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American Journal of Obstetrics and Gynecology

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https://www.readbyqxmd.com/read/28315665/physician-scientists-in-obstetrics-and-gynecology-predictors-of-success-in-obtaining-independent-research-funding
#1
Ijeoma Okeigwe, Cynthia Wang, Joseph A Politch, Linda J Heffner, Wendy Kuohung
BACKGROUND: Obstetrics and gynecology departments receive the smallest amount of National Institutes of Health (NIH) research funding and have significantly lower application success rates compared to pediatric, internal medicine, and surgery departments. The development of mentored early career development training grants (K awards) has been one strategy implemented by the NIH to help aspiring physician-scientists establish independent research careers. OBJECTIVE: The purpose of this study is to describe the cohort of ob/gyn physician-scientists who were K08, K12, and K23 recipients from 1988-2015 and to identify predictors of success in obtaining independent federal funding, as defined by acquisition of an R01, R21, R34, U01, U54, P01, or P50...
March 15, 2017: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/28315664/continuation-of-copper-and-levonorgestrel-intrauterine-devices-a-retrospective-cohort-study
#2
Sharon J Phillips, Lisa G Hofler, Anna M Modest, Lara F B Harvey, Lily H Wu, Michele R Hacker
BACKGROUND: Studies conflict on whether the duration of use of the copper intrauterine device (Cu-IUD) is longer than that of the levonorgestrel intrauterine device (LNG-IUD), and whether women who continue using intrauterine devices (IUDs) differ from those who discontinue. OBJECTIVE: To assess continuation rates and performance of LNG-IUDs compared with Cu-IUDs over a five-year period. STUDY DESIGN: We performed a retrospective cohort study of 1164 individuals who underwent intrauterine device (IUD) placement at an urban academic medical center...
March 15, 2017: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/28302387/efficacy-of-transcranial-direct-current-stimulation-in-women-with-provoked-vestibulodynia
#3
Annie Morin, Guillaume Leonard, Véronique Gougeon, Marie-Pierre Cyr, Guy Waddell, Yves-André Bureau, Isabelle Girard, Mélanie Morin
BACKGROUND: Provoked vestibulodynia is a highly prevalent condition characterized by acute recurrent pain located at the vaginal entrance in response to pressure application or attempted vaginal penetration. Despite a wide variety of treatments offered to women with provoked vestibulodynia, a high proportion of women are refractory to conventional treatment. Transcranial direct-current stimulation is a non-invasive brain stimulation technique that has been shown effective for improving various chronic pain conditions...
March 13, 2017: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/28288792/disparities-in-the-management-of-ectopic-pregnancy
#4
Jennifer Y Hsu, Ling Chen, Arielle R Gumer, Ana I Tergas, June Y Hou, William M Burke, Cande V Ananth, Dawn L Hershman, Jason D Wright
BACKGROUND: Ectopic pregnancy is common among young women. Treatment can consist of either surgery with salpingectomy or salpingostomy or medical management with methotrexate. In addition to acute complications, treatment of ectopic pregnancy can result in long term sequelae including decreased fertility. Little is known about the patterns of care and predictors of treatment in women with ectopic pregnancy. Similarly, data on outcomes for various treatments are limited. OBJECTIVE: We examined the patterns of care and outcomes for women with ectopic pregnancy...
March 10, 2017: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/28286051/vasa-previa-with-an-intact-amniotic-membrane
#5
Shinya Matsuzaki, Masayuki Endo, Tadashi Kimura
This extremely rare image shows the positional relationship of the cord vessel, amniotic membrane, and cervical os during pregnancy.
March 9, 2017: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/28286050/the-role-of-maternal-age-in-twin-pregnancy-outcomes
#6
Amelia S McLennan, Cynthia Gyamfi-Bannerman, Cande V Ananth, Jason D Wright, Zainab Siddiq, Mary E D'Alton, Alexander M Friedman
BACKGROUND: There is limited data on how maternal age is related to twin pregnancy outcomes. OBJECTIVE: To assess the relationship between maternal age and risk for preterm birth, fetal death, and neonatal death in the setting of twin pregnancy. STUDY DESIGN: This population-based study of US birth, fetal death, and period linked birth-infant death files from 2007-2013 evaluated neonatal outcomes for twin pregnancies. Maternal age was categorized as 15 to 17, 18 to 24, 25 to 29, 30 to 34, 35 to 39, and ≥40 years of age...
