OB/GYN Clinical Alert articles from February 2003

OB/GYN Clinical Alert archives from February 2003

Cesarean section for all breeches? Is the final answer in?
February 1, 2003... ABSTRACT & COMMENTARY IN DECEMBER, A GROUP FROM AUSTRIA PUBLISHED A REPORT evaluating outcomes of infants presenting at term with breeches whose mothers were scheduled to have either an elective cesarean section or a planned vaginal birth....

Walking and leisure-time activity and risk of hip fracture in postmenopausal women.
February 1, 2003... ABSTRACT & COMMENTARY Synopsis: Moderate levels of activity, including walking, are associated with substantially lower risks of hip fracture in postmenopausal women. Source: Feskanich D, et al. Walking and leisure-time activity and...

Management of invasive carcinoma of the uterine cervix associated with pregnancy: outcome in intentional delay in treatment.
February 1, 2003... ABSTRACT & COMMENTARY Synopsis: Delay in treatment to allow for fetal maturity is safe in patients with early stage I cervical carcinoma associated with pregnancy. Source: Takushi M, et al. Management of invasive carcinoma of the...

Better methods for emergency contraception.
February 1, 2003... ABSTRACT & COMMENTARY Synopsis: A single dose of 1.5-mg levonorgestrel and a single low dose of 10-mg mifepristone are effective methods for emergency contraception. Source: von Hertzen H, et al. Low dose mifepristone and two regimens...

Suspected pulmonary embolism in pregnancy.
February 1, 2003... ABSTRACT & COMMENTARY Synopsis: Ventilation/perfusion scanning appears to be safe and effective, at least in ruling out significant clinical pulmonary embolism in pregnant patients. However, prospective studies over longer time periods...

Total or subtotal hysterectomy: which is superior? (Special Feature).
February 1, 2003... AS THE "NEW KID ON THE OB/GYN Clinical Alert block," and as the generalist among the editors, I intend to focus on topics that come up commonly in my own practice of obstetrics and gynecology. The beauty of having this format is that cutting...

Stroke reduction in older hypertensives with abnormal nocturnal blood pressure dipping.(Brief Article)
February 1, 2003... Source: Hishide Y, et al. Am J Hypertens. 2002;15:844-850. THE RELATIONSHIP BETWEEN adverse cardiovascular events and blood pressure (BP) is direct and linear. Numerous prospective randomized trials indicate that reduction of BP produces a...

Primary prevention of hypertension.(Brief Article)
February 1, 2003... Source: Whelton PK, et al. JAMA. 2002;288:1882-1888. ACCORDING TO JNC VI REPORTING, AS many as 43 million adults in America have hypertension (HTN), defined as blood pressure > 140/90. Although treatment with a variety of agents has been...

Effect of aggressive screening and treatment on prostate cancer mortality.(Brief Article)
February 1, 2003... Source: Lu-Yao G, et al. BMJ. 2002;325:740-743. THERE REMAINS A GREAT DEAL OF heated debate about the appropriate use of PSA screening amongst asymptomatic men. Although mortality for prostate cancer has declined since the mid-1990s, it...

Diuretics, mortality, and nonrecovery of renal function in acute renal failure.(Brief Article)
February 1, 2003... Source: Mehta RL, et al. JAMA. 2002;288:2547-2553. DIURETICS ARE COMMONLY USED IN the setting of acute renal failure (ARF), based upon premises that they will reduce volume in extracellular volume overload and may convert oliguric ARF to...

Nut and peanut butter consumption and risk of DM-2 in women.(type 2 diabetes mellitus)(Brief Article)
February 1, 2003... Source: Jiang R, et al JAMA. 2002;288;2554-2560. RECENT TRIALS HAVE CONFIRMED that both pharmacologic treatment (acarbose or metformin) and lifestyle intervention (weight loss and exercise) may prevent onset of type 2 diabetes (DM-2) in...

Optimal diets for prevention of CHD.(coronary heart disease)(Brief Article)
February 1, 2003... Source: Hu FB, Willett WC. JAMA 2002;288:2569-2578. THE CLASSIC DIET-HEART HYPOTHESIS postulates that dietary saturated fat and cholesterol are causally associated with coronary heart disease (CHD). Though the evidence for this hypothesis...

FDA issues 'Black Box' warning based on WHI study.(Women's Health Initiative)
February 1, 2003... The FDA has mandated a "Black Box" warning for all estrogen and estrogen/progestin products for use by postmenopausal women. The new warnings are based on analysis of data from the Women's Health Initiative (WHI) study that was published July...