American journal of obstetrics and gynecology
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Am. J. Obstet. Gynecol. · Jan 1996
Ovarian cysts in premenopausal and postmenopausal tamoxifen-treated women with breast cancer.
Our purpose was to investigate the frequency of ovarian cysts in tamoxifen-treated breast cancer patients. ⋯ Ovarian cysts are a common side effect of tamoxifen treatment. The ovarian cysts can develop in tamoxifen-treated premenopausal as well as postmenopausal women with breast cancer. Most of the tamoxifen-associated cysts disappear after tamoxifen treatment is abandoned.
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There are new concepts in headache definition and pathophysiologic characteristics, but both classification and management remain largely the responsibility of the principal care physician. Women are particularly vulnerable for some types of headache. When a woman needs medical help she usually turns to their personal physician, who can be expected to diagnose and successfully treat most headaches.
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Am. J. Obstet. Gynecol. · Nov 1995
The emergency contraceptive pill: a survey of knowledge and attitudes among students at Princeton University.
Our purpose was to measure and analyze knowledge and attitudes about emergency contraceptive pills. The hypothesis we tested was that more accurate knowledge about the regimen would be associated with favorable attitudes towards its use. ⋯ Educational efforts should offer specific information about the composition of emergency contraceptive pills, the side effects, and how the regimen works.
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Am. J. Obstet. Gynecol. · Oct 1995
Randomized Controlled Trial Clinical TrialThe effect of low-dose aspirin on pregnancies complicated by elevated human chorionic gonadotropin levels.
Our purpose was to determine whether elevated second-trimester human chorionic gonadotropin levels identify women likely to benefit from low-dose aspirin therapy. ⋯ Aspirin therapy increased birth weight in all women, especially in women with high human chorionic gonadotropin levels, partly by increasing gestational age at delivery. This observation needs to be confirmed by further studies.
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Am. J. Obstet. Gynecol. · Oct 1995
Relationship between placental histologic features and umbilical cord blood gases in preterm gestations.
Our purpose was to test the hypothesis that placental histologic lesions reflect abnormal placental respiratory function in preterm gestations. ⋯ Changes in umbilical vein and artery pH, PO2, and PCO2 are significantly related to lesions of uteroplacental vascular pathologic mechanisms and intraplacental thrombosis. Placental lesions may be associated with chronic fetal distress by altering fetal oxygen availability and acid-base status. Placental immaturity resulting from prematurity may be associated with inefficient placental respiratory function and an increased likelihood of cesarean delivery in cases of premature rupture of membranes or preterm labor. Altered fetal acid-base balance plus excess numbers of circulating nucleated erythrocytes suggests that placental respiratory function is functionally abnormal when these lesions are present and leads to fetal tissue hypoxia.