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Volume 1, No 1 - Winter 2008

Volume 1, No 1 - Winter 2008

Table of Contents

Human Papillomavirus (HPV), HPV-Related Disease, and the HPV Vaccine Update in Prevention
Human papillomavirus (HPV) is the most common sexually transmitted infection in the United States, and persistent HPV infection is strongly associated with risk of cervical cancer and genital warts. The recently approved quadrivalent HPV vaccine targets the HPV strains responsible for approximately 70% of cervical cancers and 90% of genital warts. It is also effective in reducing the incidence of HPV-related conditions, especially when given prior to exposure to HPV. The vaccine is recommended for all girls aged 11 to 12, with catch-up vaccination for women up to age 26; and most insurance plans cover the vaccine. A second bivalent HPV vaccine is currently pending approval by the US Food and Drug Administration. HPV vaccination reduces the incidence of HPV-related cancers and precancerous lesions in the United States and abroad, though decisions regarding implementation of vaccination remain. [Rev Obstet Gynecol. 2008;1(1):2-10]
Contemporary Diagnosis and Management of Preterm Premature Rupture of Membranes Diagnosis and Management Update
Spontaneous rupture of membranes (ROM) is a normal component of labor and delivery. Premature ROM (PROM) refers to rupture of the fetal membranes prior to the onset of labor irrespective of gestational age. Once the membranes rupture, delivery is recommended when the risk of ascending infection outweighs the risk of prematurity. When PROM occurs at term, labor typically ensues spontaneously or is induced within 12 to 24 hours. The management of pregnancies complicated by preterm PROM (defined as PROM occurring prior to 37 weeks of gestation) is more challenging. Preterm PROM complicates 2% to 20% of all deliveries and is associated with 18% to 20% of perinatal deaths. Management options include admission to hospital, amniocentesis to exclude intra-amniotic infection, and administration of antenatal corticosteroids and broad-spectrum antibiotics, if indicated. This article reviews in detail the contemporary diagnosis and management of preterm PROM. [Rev Obstet Gynecol. 2008;1(1):11-22]
Sterilization in the United States Treatment Update
Unintended pregnancies are expensive for patients and for society in terms of medical costs, the cost of caring for more children, and the cost to personal and professional goals. Sterilization is the most common contraceptive method utilized by couples in the United States. Given technological advances over the past few decades, male and female surgical sterilization has become a safe, convenient, easy, and highly effective birth control method for the long term. This article reviews current male and female sterilization options. [Rev Obstet Gynecol. 2008;1(1):23-32]
An Introduction to Global Women’s Health Women’s Health in the Developing World
Sex-based health disparities are evident throughout the world; however, nowhere are these disparities greater than in resource-poor countries. Women in developing nations lack basic health care and face life-debilitating and life-threatening health issues. Some health issues never existed in the West, whereas science eradicated others decades ago. Maternal mortality, female genital cutting, child marriage, human immunodeficiency virus (HIV)/AIDS, and cervical cancer are a few of the issues that plague developing nations. This article introduces some of these challenging health problems. In subsequent issues, they will be explored in more depth. Reviews in Obstetrics & Gynecology hopes that highlighting global women’s health issues will increase awareness and establish a renewed commitment to improving women’s lives. [Rev Obstet Gynecol. 2008;1(1):33-37]
SeeClear™ MAX Laparoscopic Smoke Evacuation System Winter 2008 Product Reviews
Product: SeeClear™ MAX Laparoscopic Smoke Evacuation System Company: JLJ Medical Devices International, LLC Retail Price: $21.50
Essure® ESS305 Winter 2008 Product Reviews
Product: Essure® ESS305 Company: Conceptus, Inc. Retail Price: $1299
DP-6600 Digital Ultrasonic Diagnostic Imaging System Winter 2008 Product Reviews
Product: DP-6600 Digital Ultrasonic Diagnostic Imaging System Company: Mindray Medical International Limited Retail Price: $15,000
Cesarean Delivery Reviewing the Literature
Endometrial Cancer Reviewing the Literature
Cervical Neoplasia Reviewing the Literature
Miscellaneous Reviewing the Literature