Current Opinion in Obstetrics & Gynecology
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Pregnancy complications in patients with epilepsy.
Women with epilepsy have a higher risk of preeclampsia, gestational hypertension, bleeding in pregnancy and excessive bleeding postpartum. They also have higher incidence of congenital anomalies and delayed cognitive development in their children. It has been unclear whether the increased risk of co...
Current world literature.
Using electronic medical records to reduce errors and risks in a prenatal network.
Recent studies suggest improvement in quality of care with implementation of EMRs, although most are unable to demonstrate improvements in patient outcomes. These studies examine the effectiveness of electronic systems in various areas, for example, improvement in the delivery of patient care, compl...
Trichomoniasis in teens: an update.
Interest in trichomoniasis has renewed due to evidence that trichomoniasis is more common than gonorrhea in adolescent women, is often asymptomatic, may persist for several months, and may be confused with bacterial vaginosis. In addition, trichomoniasis is linked to pelvic inflammatory disease and...
The management of intrauterine synechiae.
Hysteroscopy is the gold standard for diagnosis and treatment of intrauterine adhesions. A combination of blunt and sharp dissection or electrosurgery is used by most units. Antibiotics and postoperative administration of estrogen +/- progestogen is important in prevention of recurrence. The use of...
Cytogenetic risks in chromosomally normal infertile men.
Research has begun to shed light on the causes of previously unexplained male infertility with clear links now established with infertility and meiotic defects in pairing, synapsis and recombination as well as increased levels of sperm aneuploidy. However, many have questioned whether this increase...
Prematurity prevention: the role of acute tocolysis.
Magnesium sulfate remains the most common tocolyic agent in the United States. Recent evidence comparing oral nifedipine with magnesium sulfate suggests equal efficacy with fewer maternal side-effects, thus supporting this oral medication as first-line treatment. This review will summarize the most...
Preconception care: a 2008 update.
There is solid scientific evidence that many interventions will improve pregnancy outcomes if delivered before pregnancy or early in pregnancy. Experts continue to explore the most effective means for implementing preconception care, taking into consideration issues related to policy, finance, publi...