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1823 records returned

Placenta percreta: urologic complication after successful conservative management by uterine arterial embolization: a case reportemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
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)
Source: American Journal of Obstetrics and Gynecology - October 31, 2009 Category: OBGYN Authors: Abdoulaye N. Diop, Sébastien Bros, Pascal Chabrot, Denis Gallot, Louis Boyer Tags: Case Reports Source Type: journals

Discussion: ‘Predicting neonatal acidemia by computer analysis’ by Costa et alemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
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)
Source: American Journal of Obstetrics and Gynecology - October 31, 2009 Category: OBGYN Authors: Christian M. Pettker, Stephen F. Thung, Antonette Dulay, Christina Han, Unzila Ali Tags: Journal Club Roundtable Source Type: journals

Modified balloon vaginoplasty: the fastest way to create a natural neovagina: Minor changes in technique eliminate the need for customized instrumentsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
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...
Source: American Journal of Obstetrics and Gynecology - October 31, 2009 Category: OBGYN Authors: Ali M. El Saman, Mohamed M.F. Fathalla, Mahmoud S. Zakherah, Omar M. Shaaban, Ahmed Nasr Tags: Surgeon's Corner Source Type: journals

Predicting neonatal acidemia by computer analysis: Costa et alemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
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)
Source: American Journal of Obstetrics and Gynecology - October 31, 2009 Category: OBGYN Authors: Christian M. Pettker, Stephen F. Thung, Antonette Dulay, Christina Han, Unzila Ali Tags: Journal Club Source Type: journals

February 2009 (vol. 200, no. 2, page 200)email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
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)
Source: American Journal of Obstetrics and Gynecology - October 31, 2009 Category: OBGYN Tags: Corrections Source Type: journals

August 2009 (vol. 201, no. 2, pages 121-6)email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
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)
Source: American Journal of Obstetrics and Gynecology - October 31, 2009 Category: OBGYN Tags: Corrections Source Type: journals

A comparison of short-term outcomes between laparoscopic supracervical and total hysterectomyemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
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)
Source: American Journal of Obstetrics and Gynecology - October 31, 2009 Category: OBGYN Authors: Ozgur H. Harmanli, Elena Tunitsky, Sertac Esin, Ayse Citil, Alexander Knee Tags: Selected papers from the 35th Annual Scientific Meeting of the Society of Gynecologic Surgeons Source Type: journals

Racial differences in bother for women with urinary incontinence in the Establishing the Prevalence of Incontinence (EPI) studyemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
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)
Source: American Journal of Obstetrics and Gynecology - October 31, 2009 Category: OBGYN Authors: Christina Lewicky-Gaupp, Cynthia Brincat, Elisa R. Trowbridge, John O.L. DeLancey, Kenneth Guire, Divya A. Patel, Dee E. Fenner Tags: Selected papers from the 35th Annual Scientific Meeting of the Society of Gynecologic Surgeons Source Type: journals

Primary therapy for early-stage cervical cancer: radical hysterectomy vs radiationemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusion: Our data indicate that, in women with cervical cancer lesions of (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - October 31, 2009 Category: OBGYN Authors: Nisha Bansal, Thomas J. Herzog, Richard E. Shaw, William M. Burke, Israel Deutsch, Jason D. Wright Tags: Oncology Source Type: journals

Amniotic fluid embolism: an evidence-based reviewemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
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...
Source: American Journal of Obstetrics and Gynecology - October 31, 2009 Category: OBGYN Authors: Agustín Conde-Agudelo, Roberto Romero Tags: Obstetrics Source Type: journals

Techniques for cesarean sectionemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
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 metho...
Source: American Journal of Obstetrics and Gynecology - October 31, 2009 Category: OBGYN Authors: Justus G. Hofmeyr, Natalia Novikova, Matthews Mathai, Archana Shah Tags: Obstetrics Source Type: journals

The study of stillbirthemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
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)
Source: American Journal of Obstetrics and Gynecology - October 31, 2009 Category: OBGYN Authors: Ruth C. Fretts Tags: Editorial Source Type: journals

