Descent of the fetal head (station) during the first stage of labor
Background High station at specific points in the first stage of labor, such as a floating head on admission, or at 4-cm dilation or when arrest of dilation occurs, is…
A universal mid-trimester transvaginal cervical length screening program and its associated reduced preterm birth rate
Background Mid-trimester transvaginal cervical length assessment can identify women who are at risk of preterm birth and afford opportunities for preterm birth prevention. However, the incidence of a short cervix…
Randomized controlled trial of prolonged second stage: extending the time limit vs usual guidelines
Background Guidelines for management of the second stage have been proposed since the 1800s and were created largely by expert opinion. Current retrospective data are mixed regarding differences in maternal…
Assessing first-stage labor progression and its relationship to complications
Background New labor curves have challenged the traditional understanding of the general pattern of dilation and descent in labor. They also revealed wide variation in the time to advance in…
Metformin as a prevention and treatment for preeclampsia: effects on soluble fms-like tyrosine kinase 1 and soluble endoglin secretion and endothelial dysfunction
Background Preeclampsia is associated with placental ischemia/hypoxia and secretion of soluble fms-like tyrosine kinase 1 and soluble endoglin into the maternal circulation. This causes widespread endothelial dysfunction that manifests clinically…
July 2015 (vol. 213, no. 1, pages 104 and 105, print edition; pages 104.e1, 104.e4, and 104.e6, online)
Barry DR, Utzschneider KM, Tong J, et al. Intraabdominal fat, insulin sensitivity, and cardiovascular risk factors in postpartum women with a history of preeclampsia. Am J Obstet Gynecol 2015;213:104.e1-11. In an…
Hysterectomy risk in premenopausal-aged military veterans: associations with sexual assault and gynecologic symptoms
Materials and Methods Participants and procedures Potential participants were identified from the electronic records of 2 Midwestern VA medical centers. Female veterans 52 years of age and younger enrolled at…
Association of cervical precancer with human papillomavirus types other than 16 among HIV co-infected women
Background HIV-seropositive women face high risk for infection with oncogenic human papillomavirus (oncHPV) types, abnormal Pap test results, and precancer, but cervical cancer risk is only modestly increased. Human papillomavirus…
Oocyte donation pregnancies and the risk of preeclampsia or gestational hypertension: a systematic review and metaanalysis
Methods This metaanalysis was conducted according to the Metaanalysis of Observational Studies in Epidemiology guidelines. Literature search A literature search was done by the investigators in PubMed, MEDLINE, Embase, and…
A posterior anal sling for fecal incontinence: results of a 152-patient prospective multicenter study
Background The transobturator posterior anal sling (TOPAS) system is a posterior anal sling that is a minimally invasive, self-fixating polypropylene mesh intended to treat fecal incontinence (FI) in women who…
