Obstetrics and gynecology
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Obstetrics and gynecology · May 1996
Multicenter StudyThe preterm prediction study: fetal fibronectin testing and spontaneous preterm birth. NICHD Maternal Fetal Medicine Units Network.
To evaluate the presence of fetal fibronectin in the cervix and vagina as a screening test for spontaneous preterm birth. ⋯ A positive cervical or vaginal fetal fibronectin test at 22-24 weeks predicted more than half of the spontaneous preterm births at less than 28 weeks (sensitivity 0.63). As the definition of spontaneous preterm birth was extended to include later gestational ages or when the fetal fibronectin test was performed later in pregnancy, the level of association between a positive fetal fibronectin test and spontaneous preterm birth, while remaining highly significant, tended to decrease. Although fetal fibronectin is an excellent test for predicting spontaneous preterm birth, we present no evidence that the use of this test will result in a reduction in spontaneous preterm birth.
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Obstetrics and gynecology · May 1996
Case ReportsPersistence of partial molar placenta and severe preeclampsia after selective termination in a twin pregnancy.
Triploid molar pregnancies are usually managed by evacuation of the uterine contents. ⋯ Selective termination of a triploid twin does not guarantee resolution of molar growth and sequelae of the mole; severe preeclampsia can still develop.
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Obstetrics and gynecology · May 1996
Case ReportsHysterotomy to effect vaginal delivery with mentum anterior head entrapment.
Entrapment of the aftercoming head after mentum anterior rotation is a life-threatening complication of vaginal breech delivery. Few options exist when rotation and flexion from this position cannot be performed successfully either transabdominally or with vaginal maneuvers. ⋯ Hysterotomy is a safe and effective maneuver for delivery of the entrapped fetal head with mentum anterior rotation after standard procedures have failed.
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Obstetrics and gynecology · Apr 1996
Randomized Controlled Trial Clinical TrialDepot goserelin and danazol pre-treatment before rollerball endometrial ablation for menorrhagia.
To compare the safety and efficacy of a GnRH agonist, depot goserelin, and danazol as preoperative treatments before rollerball endometrial ablation. ⋯ Depot goserelin and danazol both provide adequate endometrial preparation before rollerball endometrial ablation for treatment of menorrhagia due to ovulatory dysfunctional uterine bleeding.
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Obstetrics and gynecology · Apr 1996
Maternal weight gain patterns and birth weight outcome in twin gestation.
To evaluate the association between maternal weight gain patterns, based on pregravid body mass index (BMI) and birth weight outcome in twins, and to make specific recommendations for maternal weight gain during twin gestation. ⋯ Certain maternal weight gain patterns during twin pregnancy are associated with the birth of each twin weighing at least 2500 g. As with singletons, recommendations for maternal weight gain during twin pregnancy can be based on pregravid BMI.