Information for Readersemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
(Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - October 31, 2009 Category: OBGYN Source Type: journals

Table of contentsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
(Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - October 31, 2009 Category: OBGYN Source Type: journals

Fetal laceration injury during cesarean section and its long-term sequelae: a case reportemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
This case report illustrates the cosmetic outcome of a scalpel-related laceration injury sustained to a newborn infant that occurred during the course of an elective cesarean section for breech presentation. This buttock laceration was noted to be 2 cm in length at the time of birth. Twelve years later, the same scar had migrated in a cephalad direction and had increased to 10 cm in length. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - September 28, 2009 Category: OBGYN Authors: Ketan Gajjar, Chris Spencer Tags: Case Reports Source Type: journals

Discussion: ‘The interleukin-10 gene and cervical insufficiency’ by Warren et alemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
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:Warren JE, Nelson LM, Stoddard GJ, et al. Polymorphisms in the promoter region of the interleukin-10 (IL-10) gene in women with cervical insufficiency. Am J Obstet Gynecol 2009;201:372.e1-5. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - September 28, 2009 Category: OBGYN Authors: Jason K. Baxter, Vincenzo Berghella, Timothy Rafael, Ariella Baylson, Leslie Moroz Tags: Journal Club Roundtable Source Type: journals

Correction: March 2009 (vol. 200, no. 3, page 248)email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Acknowledgments for Garite TJ, Kurtzman J, Maurel K, et al. Impact of a “rescue course” of antenatal corticosteroids: a multicenter randomized placebo-controlled trial. Am J Obstet Gynecol 2009;200:248.e1-9. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - September 28, 2009 Category: OBGYN Tags: Correction Source Type: journals

The interleukin-10 gene and cervical insufficiency: Warren et alemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
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:Warren JE, Nelson LM, Stoddard GJ, et al. Polymorphisms in the promoter region of the interleukin-10 (IL-10) gene in women with cervical insufficiency. Am J Obstet Gynecol 2009;201:372.e1-5.The full discussion appears at www.AJOG.org, pages e1-4. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - September 28, 2009 Category: OBGYN Authors: Jason K. Baxter, Vincenzo Berghella, Timothy Rafael, Ariella Baylson, Leslie Moroz Tags: Journal Club Source Type: journals

Racial and ethnic disparities in the trends in primary cesarean delivery based on indicationsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusion: We found that the overall primary cesarean section rate has increased over time. In addition, there is a wide variability in rate of indications for primary cesarean section by race/ethnicity. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - September 28, 2009 Category: OBGYN Authors: Darios Getahun, Daniel Strickland, Jean M. Lawrence, Michael J. Fassett, Corinna Koebnick, Steven J. Jacobsen Tags: Selected papers from the 29th annual meeting (The Pregnancy Meeting) of the Society for Maternal-Fetal Medicine Source Type: journals

Why eicosanoids could represent a new class of tocolytics on uterine activity in pregnant womenemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusion: Epoxy- and hydroxyeicosanoids represent new bioactive, arachidonic acid by-products with in vitro tocolytic activities. These findings suggest that cytochrome P-450 isozymes may represent relevant pharmacologic targets under physiopathologic conditions. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - September 28, 2009 Category: OBGYN Authors: Stéphanie Corriveau, Maryse Berthiaume, Eric Rousseau, Jean-Charles Pasquier Tags: Selected papers from the 29th annual meeting (The Pregnancy Meeting) of the Society for Maternal-Fetal Medicine Source Type: journals

Incidence of complications in twin-twin transfusion syndrome after selective fetoscopic laser photocoagulation: a single-center experienceemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusion: The incidence of early, late, and both early and late complications was 31%, 39%, and 10%, respectively. Close postoperative surveillance is important. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - September 28, 2009 Category: OBGYN Authors: Mounira Habli, Annette Bombrys, David Lewis, Foong-Yen Lim, William Polzin, Rose Maxwell, Timothy Crombleholme Tags: Selected papers from the 29th annual meeting (The Pregnancy Meeting) of the Society for Maternal-Fetal Medicine Source Type: journals

