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American Journal of Obstetrics and Gynecology |
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| A continuación se detallan los artículos
científicos de la Revista "American Journal
of Obstetrics and Gynecology" los cuales se encuentran
a disposición de los socios con cuota al día
de SAEGRE
Seleccione "Solicitar artículo" para
realizar el pedido correspondiente. Se abrirá
un formulario; complételo y selecciones "enviar".
A la brevedad le enviaremos el artículo requerido
a la casilla de e-mail que usted consigne. Para facilitar
la rápida recepción del artículo
solicitado, debe tenerse especial cuidado en llenar
los campos con los datos correctos (especialmente dirección
de e-mail y código de artículo deseado).
Aquí se detallan los artículos de April
2003 • Volume 188 • Number 4 .
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American Journal
of Obstetrics and Gynecology
May 2003 • Volume 188 •
Number 5 |
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| Índice de Artículos : |
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| Editorial |
Summary of analysis of published articles
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| Editors' Choice |
Progestins and breast cancer
John Eden, MD
Sydney, Australia
Because there is no definitive evidence that progestins act in the pathogenesis of breast cancer, vigorous, large-scale randomized studies on different progestin regimens are needed.
Editors' choice commentary
Controversies concerning the risk of breast cancer associated with hormone replacement therapy were heightened by the recent Women's Health Initiative study and will continue to be unsettled. It is timely to have an excellent, comprehensive review of the current knowledge of the role of progestins on the risk of breast cancer. The authors have reviewed a broad range of published, relevant data on the subject and present both preclinical and clinical information. A review of basic biochemical aspects of progesterone and estrogen is concise and informative and leads to clinically important issues. This systematic review presents well-balanced information to the reader. The conclusion of this review is that there is not enough conclusive data to link progestins to the pathogenesis of breast cancer in women using hormone replacement therapy.
- The Editors
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Contrasting effects of two hormone replacement therapies on the cardiovascular and mammary gland outcomes in surgically postmenopausal monkeys
Irma H. Suparto, MD, J. Koudy Williams, DVM, J. Mark Cline, DVM, PhD, Mary S. Anthony, PhD, Jamie L. Fox, BS
Winston-Salem, NC
The hormone replacement therapy that contains ethinyl estradiol plus norethindrone acetate has cardiovascular benefits and does not induce mammary tissue hyperplasia in surgically postmenopausal monkeys.
Editors' choice commentary
The lightning bolt from the Women's Health Initiative (2002) struck US care givers of menopausal women, and more particularly the women themselves. This article is a carefully done study in postmenopausal monkeys. The populations studied were controls (n = 19) and those that received conjugated equine estrogens plus continuous medroxyprogesterone acetate (n = 19) compared with ethinyl estradiol plus norethindrone acetate (n = 21). All doses were scaled down to those taken by women.
Studies were quantitative coronary angiography, dobutamine-induced ST segment changes, and mammary gland pathology examinations. The results demonstrated that "EE + NETA protected against atherosclerosis-induced endothelium-mediated vasoconstriction of coronary arteries and heart rate-induced myocardial ischemia while not inducing epithelial tissue proliferating (tissue density) in the mammary gland." These were statistically significant results.
This study requires serious cogitation for all physicians, health care givers, and women. Let us hope it will get the spin of other reports through no fault of the investigators. Studies are studies, and the long-term consequences remain to be seen. Time cures a lot of things and makes us all feel humble, even if we think we knew the truth at the time of concern. We all do the best we can.
- The Editors
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Innervation of the levator ani muscles in the female squirrel monkey
Lisa M. Pierce, DSc, Michelle Reyes, BA, Karl B. Thor, PhD, Paul C. Dolber, PhD, Ronald E. Bremer, BS, Thomas J. Kuehl, PhD, Kimberly W. Coates, MD
Temple, Tex, and Durham, NC
The levator ani muscles in the female squirrel monkey are similar to those of humans and have distinct innervation, with no contribution from the pudendal nerve.
