Semiautonomous Treatment Algorithm for the Management of Severe Hypertension in Pregnancy.

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To evaluate whether implementation of a semiautonomous treatment algorithm was associated with improved compliance with American College of Obstetricians and Gynecologists guidelines for rapid administration of antihypertensive therapy in the […]

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Gestational Trophoblastic Disease: Current Evaluation and Management.

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This review summarizes the current evaluation and management of gestational trophoblastic disease, including evacuation of hydatidiform moles, surveillance after evacuation of hydatidiform mole and the diagnosis and management of gestational […]

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Obstetric Physicians’ Beliefs and Knowledge on Guidelines and Screening Tools to Reduce Opioid Use After Childbirth.

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To examine obstetric physicians’ beliefs about using professional or regulatory guidelines, opioid risk-screening tools, and preferences for recommending nonanalgesic therapies for postpartum pain management.A qualitative study design was used to […]

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Seizures: Clinical Updates in Women’s Health Care Primary and Preventive Care Review.

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Epilepsy is a common disease that affects 1.5 million women of childbearing age in the United States. Approximately 24,000 women with epilepsy give birth each year. The challenges for women […]

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Special Report of the Society for Maternal-Fetal Medicine Placenta Accreta Spectrum Ultrasound Marker Task Force: Consensus on definition of markers and approach to the ultrasound examination in pregnancies at risk for placenta accreta spectrum.

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Placenta accreta spectrum includes the full range of abnormal placental attachment to the uterus or other structures, encompassing placenta accreta, placenta increta, placenta percreta, morbidly adherent placenta, and invasive placentation. […]

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Practice Variation in Bilateral Salpingo-Oophorectomy at Benign Abdominal Hysterectomy: A Population-Based Study.

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Bilateral salpingo-oophorectomy at benign hysterectomy is not recommended in premenopausal women due to its potential associations with increased all-cause mortality and cardiovascular disease, but contemporary practice patterns are unknown.To quantify […]

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The evolving definition of pre-eclampsia.

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Pre-eclampsia is a nebulous term. Literally meaning ‘prior to a seizure in pregnancy’, the name of the syndrome does not accurately depict the clinical reality. The disease rarely leads to […]

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The evolving definition of pre-eclampsia.

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Pre-eclampsia is a nebulous term. Literally meaning ‘prior to a seizure in pregnancy’, the name of the syndrome does not accurately depict the clinical reality. The disease rarely leads to […]

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Perinatal outcomes in women with elevated blood pressure and stage 1 hypertension.

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Hypertension was redefined in 2017 with lower diagnostic thresholds; elevated blood pressure is defined as systolic blood pressure 120-129 mm Hg with diastolic blood pressure <80 mm Hg and stage […]

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The effects of a combined intervention (DHA supplementation and home-based dietary counseling) on metabolic control in obese and overweight pregnant women: the MIGHT study.

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Lifestyle interventions have shown limited effectiveness in the prevention of gestational diabetes mellitus (GDM). The combination of lifestyle interventions with omega-3 polyunsaturated fatty acid (PUFA) supplementation could have a synergetic […]

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Polycystic ovary syndrome and assisted reproduction: splitters versus lumpers.

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In 2003, the Rotterdam ESHRE/ASRM consensus updated the criteria for diagnosing polycystic ovary syndrome (PCOS), requiring, after the exclusion of other etiologies, at least two of the following: oligo-anovulation, hyperandrogenism, […]

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Effect of Length of Surgery on the Incidence of Venous Thromboembolism after Benign Hysterectomy.

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Venous thromboembolism is a leading cause of morbidity and mortality postoperatively. Current venous thromboembolism risk assessment tools have not been validated in gynecologic patients. Most patients undergoing hysterectomy for benign […]

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Risk of Cervical Precancer and Cancer Among Uninsured and Underserved Women 2009-2017.

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New guidelines for managing cervical precancer among US women directly use risk to guide clinical actions for individuals who are being screened. These risk-based management guidelines have previously only been […]

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Planned Oocyte Cryopreservation (Planned OC): Systematic Review and Meta-analysis of Cost-Efficiency and Patients’ perspective.

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Advances in vitrification techniques have enabled planned oocyte cryopreservation (‘Planned OC’).To explore the cost-efficiency and utilization of planned OC, as well as patients’ perspectives on the process.A systematic search in […]

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A report on the impact of rapid prenatal exome sequencing on the clinical management of 52 ongoing pregnancies; a retrospective review.

