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Volume 3, No 1 - Winter 2010

Volume 3, No 1 - Winter 2010

Table of Contents

Pessary Use in Pelvic Organ Prolapse and Urinary Incontinence Treatment Update
With the aging population in the United States, there has been a renewed interest in pessaries as a conservative alternative to surgical repair for pelvic organ prolapse (POP). They present a good option for patients who have not completed childbearing, do not desire surgery, or are poor surgical candidates. Long-term pessary use is a safe and effective option for patients with POP and stress urinary incontinence. Although serious side effects are infrequent, insertion and removal of most pessary types still pose a challenge for many patients. Pessary design should continue to improve, making its use a more attractive option.[Rev Obstet Gynecol. 2010;3(1):3-9 doi: 10.3909/riog0110]
Late Preterm Birth Disease State Review
In the United States, preterm birth rates continue to rise. Many reasons account for this increase, such as demographic changes, infertility treatments, increases in maternal age, more multiple gestations, increasing obesity rates, and maternal comorbid conditions. The American College of Obstetricians and Gynecologists suggests that preterm birth rates have also increased because of a dramatic rise in late preterm births, defined as births between 34 weeks and 36-6/7 weeks of gestation. Late preterm newborns are the fastest growing subset of neonates, accounting for approximately 74% of all preterm births and about 8% of total births. Reviewed is the current literature with regard to the growing problem of late preterm birth to provide the reader with a comprehensive overview of the burden of late preterm birth and to reassess the clinical opinion regarding timing of delivery.[Rev Obstet Gynecol. 2010;3(1):10-19 doi: 10.3909/riog0098]
Contemporary Management of Fibroids in Pregnancy Management Update
Uterine fibroids are a very common finding in women of reproductive age. The majority of fibroids do not change their size during pregnancy, but one-third may grow in the first trimester. Although the data are conflicting and most women with fibroids have uneventful pregnancies, the weight of evidence in the literature suggests that uterine fibroids are associated with an increased rate of spontaneous miscarriage, preterm labor, placenta abruption, malpresentation, labor dystocia, cesarean delivery, and postpartum hemorrhage.[Rev Obstet Gynecol. 2010;3(1):20-27 doi: 10.3909/riog0101]
Schistosomiasis: Health Effects on Women Women’s Health in the Developing World
Schistosomiasis is a parasitic infection endemic in 74 resource-poor nations that affects approximately 200 million people. Schistosomes are water-borne flatworms or blood flukes that enter the human body through the skin. Some symptoms of schistosomiasis include fever, arthralgias, abdominal pain, bloody diarrhea, and hematuria. Ultimately, patients develop heptosplenomegaly, ascites, and lymphadenopathy. Schistosomiasis is a neglected tropical disease, and its global health impact is grossly underestimated. Women suffer considerably from female genital schistosomiasis that causes infertility, preterm labor, anemia, menstrual disorders, and dyspareunia. More effort is needed to prevent schistosomiasis. Treating pregnant and lactating women decreases the disease burden and improves maternal and fetal outcome.[Rev Obstet Gynecol. 2010;3(1):28-32 doi: 10.3909/riog0109]
Human Papillomavirus Reviewing the Literature
Birthing Reviewing the Literature
Oxytocin Abuse Reviewing the Literature
Miscellaneous Reviewing the Literature