March 9, 2017: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/28284931/long-acting-reversible-contraception-an-important-solution-to-reduce-unintended-pregnancy
#7
Anita L Nelson, Andrew M Kaunitz
This event was neither sponsored nor endorsed by ACOG. Despite the availability of numerous contraceptive options, almost half of all pregnancies in the United States are unintended, creating a substantial negative health and socioeconomic burden on women and their families (Online access: http://courses.elseviercme.com/acog16/656e). The most commonly used contraceptives are dependent on adherence and "perfect use" to be efficacious, while long-acting reversible contraceptives (LARCs) offer the lowest failure rates primarily because they are user-independent...
March 8, 2017: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/28283441/limits-of-current-cardiotocography-interpretation-may-call-for-a-major-rethink-reply
#8
LETTER
Steven L Clark
No abstract text is available yet for this article.
March 7, 2017: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/28274709/limits-of-current-cardiotocography-interpretation-may-call-for-a-major-rethink
#9
LETTER
Shashikant L Sholapurkar
No abstract text is available yet for this article.
March 5, 2017: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/28274708/infant-outcomes-among-women-with-zika-virus-infection-during-pregnancy-observation-on-microcephaly
#10
LETTER
Beuy Joob, Viroj Wiwanitkit
No abstract text is available yet for this article.
March 5, 2017: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/28268198/reply-to-letter-l17-015ar1
#11
LETTER
Emily H Adhikari, David B Nelson
No abstract text is available yet for this article.
March 4, 2017: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/28268197/microbial-invasion-of-the-amniotic-cavity-in-mid-trimester-pregnancies-using-molecular-microbiology
#12
Shelley Rowlands, Jennifer A Danielewski, Sepehr N Tabrizi, Susan P Walker, Suzanne M Garland
OBJECTIVE: To determine the frequency of microbial invasion of the amniotic cavity in the midtrimester of pregnancy in patients undergoing amniocentesis for clinical indications. STUDY DESIGN: Prospective investigation of the amniotic fluid of 344 asymptomatic women recruited in mid pregnancy for the presence of microbial DNA. Amniotic samples obtained at time of amniocentesis for genetic testing on women between 15-22 weeks gestation were tested specifically for the presence of Ureaplasma urealyticum, Ureaplasma parvum, Mycoplasma hominis and Mycoplasma genitalium, as well as for other bacteria and fungi using broad-range PCR only...
March 4, 2017: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/28268196/prenatal-ultrasound-diagnosis-and-outcome-of-placenta-previa-accreta-after-caesarean-delivery-a-systematic-review-and-meta-analysis
#13
REVIEW
Eric Jauniaux, Amar Bhide
BACKGROUND: Women with a history of previous caesarean delivery, presenting with a placenta previa have become the largest group with the highest risk for placenta previa accreta. OBJECTIVE: To evaluate the accuracy of ultrasound imaging in the prenatal diagnosis of placenta accreta and the impact of the depth of villous invasion on management in women presenting with placenta previa or low-lying placenta and with one or more prior caesarean deliveries. STUDY DESIGN: Data sources: We searched PubMed, Google Scholar, clinicalTrials...
March 4, 2017: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/28267444/a-multicenter-prospective-study-of-neonatal-outcomes-at-less-than-32-weeks-associated-with-indications-for-maternal-admission-and-delivery
#14
Thomas J Garite, C Andrew Combs, Kimberly Maurel, Anita Das, Kevin Huls, Richard Porreco, Dale Reisner, George Lu, Melissa Bush, Bruce Morris, April Bleich
BACKGROUND: Counseling for patients with impending premature delivery has been traditionally based primarily on the projected gestational age at delivery. There are limited data regarding how the indications for the preterm birth affect the neonatal outcome and whether this issue should be taken into account in decisions regarding management and patient counseling. OBJECTIVE: We performed a prospective study of pregnancies resulting in premature delivery at less than 32 weeks to determine the influence of both the Indications for Admission and their associated Indications for Delivery on neonatal mortality and complications of prematurity...
March 3, 2017: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/28267443/balloon-removal-after-fetoscopic-endoluminal-tracheal-occlusion-for-congenital-diaphragmatic-hernia
#15
Julio A Jiménez, Elisenda Eixarch, Philip Dekoninck, João R Bennini, Roland Devlieger, Cleisson F Peralta, Eduard Gratacos, Jan Deprest
BACKGROUND: Isolated congenital diaphragmatic hernia (CDH) defect allows viscera to herniate into the chest, competing for space with the developing lungs. At birth, pulmonary hypoplasia leads to respiratory insufficiency and persistent pulmonary hypertension that is lethal in up to 30% of patients. Antenatal measurement of lung size and liver herniation can predict survival after birth. Prenatal intervention aims at stimulating lung development, clinically achieved by percutaneous fetal endoscopic tracheal occlusion (FETO) under local anesthesia...