Editors' choice commentary
The authors characterized the innervation of the levator ani muscles in the squirrel monkey and established the importance of this animal as an excellent research model for pelvic floor disorders. The study demonstrated the similarity in intrapelvic skeletal muscles between the female squirrel monkey and humans. Pelvic floor disorders are common, often debilitating, for women who undergo various surgical interventions. The etiology of the disorders is not well known, other than some associated factors such as age, parity, etc. Although denervation injury of the levator ani muscles resulting from vaginal birth has been implicated, whether the pudendal nerve or other nerves are innervated to the levator muscles has been controversial. The authors report that the levator ani muscles have distinct innervation with no contribution from the pudendal nerve in this well-designed animal study. This is an important work for the understanding of the pathogenesis of pelvic floor disorders.
- MHK
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Residents´Papers
Gynecology |
Predominance of serotype V and frequency of erythromycin resistance in Streptococcus agalactiae in Ohio
Andrew Croak, DO, George Abate, DO, Kenneth Goodrum, PhD, Malcolm Modrzakowski, PhD
Athens, Ohio
The increased prevalence of resistant serotype V group B streptococci in Ohio reflects regional shifts, which suggests that alternative therapies for patients who are allergic to penicillin are suboptimal. |
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Postmolar surveillance at a trophoblastic disease center that serves indigent women
Jennifer E. Allen, MD, Melanie R. King, NP, Diana F. Farrar, NP, David S. Miller, MD, John O. Schorge, MD
Dallas, Tex
Hispanic women who are fluent in Spanish only were most likely to complete recommended postmolar human chorionic gonadotropin surveillance at our center.
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The role of covering gowns in reducing rates of bacterial contamination of scrub suits
Chaim Kaplan, MD, Redentor Mendiola, MD, Victorine Ndjatou, MD, Edward Chapnick, MD, Howard Minkoff, MD
Brooklyn, NY
The use of covering garb over scrub suits did not result in a reduction in rates of bacterial contamination
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Dual fluorescence analysis of DNA apoptosis in sperm
Sara C. Rowland, MD, John D. Jacobson, MD, William C. Patton, MD, Alan King, MD, Philip J. Chan, PhD, HCLD
Loma Linda, Calif
Dual fluorescence microscopy indicated increased apoptosis and dose-dependent necrozoospermia in sperm exposed to topoisomerase inhibitors.
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A randomized controlled trial of second- versus third-generation oral contraceptives in the treatment of acne vulgaris
Mitchell P. Rosen, MD, Daniel M. Breitkopf, MD, Manubai Nagamani, MD
Galveston, Tex
Oral contraceptives containing ethinyl estradiol/desogestrel and ethinyl estradiol/levonorgestrel were both effective in treating acne
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The effect of training on the provision of elective abortion: A survey of five residency programs
Jody E. Steinauer, MD, Uta Landy, PhD, Rebecca A. Jackson, MD, Philip D. Darney, MD
San Francisco, Calif
Training in elective abortion is associated with the provision of abortion up to 10 years after the completion of residency.
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Local anesthetic reduces the pain of colposcopic biopsies: A randomized trial
Ian A. Oyama, MD, Mark T. Wakabayashi, MD, MPH, LeighAnn C. Frattarelli, MD, Bruce Kessel, MD
Honolulu, Hawaii
Local anesthetic injected directly into the site of a colposcopically directed cervical biopsy provides a significant reduction in the patient's pain. . |
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A comparison of two models of gynecology service consultation to the emergency department in an academic medical center
D. Yvette LaCoursiere, MD, MPH, Charles W. Nager, MD
San Diego, Calif
Resource use and length of stay increase with selective gynecology service consultation compared with routine consultation of pregnant women in the emergency department.
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Extremes of body mass index do not affect first-trimester pregnancy outcome in patients with infertility
Diana Roth, MD, Richard V. Grazi, MD, Susan M. Lobel, MD
Brooklyn, NY
Rates of spontaneous abortion, ectopic pregnancy, and ongoing pregnancy in first-trimester singleton gestations are independent of body mass index.
