Current Opinion in Obstetrics & Gynecology
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Urodynamics before stress urinary incontinence surgery.
In patients with symptoms of stress urinary incontinence, there is still a debate regarding the benefit of a multichannel urodynamic investigation prior to surgical management. The purpose of this article is to review recent evidence on this topic. Results of two large randomized controlled trials p...
Systemic lupus erythematosus and pregnancy.
The literature is in agreement that for most women with inactive and stable systemic lupus erythematosus, pregnancy is safe for both mother and fetus. The main risk factors for adverse pregnancy course and outcome are active disease, nephritis with proteinuria, hypertension, and maternal serum antib...
Managed care and assessment of clinical outcomes.
While managed care strategies have been associated with reductions in the utilization of clinical resources, their impact on health care outcomes in general, and women's health services, in particular, remains unclear. This review summarizes recent literature regarding the impact of managed care on...
How can we avoid adhesions after laparoscopic surgery?
Although fewer develop than after laparotomy, laparoscopic surgery is still associated with adhesion formation. In order to minimize this, nothing replaces good surgical technique. Basic principles of microsurgery, liberal irrigation of the abdominal cavity and instillation of a large amount of Ring...
Fetal testing in twins.
The incidence of twin pregnancies continues to rise with increasing use of assisted fertility techniques. The search for accurate methods of chorionicity determination and aneuploidy screening, and the outcome following multi-fetal pregnancy reduction dominate the recent literature. In addition, deb...
Fetal testing in postdates.
Postdate pregnancies are at significant risk for perinatal morbidity. Fetal testing may be used to observe the prolonged pregnancy safely while awaiting onset of labor. Pitfalls associated with the use of fetal testing in this situation are discussed. The current literature addressing these problems...
Behavioural and social issues in contraception.
Approximately 77% of the world's population lives in developing countries, where poverty prevails, and leads to high mortality and morbidity rates. About 95% of the world's population growth occurs in these countries, which are least equipped to meet the problem. Proper use of contraception is vital...
Transcervical tubal transfer of gametes and embryos.
The benefit of intrafallopian transfer techniques is still disputable in assisted reproductive techniques. On this background, alternatives to laparoscopic transfer procedures are in development. Current transcervical intrafallopian transfers of gametes and embryos are lacking success and reproducib...