Obstetrics and gynecology
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To evaluate the five-year anatomic and functional outcomes of the high uterosacral vaginal vault suspension. ⋯ Uterosacral ligament vaginal vault fixation seems to be a durable procedure for vaginal repair of enterocele and vaginal vault prolapse. Lower urinary tract, bowel, and sexual function may be maintained or improved.
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Obstetrics and gynecology · Aug 2006
Risk of stress urinary incontinence twelve years after the first pregnancy and delivery.
To estimate the impact of onset of stress urinary incontinence in first pregnancy or postpartum period, for the risk of symptoms 12 years after the first delivery. ⋯ Onset of stress urinary incontinence during first pregnancy or puerperal period carries an increased risk of long-lasting symptoms.
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Obstetrics and gynecology · Aug 2006
Randomized Controlled TrialIncidence of cervical cytological abnormalities with aging in the women's health initiative: a randomized controlled trial.
To estimate the incidence of cytological abnormalities and cervical cancer and to determine the effect of oral estrogen and progestin on cervical cytology among postmenopausal women participating in a multi-institution clinical trial. ⋯ Clinicaltrials.gov, www.clinicaltrials.gov, NCT00000611.
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Obstetrics and gynecology · Aug 2006
Characteristics of physicians who frequently act as expert witnesses in neurologic birth injury litigation.
Much debate surrounds physicians who testify in controversial types of medical malpractice litigation, but little is known about them. We sought to describe characteristics of physicians who frequently act as expert witnesses in neurologic birth injury litigation. ⋯ A small cadre of physicians testifies in most neurologic birth injury litigation, and witnesses tend to act consistently for one side. Plaintiff witnesses have fewer markers of expertise than defendant witnesses. These descriptive and analytical findings may reflect suboptimal expertise or bias in physician expert testimony.