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Characteristics predictive of response to ovarian diathermy in women with polycystic ovarian syndrome
Barbara J. Stegmann, MD, H. Randall Craig, MD, R. Curtis Bay, PhD, Dean V. Coonrod, MD-MPH, M. Jane Brady, MS, RN, John A. Garbaciak, Jr, MD
Phoenix, Ariz
After ovarian diathermy for clomiphene-resistant polycystic ovary syndrome, factors predictive of pregnancy included younger age, lower body weight, attenuated insulin resistance, and surgery before 1998.
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Expression of cyclooxygenase-2 in cervical, endometrial, and ovarian malignancies
Charles N. Landen, Jr, MD, Subbi P. Mathur, PhD, Mary S. Richardson, MD, William T. Creasman, MD
Charleston, SC
Cyclooxygenase-2 is significantly increased in endometrial adenocarcinoma and ovarian serous cystadenocarcinoma and is present in both normal cervix and cervical squamous carcinoma.
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Cancer patients' satisfaction with physicians: Princess Margaret Hospital Satisfaction with Doctor questionnaire results
Charles N. Landen, Jr, MD, Novie O. Younger, PhD, Beth A. Collins Sharp, PhD, RN, Paul B. Underwood, MD
Charleston, SC
Patients at a cancer support retreat are satisfied with their physicians independent of treatment intensity but inversely associated with financial burden of care.
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Loop excision for high-grade squamous intraepithelial lesion on cytology: Correlation with colposcopic and histologic findings
Dennis C. Szurkus, MD, Terry A. Harrison, MD
San Diego, Calif
A high-grade cytologic result is an appropriate indication for the loop electrical excision procedure, even if colposcopic examination does not suggest high-grade dysplasia
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A technique to evaluate the thickness and density of nonvascular smooth muscle in the suburethral fibromuscular layer
Daniel M. Morgan, MD, Jyothsna Iyengar, John O.L. DeLancey, MD
Ann Arbor, Mich
We describe a technique to quantify the thickness and density of nonvascular smooth muscle in the female suburethral fibromuscular layer and report the variation observed.
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A cost-effectiveness analysis of management strategies for cervical intraepithelial neoplasia grades 2 and 3
Marc J. Kleinberg, MD, J. Michael Straughn, Jr, MD, Jeffery S.A. Stringer, MD, Edward E. Partridge, MD
Birmingham, Ala
A decision analysis for treatment strategies for cervical intraepithelial neoplasia grades 2 and 3 demonstrating the cost-effectiveness of cryotherapy, loop electrosurgical excision procedure, and total vaginal hysterectomy. |
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Irregular menses: An independent risk factor for gestational diabetes mellitus
Mary Claire Haver, MD, Gregory J. Locksmith, MD, Emily Emmet, MD
Galveston, Tex
A history of irregular menstrual cycles predicts gestational diabetes mellitus independently from other known risk factors.
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Predictors of success with methotrexate treatment of tubal ectopic pregnancy at Grady Memorial Hospital
Megan B. Potter, MD, Lisa A. Lepine, MD, Denise J. Jamieson, MD, MPH
Atlanta, Ga
Systemic methotrexate therapy was successful in 85% of women with ectopic pregnancy; visualization of a yolk sac on ultrasound scan was an independent predictor of failure. |
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CA 125 levels in the preoperative assessment of advanced-stage uterine cancer
Helen Jhang, MD, Linus Chuang, MD, Paul Visintainer, PhD, Gita Ramaswamy, MD
Valhalla, NY
A preoperative CA 125 level is an independent prognostic factor of advanced-stage disease in uterine cancer.
