my Clinical Opinion. I agree with him that we should not mandate the use of magnesium sulfate for fetal neuroprotection (if for no other reason than that we should not mandate any intervention) and that the patient should always be involved in the decision-making process. But, I think he overcomplicates the issue. In >2000 women and fetuses randomized to magnesium sulfate for fetal neuroprotection, there was no measurable harm. So, if our patients ask, “What are the risks?” I think it fair to say, “Negligible.” And if they ask, “What are the benefits?” I think it fair to respond that the best available evidence indicates that by receiving magnesium sulfate, a mother facing an early preterm birth significantly increases the chances that... American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3121612 Wed, 21 Oct 2009 00:00:00 +0100 3121612 http://www.medworm.com/index.php?rid=3121604&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809009624%2Fabstract%3Frss%3Dyes Conclusion: Differences in vascularization patterns in the placenta already in the first trimester of pregnancies that are complicated later by hypertensive disorders or IUGR confirm the hypothesis of early changes by means of more vessels and more peripheral vessels that are located in chorionic villi. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3121604 Wed, 21 Oct 2009 00:00:00 +0100 3121604 http://www.medworm.com/index.php?rid=3121599&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS000293780900828X%2Fabstract%3Frss%3Dyes Conclusion: Both surgical approaches seem to have their own benefits. Based on the STI, the balance between cure rate and complications is on the short term in favor of TOT but on the long term similar for TOT and retropubic TVT. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3121599 Wed, 21 Oct 2009 00:00:00 +0100 3121599 http://www.medworm.com/index.php?rid=3054657&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS000293780900845X%2Fabstract%3Frss%3Dyes Conclusion: Our findings suggest that a woman of childbearing years might decrease her risk of miscarriage associated with alcohol intake by taking multivitamin supplements. However, our findings should be interpreted with caution and future research replicating these findings is necessary. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3054657 Wed, 21 Oct 2009 00:00:00 +0100 3054657 http://www.medworm.com/index.php?rid=3340858&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809010199%2Fabstract%3Frss%3Dyes Dr Goldstein's review article on the role of transvaginal (TV) ultrasound (U/S) or endometrial biopsy in the evaluation of the menopausal endometrium is extremely important from a practical standpoint. He mentioned that one of the limitations of TV U/S was previous uterine surgery. In this context, the increasingly popular total or global endometrial ablation (GEA) to treat menorrhagia must be discussed since >400,000 GEAs are being performed annually in the United States. It is now evident that after a GEA, significant intrauterine scarring and contracture occur. There is concern that bleeding from persistent or regenerating endometrium behind this scarring could be obstructed and delay the diagnosis of endometrial cancer. Since cases of asymptomatic postablation endometrial cancers have ... American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3340858 Thu, 15 Oct 2009 00:00:00 +0100 3340858 http://www.medworm.com/index.php?rid=3121595&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809009582%2Fabstract%3Frss%3Dyes Conclusion: This development over the 10-year period may indicate very high CS rates in the near future; the epidemic of the use of CS that has been observed in urban China is likely to occur also in rural China. Further studies on the reasons and consequences of such excessive use of operative delivery are needed. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3121595 Mon, 12 Oct 2009 00:00:00 +0100 3121595 http://www.medworm.com/index.php?rid=3340851&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809008588%2Fabstract%3Frss%3Dyes A 28-year-old woman had a 6-year history of secondary infertility. Her first pregnancy was a normal delivery at term 8 years earlier. This was followed by a second-trimester loss at 14 weeks of gestation that required surgical evacuation. The patient had regular menstrual cycles after the procedure. