Counseling and screening for chromosomal abnormalities
The recent article by Fang et al comparing Down syndrome screening in 2001 and 2007 reported a substantial increase in the number of women who screen positive for Down syndrome…
The natural history of cervical and vulvar intraepithelial neoplasia
Lanneau et al commented that “despite the prevalence of HPV in younger patients with vulvar dysplasia, the likelihood of progression to vulvar carcinoma appears lower than the likelihood of cervical…
Risk of shoulder dystocia in second delivery: does a history of shoulder dystocia matter?
We would like to bring to your readers’ attention an issue with pregnancy management with history of shoulder dystocia (SD), as recommended by Overland et al in the Journal’s May…
The role of transvaginal ultrasound or endometrial biopsy in the evaluation of the menopausal endometrium
Dr Goldstein’s review article on the role of transvaginal (TV) ultrasound (U/S) or endometrial biopsy in the evaluation of the menopausal endometrium is extremely important from a practical standpoint. He…
What gestation cut-off should be used for magnesium sulfate treatment of women threatening to deliver preterm?
The recent Cochrane Review and similar metaanalysis by Conde-Agudelo and Romero establish a fetal neuroprotective role for antenatal magnesium sulfate (MgSO 4 ) given to women at risk of preterm…
Vaginal evisceration after total laparoscopic radical hysterectomy in cervical cancer
A 50-year-old woman came to the emergency department with vaginal evisceration that occurred 7 months after a total laparoscopic radical hysterectomy. Vaginal evisceration was repaired by a laparoscopic-vaginal approach without…
Rudimentary horn pregnancy with herniation into the main uterine cavity
We report a case of a rudimentary horn pregnancy with herniation of a fetal arm and umbilical cord into the main uterine cavity that presented as an incidental finding on…
Discussion: ‘Fetal heart rate tracings and neonatal metabolic acidosis’ by Elliott et al
In the roundtable that follows, clinicians discuss a study published in this issue of the Journal in light of its methodology, relevance to practice, and implications for future research. Article…
Parametrial dissection during laparoscopic nerve-sparing radical hysterectomy
Problem: postoperative dysfunctions In recent years, nerve-sparing radical hysterectomy for cervical cancer has proven successful in reducing postoperative bladder, colorectal and sexual dysfunction. At our institution, we perform this procedure…
Left behind
Case notes A 28-year-old woman had a 6-year history of secondary infertility. Her first pregnancy was a normal delivery at term 8 years earlier. This was followed by a second-trimester…
