Current Opinion in Obstetrics & Gynecology
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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...
Recent advances in elucidating the pathogenesis of preterm delivery, the detection of patients at risk, and preventative therapies.
Preterm deliveries (PTDs) are a leading cause of neonatal morbidity and mortality in the world. Efforts to prevent PTD have been hampered by a poor understanding of the underlying pathophysiology, inadequate diagnostic tools, and generally ineffective therapies. There is increasing clinical and labor...