Preterm premature rupture of membranes: does the duration of latency influence perinatal outcomes?email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusion: Latency does not appear to worsen outcomes in pregnancies that are complicated by PPROM. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - September 28, 2009 Category: OBGYN Authors: Tracy A. Manuck, Courtney C. Maclean, Robert M. Silver, Michael W. Varner Tags: Selected papers from the 29th annual meeting (The Pregnancy Meeting) of the Society for Maternal-Fetal Medicine Source Type: journals

Elevated first-trimester uric acid concentrations are associated with the development of gestational diabetesemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusion: First-trimester hyperuricemia is associated with an increased risk of developing GDM, independent of body mass index. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - September 28, 2009 Category: OBGYN Authors: S. Katherine Laughon, Janet Catov, Traci Provins, James M. Roberts, Robin E. Gandley Tags: Selected papers from the 29th annual meeting (The Pregnancy Meeting) of the Society for Maternal-Fetal Medicine Source Type: journals

Multicenter randomized trial of cerclage for preterm birth prevention in high-risk women with shortened midtrimester cervical lengthemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusion: In women with a prior spontaneous preterm birth less than 34 weeks and cervical length less than 25 mm, cerclage reduced previable birth and perinatal mortality but did not prevent birth less than 35 weeks, unless cervical length was less than 15 mm. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - September 28, 2009 Category: OBGYN Authors: John Owen, Gary Hankins, Jay D. Iams, Vincenzo Berghella, Jeanne S. Sheffield, Annette Perez-Delboy, Robert S. Egerman, Deborah A. Wing, Mark Tomlinson, Richard Silver, Susan M. Ramin, Edwin R. Guzman, Michael Gordon, Helen Y. How, Eric J. Knudtson, Jeff Tags: Selected papers from the 29th annual meeting (The Pregnancy Meeting) of the Society for Maternal-Fetal Medicine Source Type: journals

Laparoscopic cervico-isthmic cerclage: surgical technique and obstetric outcomesemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusion: Our findings suggest that the cervico-isthmic cerclage placed laparoscopically compares favorably with the traditional laparotomy approach. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - September 28, 2009 Category: OBGYN Authors: Wendy L. Whittle, Sukhbir S. Singh, Lisa Allen, Louise Glaude, Jacqueline Thomas, Rory Windrim, Nicholas Leyland Tags: Obstetrics Source Type: journals

When to stop pushing: effects of duration of second-stage expulsion efforts on maternal and neonatal outcomes in nulliparous women with epidural analgesiaemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusion: Faced with a decreasing probability of SVD and increased maternal risk of morbidity after 2 hours, we raise the question as to whether expulsive efforts should be continued after this time. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - September 28, 2009 Category: OBGYN Authors: Camille Le Ray, François Audibert, François Goffinet, William Fraser Tags: Obstetrics Source Type: journals

Second-stage labor duration in nulliparous women: relationship to maternal and perinatal outcomesemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Objective: The purpose of this study was to assess maternal and perinatal outcomes as a function of second-stage labor duration.Study Design: We assessed outcomes in nulliparous laboring women who were enrolled in a trial of fetal pulse oximetry.Results: Of 5341 participants, 4126 women reached the second stage of labor. As the duration of the second stage increased, spontaneous vaginal delivery rates declined, from 85% when the duration was (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - September 28, 2009 Category: OBGYN Authors: Dwight J. Rouse, Steven J. Weiner, Steven L. Bloom, Michael W. Varner, Catherine Y. Spong, Susan M. Ramin, Steve N. Caritis, Alan M. Peaceman, Yoram Sorokin, Anthony Sciscione, Marshall W. Carpenter, Brian M. Mercer, John M. Thorp, Fergal D. Malone, Marga Tags: Obstetrics Source Type: journals