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Effect of sleep deprivation on medical resident and student cognitive function: A prospective study
Melissa M. Halbach, MD, Cyril O. Spann, MD, Glen Egan, PhD
Atlanta, Ga
Cognitive function test results for obstetrics and gynecology residents and students decrease after a night of sleep deprivation that is experienced normally during on-call duty. |
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Patient satisfaction and the impact of written material about postpartum contraceptive decisions
Lisa K. Johnson, MD, Alison Edelman, MD, Jeffrey Jensen, MD, MPH
Portland, Ore
The postpartum distribution of written material about contraceptive options increases a woman's ability to make an informed decision regarding birth control
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Frequency and predictors for postpartum fecal incontinence
Wendy Hall, MD, PhD, Karen McCracken, RN, Patricia Osterweil, BS, Jeanne-Marie Guise, MD, MPH
Portland, Ore
Fecal incontinence, by the National Institutes of Health definition, is common in postpartum women
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Estrogen increases inducible nitric oxide synthase gene expression
Leigh S. Walsh, MD, Arthur Ollendorff, MD, John L. Mershon, MD
Cincinnati, Ohio
The inflammatory effects of estrogen may be related to the expression of inducible nitric oxide synthase.
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| Obstetrics |
Expression of placental low-density lipoprotein receptor-related protein and scavenger receptors AI/AII transcripts in the baboon
Wenliang Shi, MD, PhD, Kenneth F. Swan, MS, Michael C. Henson, PhD
New Orleans and Covington, La
Scavenger receptor-AII messenger RNA is expressed in baboon placenta and may be most abundant in the endocrinologically active syncytiotrophoblast.
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Postdates pregnancy in an indigent population: The financial burden
Linda Fonseca, MD, Manju Monga, MD, Jeannie Silva, RDMS
Houston, Tex
Routine early ultrasound scanning and routine induction for postdates pregnancy in an indigent population would add considerable financial burden to the system.
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Screening for postpartum depression in an inner-city population
Jeanine K. Morris-Rush, MD, Margaret Comerford Freda, EdD, RN, Peter S. Bernstein, MD, MPH
Bronx, NY
A self-administered depression screening tool such as the Edinburgh Postnatal Depression Scale may be a first step toward improving screening for postpartum depression.
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The usefulness of the TDx/TDxFLx Fetal Lung Maturity II assay in the initial evaluation of fetal lung maturity
Erica J. Kesselman, MD, Reinaldo Figueroa, MD, David Garry, DO, Dev Maulik, MD, PhD
Mineola, NY
The TDx/TDxFLx FLM II assay is an excellent tool in determining fetal lung maturity with use of a cutoff value of 55 mg/g.
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Complications associated with peripherally inserted central catheter use during pregnancy
Janelle M. Ogura, MD, Karrie E. Francois, MD, Jordan H. Perlow, MD, John P. Elliott, MD
Phoenix, Ariz
Patients who receive a peripherally inserted central catheter during pregnancy are at significant risk for complications, most of which are infectious. |
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Is placenta previa more common in multiple gestations?
Karrie Francois, MD, James M. Johnson, MD, Cathleen Harris, MD, MPH
Phoenix, Ariz
The occurrence of placenta previa at delivery does not differ between singleton and multiple gestations.
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The association of fetal heart rate patterns with nucleated red blood cell counts at birth
Asaf Ferber, MD, Armando Grassi, MD, Didem Akyol, MD, Christopher O'Reilly-Green, MD, Michael Y. Divon, MD
New York, NY
The only fetal heart rate feature that predicted elevated nucleated red blood cell count at birth was the time interval between delivery and the last fetal heart rate acceleration before delivery. |
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Perceived quality of life in pregnant adolescent girls
Kelly M. Drescher, MD, Manju Monga, MD, Patricia Williams, MD, Pamela Promecene-Cook, MD, Karen Schneider, MD
Houston, Tex
There is little change in the perceived quality of life in pregnant adolescent girls.
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Interleukin-18 in the plasma of women with preeclampsia
Kristina M. Adams, MD, Lynn S. Mandel, PhD, Katherine A. Guthrie, PhD, M. Wendy Atkinson, MD
Seattle, Wash
Interleukin-18 is not elevated in preeclampsia and does not correlate with advancing gestational age.
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Infant mortality, low birth weight, and prematurity among Hispanic, white, and African American women in North Carolina
Jennie C. Leslie, MD, Shelley L. Galvin, MA, Sandra J. Diehl, MPH, Trude A. Bennett, DrPH, Paul A. Buescher, PhD
Asheville, Wilmington, Chapel Hill, and Raleigh, NC
Hispanic and white women had fewer adverse pregnancy outcomes than African American women did in North Carolina in the mid 1990s.