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Studies have shown Prenatal Exome Sequencing (PES) improves diagnostic yield in cases of fetal structural malformation. We have retrospectively analysed PES cases from two of the largest fetal medicine centres […]

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Accuracy of qualitative and quantitative cranial ultrasonographic markers in first trimester screening for open spina bifida and other posterior brain defects: a systematic review and meta-analysis.

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The significant number of qualitative and quantitative ultrasound markers described for first-trimester screening of open spina bifida (OSB) and other posterior brain defects (oPBD) have resulted in their complex implementation […]

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Postpartum hemorrhage requiring transfusion and risk of cardiovascular disease later in life: a retrospective cohort study.

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to determine whether postpartum hemorrhage (PPH) is associated with cardiovascular disease (CVD) including cerebrovascular and ischemic heart disease beyond the peripartum period.population based cohort study SETTING: The merges of the […]

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Salpingectomy versus tubal ligation for sterilization: a systematic review and meta-analysis.

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Following strong evidence and major organizations recommending salpingectomy over tubal ligation, we sought to perform a systematic review and meta-analysis comparing the intraoperative attributes and complication rates associated with these […]

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Outcomes after the regionalization of care for high-grade endometrial cancers: a population-based study.

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In June 2013, Ontario Health – Cancer Care Ontario (CCO), the agency responsible for advancing cancer care in Ontario, Canada, published practice guidelines recommending that Gynaecologic Oncologists (GOs) at tertiary […]

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A 50-Year Commitment to American Indian and Alaska Native Women.

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Since 1970, the American College of Obstetricians and Gynecologists’ Committee on American Indian and Alaska Native Women’s Health has partnered with the Indian Health Service and health care facilities serving […]

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A 50-Year Commitment to American Indian and Alaska Native Women.

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Since 1970, the American College of Obstetricians and Gynecologists’ Committee on American Indian and Alaska Native Women’s Health has partnered with the Indian Health Service and health care facilities serving […]

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Can risk prediction models help us individualise stillbirth prevention? A systematic review and critical appraisal of published risk models.

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Stillbirth prevention is an international priority – risk prediction models could individualise care and reduce unnecessary intervention, but their use requires evaluation.To identify risk prediction models for stillbirth, and assess […]

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Can risk prediction models help us individualise stillbirth prevention? A systematic review and critical appraisal of published risk models.

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Stillbirth prevention is an international priority – risk prediction models could individualise care and reduce unnecessary intervention, but their use requires evaluation.To identify risk prediction models for stillbirth, and assess […]

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Effect of single- versus double-layer uterine closure during caesarean section on postmenstrual spotting (2Close): multicentre, double-blind, randomised controlled superiority trial.

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To evaluate if double-layer uterine closure after a first caesarean section (CS) is superior compared to single-layer uterine closure in terms of postmenstrual spotting and niche development in the uterine […]

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Effect of single- versus double-layer uterine closure during caesarean section on postmenstrual spotting (2Close): multicentre, double-blind, randomised controlled superiority trial.

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To evaluate if double-layer uterine closure after a first caesarean section (CS) is superior compared to single-layer uterine closure in terms of postmenstrual spotting and niche development in the uterine […]

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Association of abnormal first stage of labor duration and maternal and neonatal morbidity.

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Contemporary guidelines for labor management do not characterize abnormal labor on the basis of maternal and/or neonatal morbidity.In this study, we aimed to evaluate the association of abnormal duration of […]

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Proteinuria during pregnancy: definition, pathophysiology, methodology and clinical significance.

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Qualitative and/or quantitative measurement of urine protein excretion is one of the most common tests performed during pregnancy. For more than 100 years, proteinuria was necessary for the diagnosis of […]

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No evidence for a placental microbiome in human pregnancies at term.

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The placenta has an important role in the modulation of pregnancy immunity; however, there is no consensus regarding the existence of a placental microbiome in healthy full-term pregnancies.To investigate the […]

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Assessment of Evidence Underlying Guidelines by the Society for Maternal-Fetal Medicine.

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The Society for Maternal-Fetal Medicine (SMFM), sometimes together with the American College of Obstetricians and Gynecologists (ACOG), routinely publishes guidelines utilizing the GRADE (Grading of Recommendations, Assessment, Development, and Evaluation) […]

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