The developmental role of natural killer cells at the fetal-maternal interfaceemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Natural killer (NK) cells have been extensively studied in their traditional roles in host defense against tumor or virally infected cells. Uterine NK cells are of 2 distinct subsets: endometrial NK (eNK) cells, found in the uterus during the menstrual cycle, and decidual NK (dNK) cells, found in the decidua during pregnancy. This review will explore the immunosurveillance and cytotoxicity profiles of NK cells, the inert nature of eNK cells, and the role of dNK cells as builders at the maternal-fetal interface that create a pregnancy-favorable environment by inducing angiogenesis, trophoblast invasion, and vascular remodel...
Source: American Journal of Obstetrics and Gynecology - September 28, 2009 Category: OBGYN Authors: Simcha Yagel Tags: Reviews Source Type: journals

A systematic review of outcomes of maternal weight gain according to the Institute of Medicine recommendations: birthweight, fetal growth, and postpartum weight retentionemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
This systematic review focuses on outcomes of gestational weight gain, specifically birthweight, fetal growth, and postpartum weight retention, for singleton pregnancies with respect to the 1990 Institute of Medicine weight gain recommendations. A total of 35 studies met the inclusion criteria and were reviewed. There was strong evidence to support associations between excessive gestational weight gain and increased birthweight and fetal growth (large for gestational age) as well as inadequate gestational weight gain and decreased birthweight and fetal growth (small for gestational age). There was moderate evidence to supp...
Source: American Journal of Obstetrics and Gynecology - September 28, 2009 Category: OBGYN Authors: Anna Maria Siega-Riz, Meera Viswanathan, Merry-K Moos, Andrea Deierlein, Sunni Mumford, Julie Knaack, Patricia Thieda, Linda J. Lux, Kathleen N. Lohr Tags: Reviews Source Type: journals

Is there an upper time limit for the management of the second stage of labor?email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
The epidemiology of the length of labor was notoriously reported by Emmanuel Friedman in several landmark articles >50 years ago. These studies changed modern obstetrics; most specifically, they led to specific normative guidelines on the length of the first and second stages of labor. These normative guidelines generally have become prescriptive and have led to operative deliveries if the length of labor crosses some specific time threshold. However, more recently, a variety of authors have challenged this paradigm for both the first and second stages of labor. This seems reasonable, given that. although basic human biolo...
Source: American Journal of Obstetrics and Gynecology - September 28, 2009 Category: OBGYN Authors: Aaron B. Caughey Tags: Editorials Source Type: journals

Ethical challenges of genomics for perinatal medicine: the Budapest Declarationemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
The new genomics will greatly expand the type and amount of diagnostic information about the fetus. This expanded diagnostic capacity will create ethical challenges for perinatologists. To inform clinical judgment and decision making, the International Academy of Perinatal Medicine offers the following ethical framework. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - September 28, 2009 Category: OBGYN Authors: Zoltán Papp, International Academy of Perinatal Medicine Tags: Editorials Source Type: journals

Women and children first–or last? The New York Declarationemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
A major concern of public policy in all countries is the responsible allocation of health care resources. Justice is the ethical principle that requires fairness in such allocations. Without justice, allocation of health care resources can be arbitrary and injure the interests of many. Justice must guide health care allocation so that it is reasoned and fair, thus protecting and promoting the interests of all who are affected. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - September 28, 2009 Category: OBGYN Authors: Frank A. Chervenak, Laurence B. McCullough, International Academy of Perinatal Medicine Tags: Editorials Source Type: journals

Information for Readersemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
(Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - September 28, 2009 Category: OBGYN Source Type: journals

Table of contentsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
(Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - September 28, 2009 Category: OBGYN Source Type: journals

Screening and treating for primary cytomegalovirus infection in pregnancy: where do we stand? A decision-analytic and economic analysisemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusion: Universal screening for primary maternal cytomegalovirus infection is cost-effective based on available evidence, highlighting the urgent need for additional study evaluating the efficacy of cytomegalovirus-intravenous immune globulin to prevent congenital cytomegalovirus. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - September 27, 2009 Category: OBGYN Authors: Alison G. Cahill, Anthony O. Odibo, David M. Stamilio, George A. Macones Tags: Obstetrics Source Type: journals

