Obstetrics and gynecology
-
Obstetrics and gynecology · Jul 1996
Answers to applicant selection from a directory of residency programs in obstetrics and gynecology.
To answer six questions applicants commonly ask of programs, using the data base of a directory of residency programs in obstetrics and gynecology. ⋯ Getting an interview in a residency program is a major accomplishment, whereas becoming known in a program may improve the applicant's odds of matching there. Applicants should review a program's policy on electives and selection record. Those considering fellowships should probably apply to programs that offer them. The directory offers a valuable data source for comparing residency programs in obstetrics and gynecology.
-
Obstetrics and gynecology · Jun 1996
Randomized Controlled Trial Clinical TrialThe effect of intracervical vasopressin on the systemic absorption of glycine during hysteroscopic endometrial ablation.
To examine the effect of paracervical injection of vasopressin on the absorption of glycine during transcervical endometrial ablation. ⋯ Intracervical vasopressin administration significantly decreased systemic glycine absorption in patients undergoing hysteroscopic endometrial ablation.
-
Obstetrics and gynecology · Jun 1996
The efficacy of individual computer heart rate indices in detecting acidemia at birth in growth-restricted fetuses.
To determine the efficacy of individual fetal heart rate (FHR) indices, as determined by computer analysis of the FHR tracing, in detecting fetal acidemia at birth in growth-restricted fetuses. ⋯ In this population of growth-restricted fetuses delivered by elective cesarean, the computer indices of duration of episodes of low variation and short-term and long-term variation were significantly associated with umbilical artery pH and predicted umbilical artery acidemia at birth.
-
Obstetrics and gynecology · May 1996
The epidemiology of placental features: associations with gestational age and neonatal outcome.
To investigate the epidemiologic and pathogenetic significance of placental features and neonatal outcome in a high-risk population. ⋯ The frequency of many major pathologic placental features, especially ischemic changes and meconium, in the absence of immediately detectable abnormality is relatively high. Thus, continued follow-up is needed to determine their long-term clinical significance. In addition, associations of ischemic changes and infarction with FGR in term infants suggest that need for comprehensive investigations of the effects of histopathologically apparent low placental blood flow.
-
Obstetrics and gynecology · May 1996
Multicenter Study Comparative StudyThe preterm prediction study: fetal fibronectin, bacterial vaginosis, and peripartum infection. NICHD Maternal Fetal Medicine Units Network.
To determine the relation between vaginal and upper genital tract infection and cervical-vaginal fetal fibronectin levels. ⋯ Women with bacterial vaginosis were more likely to have a positive fetal fibronectin test than uninfected women. Women with a positive fetal fibronectin test who delivered before 32 weeks' gestation all had evidence of histologic chorioamnionitis. Women positive for fetal fibronectin also had a 16-fold increase in clinical chorioamnionitis and a sixfold increase in neonatal sepsis. There is strong evidence that upper genital tract infection and cervical and/or vaginal fetal fibronectin are closely linked.