American journal of obstetrics and gynecology
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Am. J. Obstet. Gynecol. · Jan 2015
Prediction of spontaneous preterm birth using quantitative fetal fibronectin after recent sexual intercourse.
The purpose of this study was to determine the effect of sexual intercourse on the accuracy of quantitative fetal fibronectin (qfFN) in the prediction of spontaneous preterm birth (sPTB) in asymptomatic high-risk women. ⋯ Sexual intercourse within 48 hours of testing is associated with increased levels of fetal fibronectin in vaginal secretions and an increased rate of false-positive results in the prediction of sPTB in asymptomatic women.
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Am. J. Obstet. Gynecol. · Jan 2015
Over-screening for chlamydia and gonorrhea among urban women age ≥25 years.
The purpose of this study was to determine the prevalence of Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG) in older women who are at increased risk of sexually transmitted infections (STIs) based on community STI prevalence. Additionally, we explored the associations between STI risk factors and CT/NG to determine the percentage of women who were over-screened. ⋯ CT/NG prevalence among older women was low, even in a community of high STI prevalence. More than 20% of women could have avoided CT/NG evaluation without impacting the detection of positive results in our clinic cohort. Over-screening occurred among asymptomatic, non-STI-exposed women who were menopausal, had a hysterectomy, and were >40 years old.
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Am. J. Obstet. Gynecol. · Jan 2015
Randomized Controlled TrialPostpartum pelvic floor muscle training and pelvic organ prolapse--a randomized trial of primiparous women.
Pelvic organ prolapse (POP) is a common and distressing condition. The aim of the present study was to evaluate the effect of pelvic floor muscle training (PFMT) on prevention and treatment of symptoms and signs of POP in primiparous postpartum women. ⋯ No effect was found of postpartum PFMT on POP in primiparous women. More randomized controlled trials are needed before strong conclusions can be drawn on the effect of PFMT on POP in the particular population.
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Am. J. Obstet. Gynecol. · Jan 2015
Medical and obstetric complications among pregnant women with cystic fibrosis.
The objective of this study was to estimate the nationwide prevalence of cystic fibrosis (CF) in pregnancy and determine what medical complications exist at delivery among pregnant women with CF. ⋯ Pregnant women with CF are more likely to die, require mechanical ventilation, and have infectious complications compared with women without CF, although the absolute risks are low and these events are relatively rare.