CLINICAL OBSTETRICS &GYNCOLOGY

VOL. 42 , NO . 1 , March 1999

MODERN DIAGNOSIS AND MANAGEMENT OF ECTOPIC
PREGNANCY FOREWORD I
SANDRA ANN CARSON, MD, Guest Editor

Incidence and Risk Factors for Ectopic Pregnancy 2
MARGARETA D. PISARSKA, MD, and
SANDRA A. CARSON, MD

Diagnosis of Acute and Persistent Ectopic
Pregnancy 9
JACEK W. GRACZYKOWSKI, MD, and DAVID B. SEIFER, MD

Medical Management of Ectopic Pregnancy 23
JOHN E. BUSTER, MD, and MARGARETA D. PISARSKA, MD

Surgical Management ofEC topic Pregnancy 31
TOGAS TULANDI, MD, and AHMED SALEH, MD

Ultrasound-Guided Injection of Ectopic Pregnancy 39
JERYL G. NATOFSKY, MD, JÖRGE LENSE, MD,
JAMES C. MAYER, MD, and TIMOTHY R. YEKO, MD

Expectant Management of Ectopic Pregnancy 48
MATTHEW A. COHEN, MD, and MARK V. SAUER, MD

Review Questions 55

TORCH INFECTIONS 5 7
EDWARD R. NEWTON, MD, Guest Editor

Diagnosis of Perinatal TORCH Infections 59
EDWARD R. NEWTON, MD

Ultrasound and Fetal Diagnosis of Perinatal
Infection 71
JUDE P. CRINO, MD

Perinatal Cytomegalovirus and Toxoplasmosis: Challenges
of Antepartum Therapy 81
JEANNA M. PIPER, MD, and TONY S. WEN, MD

Syphilis in Pregnancy 97
JRANNE S. SHEFFIELD, MD, and GEORGE D. WENDEL, Jr., MD

Parvovirus Infection 107
JOHN F. RODIS, MD

Perinatal Consequences of Hepatitis C 121
NANCY L. ERIKSEN, MD

Prevention of Perinatal Herpes: Prophylactic Antiviral
Therapy? 134
L. LAURIE SCOTT, MD

TORCH Testing in HIV-Infected Women 149
ANDREW HELFGOTT, MD

Is Routine Antenatal Toxoplasmosis Screening Justified in
the United States? Statistical Considerations in the
Application of Medical Screening Tests 163
ROBERT MITTENDORF, MD, DrPH, PETER PRYDE, MD,
MARGUERITE HERSCHEL, MD, and MICHELLE A. WILLIAMS, ScD

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CLINICAL OBSTRICS & GYNECOLOGY

VOL. 42, NO. 2, JUNE 1999


Contributors vii

Forthcoming Symposia ix


AMBULATORY GYNECOLOGY FOREWORD 183
KENNETH L. NOLLER, MD, Guest Editor


Current Evaluation and Management of
Vulvovaginitis 184
HOPE K. HAEFNER, MD


Ambulatory Management of Uterine Leiomyomata 196
ROBERT L. BARBIERI, MD


Advances in the Diagnosis and Treatment of Human
Papillomavirus Infections 206
THOMAS V. SEDLACEK, MD


Clinical Management of Vulvodynia 221
GORDON D. DAVIS, MD, and
CHRISTOPHER V. HUTCHISON, MD


Office Management of Benign Breast Disease 234
SAMUEL ZYLSTRA, MD, MPH


Office Assessment of Female Urinary Incontinence 249
STEPHEN B. YOUNG, MD, and DIANE M. PINGETON, MD


Office Screening for Gynecologic Cancer 267
SUSAN L. ZWEIZIG, MD


OfficeHysteroscopy 276
RAFAEL F. VALLE, MD


Office Management of Early Induced Abortion 290
MAUREEN PAUL MD, MPH


Primary Care for Women: The Role of the
Obstetrician-Gynecologist 306
AROLYN V. BROWN, MD, MPH


Review Questions 314


PLATELET DISORDERS IN PREGNANCY
FOREWORD 316
ROBERT M. SILVER, MD, Guest Editor

Review of Autoimmune Thrombocytopenia: Pathogenesis,
Diagnosis' and Management in Pregnancy 317
JEFFERY R. JOHNSON, MD, and PHILIP SAMUELS, MD


Gestational Thrombocytopenia 327
NADINE SHEHATA, MD, ROBERT BURROWS, MD, and
JOHN G. KELTON, MD

Alloimmune Thrombocytopenia 335
DANIEL W. SKUPSKI, MD, and JAMES B. BUSSEL, MD


Overview of Platelet Physiology and Laboratory Evaluation
ofPlatelet Function 349
GEORGE M. RODGERS, MD, PhD


Diagnosis and Management of Thrombotic
Microangiopatllies During Pregnancy 360
M. SEAN ESPLIN, MD, and D. WARE BRANCH


Clinical Uses of Intravenous Immunoglobulin in
Pregnancy 368
ANN L. CLARK, MD


HELLP Syndrome 381
ROBERT S. EGERMAN, MD, and BAHA M. SIBAI, MD


Congenital Disorders ofPlatelet Function 390
BARDETT FALJSETT, MD, and ROBERT M. SILVER, MD


Review Questions 406

Index 408


ROBERT L. BARBIERI, MD
Harvard Medical School, Boston, Massachusetts


D. WARE BRANCH
University of Utah School of Medicine, Salt Lake City, Utah


CAROLYN V. BROWN, MD, MPH
Private Practice of Gynecology,, Women's Health, Preventive Medicine,
South Burlington, Vermont


ROBERT BURROWS, MD
McMaster University, Hamilton, Ontario, Canada

JAMES B. BUSSEL, MD
The Joan and Sanford I. Weill Medical College of Cornell University,
New York, New York


ANN L. CLARK, MD
University of Louisville, Louisville, Kentucky

GORDON D. DAVIS, MD
St. Joseph's Medical Center and Maricopa Medical Center, Phoenix,
Arizona


ROBERT S. EGERMAN, MD
University of Tennessee, Memphis, Tennessee


M. SEAN ESPLIN, MD
University of Utah School of Medicine, Salt Lake City, Utah


BARDETT FAUSETT, MD
University of Utah Medical Center, Salt Lake City, Utah


HOPE K. HAEFNER, MD
University of Michigan Medical Center, Ann Arbor, Michigan


CHRISTOPHER V. HUTCHISON, MD
St. Joseph's Medical Center and Maricopa Medical Center, Phoenix,
Arizona


JEFFERY R. JOHNSON, MD
The Ohio State University, Columbus, Ohio

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