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Sperm exposure and development of preeclampsia
Jon I. Einarsson, MD, Haleh Sangi-Haghpeykar, PhD, Michael O. Gardner, MD, MPH
Houston, Tex
Fewer than 4 months of cohabitation among users of barrier methods for contraception is associated with a significantly increased risk of preeclampsia. |
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| General Obstretics and Gynecology |
The impact of urodynamic stress incontinence and detrusor overactivity on marital relationship and sexual function
Shing-Kai Yip, MD, Alice Chan, MBBS, Selina Pang, MBChB, Peter Leung, MSc, Catherine Tang, PhD, Daniel Shek, PhD, Tony Chung, MD
Shatin, Hong Kong
The marital relationship and sexual function were significantly affected in women who had urodynamic stress incontinence or detrusor overactivity.
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Ultrasound assessment of endometrial thickness and endometrial polyps in women on hormonal replacement therapy
Thierry Van den Bosch, MD, Dominique Van Schoubroeck, MD, Lieveke Ameye, MD, Jos De Brabanter, MD, Sabine Van Huffel, MD, PhD, Dirk Timmerman, MD, PhD
Tienen and Leuven, Belgium
Appropriate timing of ultrasound evaluation and scheme-specific reference values for endometrial thickness may optimize endometrial disease detection in women on hormone replacement therapy. |
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Persistent low levels of human chorionic gonadotropin: A premalignant gestational trophoblastic disease
Sarah A. Khanlian, Harriet O. Smith, MD, Laurence A. Cole, PhD
Albuquerque, NM
Data from the USA hCG Reference Service defines a new premalignant condition, or quiescent gestational trophoblastic disease, for women with persistent low levels of human chorionic gonadotropin. |
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Vaginoplasty with Interceed absorbable adhesion barrier for complete squamous epithelialization in vaginal agenesis
Satoru Motoyama, MD, PhD, Jovelle B. Laoag-Fernandez, MD, Shinsuke Mochizuki, MD, PhD, Shingo Yamabe, MD, PhD, Takeshi Maruo, MD, PhD
Kobe, Japan
The use of a mold that is wrapped with an absorbable adhesion barrier to create a neovagina proved to be an effective and safe surgical alternative in patients with vaginal agenesis. |
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Combined use of magnetic resonance imaging, CA 125 assay, histologic type, and histologic grade in the prediction of lymph node metastasis in endometrial carcinoma
Yukiharu Todo, MD, PhD, Noriaki Sakuragi, MD, PhD, Ryutaro Nishida, MD, Takashi Yamada, MD, PhD, Yasuhiko Ebina, MD, PhD, Ritsu Yamamoto, MD, PhD, Seiichiro Fujimoto, MD, PhD
Sapporo, Japan
Para-aortic lymphadenectomy may not be necessary in cases of endometrial carcinoma that have relatively low serum CA 125 levels and volume indexes.
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Prevention of ureteral injuries in gynecologic surgery
John K. Chan, MD, Joelle Morrow, MA, Alberto Manetta, MD
Orange, Calif
The cause, clinical assessment, treatment, and prevention of ureteral injuries in gynecologic surgery are described. |
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Administration of raloxifene does not influence 24-hour ambulatory blood pressure of postmenopausal women with osteopenia: A double-blind placebo-controlled study
Angelo Cagnacci, MD, Anna Lisa Zanni, MD, Annibale Volpe, MD
Modena, Italy
In a double-blind, placebo-controlled study, the administration of 60 mg per day raloxifene for 4 months did not modify the ambulatory blood pressure of 16 postmenopausal women with osteopenia.