Procidentia-induced perinephric and subcutaneous abscessesemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
We present a case of perinephric and subcutaneous abscesses secondary to procidentia-induced hydronephrosis and forniceal rupture of Staphylococcus aureus-infected urine. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - September 23, 2009 Category: OBGYN Authors: Melanie Tsang, Marie-Andrée Harvey, Douglas R. Walker, Darren Beiko Tags: Case Reports Source Type: journals

Risk of mesh erosion after abdominal sacral colpoperineopexy with concomitant hysterectomyemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusion: Hysterectomy at the time of abdominal sacral colpoperineopexy is not a risk factor for vaginal mesh erosion with the use of type 1 polypropylene mesh. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - September 23, 2009 Category: OBGYN Authors: Patrick A. Nosti, Joye K. Lowman, Terrell W. Zollinger, Douglass S. Hale, Patrick J. Woodman Tags: Selected papers from the 35th Annual Scientific Meeting of the Society of Gynecologic Surgeons Source Type: journals

Change in urethral sphincter neuromuscular function during pregnancy persists after deliveryemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusion: Urethral sphincter neuromuscular function changed significantly during pregnancy and these changes persisted postpartum. Lack of recovery 6 months' postpartum suggests a physiologic impact of pregnancy itself on future risk of urinary incontinence. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - September 23, 2009 Category: OBGYN Authors: Alison C. Weidner, Mary M.T. South, Donald B. Sanders, Sandra S. Stinnett Tags: Selected papers from the 35th Annual Scientific Meeting of the Society of Gynecologic Surgeons Source Type: journals

Variability of the retropubic space anatomy in female cadaversemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusion: The complexity and proximity of the large internal iliac venous system to the bony landmarks used for passage of trocars is described in this study. A thorough understanding of the vascular anatomy in this space should help avoid serious operative complications. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - September 23, 2009 Category: OBGYN Authors: Sujatha D. Pathi, Mario E. Castellanos, Marlene M. Corton Tags: Selected papers from the 35th Annual Scientific Meeting of the Society of Gynecologic Surgeons Source Type: journals

Pelvic nerve injury following gynecologic surgery: a prospective cohort studyemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusion: The incidence of lower extremity neuropathy attributable to gynecologic operations is low, and these neuropathies resolve in the great majority of cases. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - September 18, 2009 Category: OBGYN Authors: Justin C. Bohrer, Mark D. Walters, Amy Park, David Polston, Matthew D. Barber Tags: Selected papers from the 35th Annual Scientific Meeting of the Society of Gynecologic Surgeons Source Type: journals

Defining an at-risk population for obstetric anal sphincter lacerationemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusion: Five cesarean deliveries are needed to prevent 1 anal sphincter laceration associated with operative vaginal delivery in this cohort. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - September 18, 2009 Category: OBGYN Authors: Steven M. Minaglia, Chieko Kimata, Karen A. Soules, Tamara Pappas, Ian A. Oyama Tags: Selected papers from the 35th Annual Scientific Meeting of the Society of Gynecologic Surgeons Source Type: journals

Left upper quadrant laparoscopic placement: effects of insertion angle and body mass index on distance to posterior peritoneum by magnetic resonance imagingemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusion: When inserting laparoscopic instruments at Palmer's point, insertion perpendicular to the skin in the axial plane and angled 45° caudally in relation to the spine offers an increased margin of safety compared with insertion perpendicular to the spine, particularly in thin women. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - September 18, 2009 Category: OBGYN Authors: Nichole M. Giannios, Vikas Gulani, Kelsey Rohlck, Rebecca L. Flyckt, Stacie J. Weil, William W. Hurd Tags: Selected papers from the 35th Annual Scientific Meeting of the Society of Gynecologic Surgeons Source Type: journals

