Current opinion in obstetrics & gynecology
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Breast cancer is the most common female malignancy in the USA and second only to lung malignancy in cancer mortality. The only screening modality that effectively detects early breast cancer and decreases mortality is mammography. Because many females turn to obstetrician gynecologists for breast cancer screening, an understanding of the benefits and limitations of mammography and the breast imaging reporting and data system is imperative. Mammography remains the most cost effective and sensitive tool for early detection.
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Curr. Opin. Obstet. Gynecol. · Apr 1999
ReviewManagement of pre-eclampsia and haemolysis, elevated liver enzymes, and low platelets syndrome.
Pre-eclampsia remains a major cause of maternal and fetal ill-health. Defective placentation and endothelial dysfunction appear to underlie the clinical features. Recent publications regarding the diagnosis, treatment, prediction and prevention of pre-eclampsia, and contemporary issues in the management of the haemolysis, elevated liver enzymes, and low platelets syndrome, are discussed in this review.
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Curr. Opin. Obstet. Gynecol. · Apr 1999
ReviewGestational diabetes mellitus: controversies and current opinions.
The past few years have seen significant controversy over the diagnosis and management of gestational diabetes and its influence on perinatal outcomes. The debate over who to screen and how to screen continues to rage. Even when a diagnosis has been made, there is a lack of consensus regarding appropriate management protocols and glycemic targets. In this review, we will examine many of the controversial areas in gestational diabetes, using contemporary data to discuss these issues.
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The prevention of neural tube defects is a complex problem. The genetic associations may ultimately allow the prepregnancy identification of women at high risk of a neural tube defect. Education of both the public and healthcare providers has been shown to increase awareness, but the majority of women do not take folic acid before and in the early part of pregnancy. Food fortification will be effective in increasing the folate levels of the population and will have a benefit even at low doses of fortification.