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3340851 Mon, 05 Oct 2009 00:00:00 +0100 3340851 http://www.medworm.com/index.php?rid=3214565&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809009600%2Fabstract%3Frss%3Dyes In their article, Barbu et al reported increased rates of microcephaly in neonates with congenital heart defects such as tetralogy of Fallot or coarctation/aortic arch hypoplasia. The authors interpret their findings as “strong evidence in support of intrauterine hypoxic central nervous system damage.” They thereby argue that it is heart defect–induced hypoxia that causes a developmental defect of the brain and thus microcephaly. Moreover, they call for “potential changes in prenatal management including aggressive antepartum surveillance and earlier delivery.” (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3214565 Mon, 05 Oct 2009 00:00:00 +0100 3214565 http://www.medworm.com/index.php?rid=3214560&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809009508%2Fabstract%3Frss%3Dyes We believe Dr Andrews has missed the point of our study. Quoting the overall risk of our study population based on “history” is meaningless as the intervention was not selected on this basis. This is just an entry criterion of those who are scanned. We stand by the robustness of the methodology and the design, which are fit for purpose. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3214560 Mon, 05 Oct 2009 00:00:00 +0100 3214560 http://www.medworm.com/index.php?rid=3121615&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809009132%2Fabstract%3Frss%3Dyes Drs Persaud and Morris highlight the need for whole-team vigilance in treating perinatal patients. As they point out, the results of the most recent review of the UK confidential enquiry illuminate the fact that the frequency of maternal death associated with psychiatric illness remains tragically high. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3121615 Mon, 05 Oct 2009 00:00:00 +0100 3121615 http://www.medworm.com/index.php?rid=3121605&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS000293780900814X%2Fabstract%3Frss%3Dyes Conclusion: The confocal microlaparoscope represents a new type of in vivo imaging device. With its ability to image cellular details in real time, it has the potential to aid in the early diagnosis of cancer. Initially the device may be used to locate unusual regions for guided biopsies. In the long term, the device may be able to supplant traditional biopsies and allow the surgeon to identify early-stage ovarian cancer. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3121605 Mon, 05 Oct 2009 00:00:00 +0100 3121605 http://www.medworm.com/index.php?rid=3121600&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809008448%2Fabstract%3Frss%3Dyes Conclusion: Fetal systemic inflammatory responses occurred after chorioamnion, lung, or gut exposures to lipopolysaccharide. The organ responses differed based on route of the fetal exposure. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3121600 Mon, 05 Oct 2009 00:00:00 +0100 3121600 http://www.medworm.com/index.php?rid=3121596&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809008254%2Fabstract%3Frss%3Dyes Conclusion: Increased immunoreactivity to SLIT is an important factor for recurrence of EC, likely through attracting endothelial cells and promoting neovascularization. Thus, the SLIT immunoreactivity is likely a promising biomarker for recurrence and the SLIT/ROBO1 system may be a potential target for reducing the recurrence risk in EC. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3121596 Mon, 05 Oct 2009 00:00:00 +0100 3121596 http://www.medworm.com/index.php?rid=3121594&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809008205%2Fabstract%3Frss%3Dyes Conclusion: The findings do not indicate sizable effects on fetal growth measures related to exercise apart from a modest decreased risk of small- and large-for-gestational-age infants. These findings do not speak against advising pregnant women to be physically active during pregnancy. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3121594 Mon, 05 Oct 2009 00:00:00 +0100 3121594 http://www.medworm.com/index.php?rid=3121592&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS0002937809009466%2Fabstract%3Frss%3Dyes Conclusion: Paired GBS cultures showed a good level of agreement. The 28.8% rate of positive cultures becoming negative is clinically concerning and warrants further study. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3121592 Mon, 05 Oct 2009 00:00:00 +0100 3121592 http://www.medworm.com/index.php?rid=3121589&cid=s_34385_29_f&fid=34385&url=http%3A%2F%2Fwww.ajog.org%2Farticle%2FPIIS000293780900903X%2Fabstract%3Frss%3Dyes Conclusion: These results corroborated those of previous studies and suggested new associations between obesity and conotruncal defects and RVOT defects. (Source: American Journal of Obstetrics and Gynecology) American Journal of Obstetrics and Gynecology journals http://www.medworm.com/rss/comments.php?id=3121589 Mon, 05 Oct 2009 00:00:00 +0100 3121589