Long-term efficacy of the pubovaginal Mersilene mesh slingemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusion: We demonstrated PVMMS to be subjectively and objectively effective in long-term treatment of complicated forms of USI. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - September 18, 2009 Category: OBGYN Authors: Stephen B. Young, Allison E. Howard, Diego S. Illanes, Emily E. Weber LeBrun, Janet R. Hardy, Scott M. Kambiss, Katharine K. O'Dell, Yan Zhang Tags: Selected papers from the 35th Annual Scientific Meeting of the Society of Gynecologic Surgeons Source Type: journals

Racial disparities in stillbirth risk across gestation in the United Statesemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusion: The excess stillbirth risk for blacks was greatest at preterm gestations, and factors contributing to stillbirth risk vary by race and gestational age. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - September 18, 2009 Category: OBGYN Authors: Marian Willinger, Chia-Wen Ko, Uma M. Reddy Tags: Obstetrics Source Type: journals

Alternate exit required: Numerous perineal masses ruled out a vaginal deliveryemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
A 23-year-old primigravid woman was examined at 39 weeks of gestation with multiple swellings in the perineal region. She first noticed the lesions 1 week earlier. Initially, they were small; however, within 7 days, they had significantly increased in size (). The patient, a resident of Tezpur, India, had been married for 2 years. She had no history of such protuberances, and no relevant family history existed. Her pregnancy had been uneventful until this point. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - September 3, 2009 Category: OBGYN Authors: Anjali Rani Tags: Images in Obstetrics Source Type: journals

Patient-reported outcomes after combined surgery for pelvic floor disorders in older compared to younger womenemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Objective: The purpose of this study was to compare patient-reported outcomes after combined surgery for pelvic organ prolapse (POP) and stress urinary incontinence (SUI) between older and younger women.Study Design: This was a retrospective cohort study including 122 younger ( (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - September 3, 2009 Category: OBGYN Authors: Vivian W. Sung, Katharine Joo, Felisha Marques, Deborah L. Myers Tags: Selected papers from the 35th Annual Scientific Meeting of the Society of Gynecologic Surgeons Source Type: journals

Board Certificationemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
The Following list contains Diplomates Passing the 2008 Ob/Gyn Oral Examination on 11/07/2008 Certificates valid through 12/31/2014 (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - August 31, 2009 Category: OBGYN Tags: Certification Source Type: journals

Discussion: ‘Factors influencing oral contraceptive effectiveness’ by Dinger et alemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
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:Dinger JC, Cronin M, Möhner S, et al. Oral contraceptive effectiveness according to body mass index, weight, age, and other factors. Am J Obstet Gynecol 2009;201:263.e1-9. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - August 31, 2009 Category: OBGYN Authors: Tessa Madden, Jenifer E. Allsworth, Melissa Tepe, Katherine Goetzinger, Dan Czarnecki, Jaclyn Grentzer Tags: Journal Club Roundtable Source Type: journals

Combined retropubic balloon vaginoplasty and laparoscopic canalization: A novel blend of techniques provides a minimally invasive treatment for cervicovaginal aplasiaemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
We studied the operative and functional outcomes of combined retropubic balloon vaginoplasty and laparoscopic canalization (RBV-LC) for treatment of cervicovaginal aplasia. The RBV-LC procedure was performed successfully in 4 cases of cervicovaginal aplasia within 35-40 minutes primary operative time. Cystoscopy was performed to ensure bladder and urethral integrity. Endoscopically monitored canalization with laparoscopic canalization is a feasible, effective, less invasive way for management of cervicovaginal aplasia. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - August 31, 2009 Category: OBGYN Authors: Ali M. El Saman Tags: Surgeon's Corner Source Type: journals

Factors influencing oral contraceptive effectiveness: Dinger et alemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
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:Dinger JC, Cronin M, Möhner S, et al. Oral contraceptive effectiveness according to body mass index, weight, age, and other factors. Am J Obstet Gynecol 2009;201:263.e1-9.The full discussion appears at www.AJOG.org, pages e1-4. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - August 31, 2009 Category: OBGYN Authors: Tessa Madden, Jenifer E. Allsworth, Melissa Tepe, Katherine Goetzinger, Dan Czarnecki, Jaclyn Grentzer Tags: Journal Club Source Type: journals