March 3, 2017: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/28267442/effects-of-female-genital-mutilation-cutting-on-the-sexual-function-of-sudanese-women-a-cross-sectional-study
#16
Abdulrahim A Rouzi, Rigmor C Berg, Nora Sahly, Susan Alkafy, Faten Alzaban, Hassan Abduljabbar
BACKGROUND: Female Genital Mutilation/Cutting (FGM/C) is a cultural practice that involves several types of removal or other injury to the external female genitalia for non-medical reasons. While much international research has focused on the health consequences of the practice, little is known about sexual functioning among women with various types of FGM/C. OBJECTIVE(S): To assess the impact of FGM/C on the sexual functioning of Sudanese women. STUDY DESIGN: This is a cross-sectional study conducted at Doctor Erfan and Bagedo Hospital, Jeddah, Saudi Arabia...
March 3, 2017: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/28263752/racial-and-ethnic-disparities-in-postpartum-care-and-contraception-in-california-s-medicaid-program
#17
Heike Thiel De Bocanegra, Monica Braughton, Mary Bradsberry, Mike Howell, Julia Logan, Eleanor Bimla Schwarz
BACKGROUND: Considerable racial and ethnic disparities have been identified in maternal and infant health in the United States, and access to postpartum care likely contributes to these disparities. Contraception is an important component of postpartum care that helps women and their families achieve optimal interpregnancy intervals and avoid rapid repeat pregnancies and preterm births. National quality measurements to assess postpartum contraception are being developed and piloted. OBJECTIVE: To assess racial/ethnic variation in receipt of postpartum care and contraception among low-income women in California...
March 3, 2017: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/28263751/single-versus-double-layer-uterine-closure-at-cesarean-impact-on-lower-uterine-segment-thickness-at-next-pregnancy
#18
Chantale Vachon-Marceau, Suzanne Demers, Emmanuel Bujold, Stephanie Roberge, Robert J Gauthier, Jean-Charles Pasquier, Mario Girard, Nils Chaillet, Michel Boulvain, Nicole Jastrow
BACKGROUND: Uterine rupture is a potential life-threatening complication during a trial of labor after cesarean. Single-layer closure of the uterus at cesarean has been associated with an increased risk of uterine rupture when compared to double-layer closure. Lower uterine segment thickness measurement by ultrasound has been used to evaluate the quality of the uterine scar following cesarean and is associated with the risk of uterine rupture. OBJECTIVE: To estimate the impact of previous uterine closure on lower uterine segment thickness...
March 3, 2017: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/28263753/the-maternal-plasma-proteome-changes-as-a-function-of-gestational-age-in-normal-pregnancy-a-longitudinal-study
#19
Roberto Romero, Offer Erez, Eli Maymon, Piya Chaemsaithong, Zhonghui Xu, Percy Pacora, Tinnakorn Chaiworapongsa, Bogdan Done, Sonia S Hassan, Adi L Tarca
OBJECTIVE: Pregnancy is accompanied by dramatic physiologic changes in maternal plasma proteins. Characterization of the maternal plasma proteome in normal pregnancy is an essential step for understanding changes to predict pregnancy outcome. The objective of this study was to describe maternal plasma proteins that change in abundance with advancing gestational age, and determine biological processes that are perturbed in normal pregnancy. MATERIALS AND METHODS: A longitudinal study included 43 normal pregnancies that had a term delivery of an infant who was appropriate for gestational age (AGA) without maternal or neonatal complications...
March 2, 2017: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/28263750/maternal-stress-and-neonatal-anthropometry-the-nichd-fetal-growth-studies
#20
Deborah A Wing, Ana M Ortega-Villa, William A Grobman, Mary L Hediger, Jagteshwar Grewal, Sarah J Pugh, Sungduk Kim, Roger Newman, Ed Chien, John Owen, Mary E D'Alton, Ronald Wapner, Anthony Sciscione, Paul S Albert, Katherine L Grantz
BACKGROUND: The effect of maternal mood disorders on neonatal measurements is not well defined. The Fetal Growth Studies - Singletons provide a unique opportunity to evaluate the relationship between perceived maternal stress and neonatal growth measurements. OBJECTIVE: To determine whether perceived maternal stress during pregnancy is associated with anthropometric measurements in the neonate. STUDY DESIGN: This analysis was based on a prospective, multi-center longitudinal study of fetal growth...
March 2, 2017: American Journal of Obstetrics and Gynecology
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