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Inhibitors that target protein kinases for the treatment of ovarian carcinoma
Revital Arbel, MD, Nathan Rojansky, MD, Benjamin Y. Klein, MD, Rubina Levitzki, BSc, Zipora Hartzstark, MSc, Neri Laufer, MD, Hannah Ben-Bassat, PhD
Jerusalem, Israel
Selective inhibitors of tyrosine kinases that suppress proliferation and alter cell cycle distribution of ovarian carcinoma cells are suggested for signal transduction therapy. |
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Orally and transdermally replaced estradiol improves endothelial function equally in middle-aged women after surgical menopause
Branka Zegura, MD, MSc, Irena Keber, MD, PhD, Miran Sebestjen, MD, MSc, Elko Borko, MD, PhD
Maribor and Ljubljana, Slovenia
Endothelial function, which was measured by flow-mediated dilation of the brachial artery, improved equally after long-term oral and transdermal estradiol replacement in healthy women after surgical menopause.
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Treatment of nonatypical and atypical endometrial hyperplasia with a levonorgestrel-releasing intrauterine system
D. Wildemeersch, MD, M. Dhont, MD
Knokke and Ghent, Belgium
Results suggest that the "frameless" 14 µg per day levonorgestrel-releasing intrauterine system is an effective method for the treatment of women with nonatypical and atypical hyperplasia.
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| Obstetrics |
The effect of placenta previa on neonatal mortality: A population-based study in the United States, 1989 through 1997
Cande V. Ananth, PhD, MPH, John C. Smulian, MD, MPH, Anthony M. Vintzileos, MD
New Brunswick, NJ
Placenta previa is associated with an increased risk of neonatal death, especially at 37 weeks of gestation.
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Placenta previa: Neonatal death after live births in the United States
Hamisu M. Salihu, MD, PhD, Qing Li, MD, Dwight J. Rouse, MD, Greg R. Alexander, MPH, ScD
Birmingham, Ala
Neonatal mortality rates have tripled among live births that are associated with placenta previa in the United States; preterm birth is the main mediator of death.
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Noninvasive tests to predict fetal anemia: A study comparing Doppler and ultrasound parameters
Doron Dukler, MD, Dick Oepkes, MD, Gareth Seaward, MB, Rory Windrim, MB, Greg Ryan, MB
Toronto, Ontario, Canada
Doppler evaluation of peak systolic velocity in the fetal middle cerebral artery is the best noninvasive predictor of fetal anemia in red blood cell alloimmunization. |
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Medical abortion at 64 to 91 days of gestation: A review of 483 consecutive cases
Haitham Hamoda, MBChB, Premila W. Ashok, MD, Gillian M.M. Flett, BCh, Allan Templeton, MD
Aberdeen, United Kingdom
Medical abortion between 64 and 91 days of gestation is effective; approximately one half of the women at this gestational age chose medical over surgical abortion.
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Intrauterine growth restriction is accompanied by decreased renal volume in the human fetus
Lori E. Silver, MD, Philippe J. Decamps, MD, Lisa M. Korst, MD, PhD, Lawrence D. Platt, MD, Lony C. Castro, MD
Los Angeles and Pomona, Calif
Intrauterine growth restriction appears to be associated with a decrease in fetal renal volume, results that are consistent with an hypothesized association between intrauterine growth restriction and congenital oligonephropathy.
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Leptin concentrations in maternal serum and cord blood in diabetic and nondiabetic pregnancy
John G. Manderson, MD, Christopher C. Patterson, PhD, David R. Hadden, MD, Anthony I. Traub, MD, Hilary Leslie, BSc, David R. McCance, MD
Belfast, United Kingdom
Cord leptin level correlates with cord C-peptide, insulin-like growth factor-1, birth weight SD score, and neonatal anthropometry in diabetic and nondiabetic pregnancy but is higher in the diabetic group across the birth weight spectrum.
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Stage-based treatment of twin-twin transfusion syndrome
Rubén A. Quintero, MD, Jan E. Dickinson, MD, Walter J. Morales, MD, PhD, Patricia W. Bornick, RNC, MSN, Carlos Bermúdez, MD, Robert Cincotta, MD, Fung Yee Chan, MD, Mary H. Allen, RN, CNOR
Tampa, Fla, and Perth and Brisbane, Australia
Perinatal morbidity and mortality rates increase with advancing stage in twin-twin transfusion syndrome that is treated with serial amniocentesis but not with selective laser photocoagulation of communicating vessels.
