Current opinion in obstetrics & gynecology
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Curr. Opin. Obstet. Gynecol. · Dec 2011
ReviewThe morbidly adherent placenta: diagnosis and management options.
Randomized controlled trials and large cohort studies regarding the diagnosis and management of placenta accreta are lacking. This review examines the available evidence. ⋯ Women with an antenatal diagnosis of placenta accreta should be managed in a tertiary facility with multidisciplinary input. To determine optimum management strategies, it is imperative that larger studies are carried out in the future. It is essential that the continual monitoring and containment of rising caesarean section rates becomes a priority to prevent a further increase in the incidence of placenta accreta.
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Curr. Opin. Obstet. Gynecol. · Dec 2011
ReviewVitamin D status during pregnancy: maternal, fetal, and postnatal outcomes.
To consider evidence from recent studies linking maternal vitamin D status during pregnancy with maternal, fetal, and postnatal outcomes. ⋯ Recent evidence supports a role of maternal vitamin D status, particularly early in pregnancy, in modulating the risk of pregnancy complications and in sustaining fetal growth, bone development, and immune maturation.
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Curr. Opin. Obstet. Gynecol. · Aug 2011
ReviewRobotic versus laparoscopic hysterectomy: a review of recent comparative studies.
To illustrate the current stand on robotic versus conventional laparoscopic hysterectomy regarding operating times, clinical outcome and costs. ⋯ Robotic and conventional laparoscopic hysterectomy are essentially equivalent regarding surgical and clinical outcome. Operating times are slightly higher and costs are significantly higher for the robotic procedure.
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Curr. Opin. Obstet. Gynecol. · Apr 2011
ReviewNonabortal pregnancy complications of chorionic villous sampling.
First trimester screening for genetic diseases has become the predominant tool for selecting higher risk women in developed countries. As a consequence, chorionic villous sampling (CVS) is considered the most effective method for early diagnosis. The purpose of this review is to report recent updates related to CVS complications. ⋯ Currently CVS is the gold standard method of first trimester prenatal diagnosis. Because it will likely be in higher demand in the next years, knowledge of the associated complications and their frequency is worth noting for both physicians and patients. Recent data have clarified some controversies and speculations but the magnitude of the association between CVS and fetal and obstetrical complications is still unclear.