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Intimate partner violence and adverse pregnancy outcomes: A population-based study
Patricia A. Janssen, PhD, Victoria L. Holt, PhD, Nancy K. Sugg, MD, MPH, Irvin Emanuel, MD, Cathy M. Critchlow, PhD, Angela D. Henderson, PhD
Seattle, Wash, and Vancouver, British Columbia, Canada
Physical abuse by an intimate partner during pregnancy is associated with increased risk for adverse pregnancy outcomes, including antepartum hemorrhage, intrauterine growth restriction, and perinatal death
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Effect of maternal docosahexaenoic acid supplementation on postpartum depression and information processing
Antolin M. Llorente, PhD, Craig L. Jensen, MD, Robert G. Voigt, MD, J. Kennard Fraley, MPH, Marcia C. Berretta, LMSW, William C. Heird, MD
Houston, Tex, and Rochester, Minn
Docosahexaenoic acid supplementation of breast-feeding mothers for 4 months after delivery prevented declines in plasma phospholipid docosahexaenoic acid but failed to influence depression symptoms or information processing |
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Association between second-trimester isolated high maternal serum maternal serum human chorionic gonadotropin levels and obstetric complications in singleton and twin pregnancies
Nathalie Lepage, PhD, David Chitayat, MD, John Kingdom, MD, Tianhua Huang, MB
Ottawa and Toronto, Ontario, Canada
The relationship between high human chorionic gonadotropin and adverse placental complications in singleton and twin pregnancies is presented.
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The effect of isosorbide dinitrate, a donor of nitric oxide, on maternal cerebral blood flow in gestational hypertension and preeclampsia
Ori Nevo, Israel Thaler, MD, Venimin Shik, Tatiana Vortman, Jean F. Soustiel
Haifa, Israel
Blood flow velocity in the middle cerebral artery was reduced after isosorbide dinitrate in preeclampsia and gestational hypertension, whereas the estimated cerebral perfusion pressure and the pulsatility index remained unchanged.
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Screening for fetal well-being in a high-risk pregnant population comparing the nonstress test with umbilical artery Doppler velocimetry: A randomized controlled clinical trial
Keith P. Williams, MBBS, Duncan F. Farquharson, MD, Michael Bebbington, MD, Jerome Dansereau, MD, France Galerneau, MD, R. D. Wilson, MD, Dorothy Shaw, MD, Nancy Kent, MD
New Haven, Conn, Vancouver, British Columbia, Canada, Bronx, NY, and Philadelphia, Pa
Umbilical artery Doppler screening tests for fetal well-being in a high-risk population were associated with a decreased incidence of cesarean delivery for fetal distress, compared with the nonstress test, with no increase in neonatal morbidity.
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Macrosomic births in the United States: Determinants, outcomes, and proposed grades of risk
Sheree L. Boulet, MPH, Greg R. Alexander, RS, MPH, ScD, Hamisu M. Salihu, MD, PhD, MaryAnn Pass, MD, MPH
Birmingham, Ala
Three grades of macrosomia are defined and used to identify the increasing risks of labor complications, neonatal morbidity, and infant death. |
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| Letters to the Editors |
Response of uterine and umbilical circulations to physical exercise
Risto Erkkola, MD
Turku, Finland |
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Reply
Mairead Kennelly, MB, MRCOG, MRCP
Dublin, Ireland
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Much research is needed to provide fully informed consent about mode of delivery
Carol Sakala, PhD, MSPH, Maureen P. Corry, MPH
New York, NY
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Reply
Amy L. O'Boyle, MD, Gary D. Davis, MD, Byron C. Calhoun, MD
Tacoma, Wash, Washington, DC, and Rockford, Ill
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| Corrections |
The use of misoprostol as a cervical ripening agent in operative hysteroscopy
S. Sharma, H. El-Refaey
Am J Obstet Gynecol 2003;188:297-8.
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