OBSTETRICAL & GYNECOLOGICAl SURVEY

VOL. 54, NO.1

JANUARY 1999

TEACHING ROUNDS

Guest Editorial: Uterine Artery Embolization in a Hemorrhaging Postoperative
Myomectomy Patient. Michael J. Schifano, Natalie J. Hoshaw, William M. Boushka and
Ruben J. Alvero 1

OBSTETRICS

Changes of Resistance to Activated Protein C in the Course of Pregnancy and
Prevalence of Factor V Mutation. Shigeko Mimuro, Robert Lahoud, Lucinda Beutler
and Brian Trudinger. Aust NZ J Obstet Gynaecol 1998,-38:200-204.............. 5
Maternal Mortality Associated With Adult Respiratory Distress Syndrome.
Kenneth G. Perry, Jr„ Rick W. Martin, Pamela G. Blake, William E. Roberts and
James N. Martin, Jr. South Med J 1998:91:441-444. ................................... 7
PRECONCEPTION ,AND PRENATAL CARE

Obstetric Outcome in Women Who Present With a Reduction in Fetal Movements in
the Third Trimester of Pregnancy. Kevin Harrington, Olaleye Thompson,
Lorraine Jordan, John Page, Robert G. Carpenter and Stuart Campbell. J Perinat Med
1998:26:77-82.................................................................... 9
Why Don't Women With Diabetes Plan Their Pregnancies?. Emily V. Holing,
Zane A. Brown, Caria Shaw Beyer and Frederick A. Connell. Diabetes Care 1998:21:
889-895.......................................................................... 11
FETAL DIAGNOSIS AND THERAPY

Autoimmune-Associated Congenital Heart Block; Demographics, Mortality, Morbidity
and Recurrence Rates Obtained From a National Neonatal Lupus Registry.
Jill P. Buyon, Rudi Hiebert, Joshua Copel, Joseph Craft, Deborah Friedman,
Margaret Katholi, Leia A. Lee, Thomas T. Provost, Morris Reichlin, Lisa Rider,
Ann Rupel, Susan Saleeb, William L. Weston and Mary Louise Skovron. J Am Coil
Cardiol 1998:31:1658-1666........................................................ 13
MANAGEMENT OF LABOR, DELIVERY, AND THE PUERPERIUM
Perinatal HIV-I Transmission: Interaction Between Zidovudine Prophylaxis and Mode
of Delivery in the French Perinatal Cohort. Laurent Mandelbrot, Jerome Le Chenadec,
Alain Berrebi, Andre Bongain, Jean-Louis Benifla, Jean-Francois Delfraissy,
Stephane Blanche and Marie-Jeanne Mayaux for the French Perinatal Cohort. J Am Med
Assoc 1998:280:55-60............................................................. 15
All-Fours Maneuver for Reducing Shoulder Dystocia During Labor.Joseph P.Bruner,
Susan B.Drummond,Anna L.Meenan and Ina May Gaskin.J.Reprod Med
1998;43:439-443............................................................................. 17
The Rise in Cesarean Section Rate: The Same Indications but a Lower Threshold.

C. R. Leitch and J. J. Walker. Br J Obstet Gynaecol 1998; 105:621-626. ................ 19
NEWBORN MEDICINE

Very Low Birthweight Boys at the Age of 19. Anders Ericson and Bengt Kallen. Arch Dis

Child Fetal Neonatal Ed 1998;78:F171-F174. ........................................ 20
ETHICS, MEDICO-LEGAL ISSUES, AND PUBLIC POLICY

Legal Implications of Birth Videos. Douglas R. Eitel, Jerome Yankowitz and John W. Ely.
J Fam Pract 1998:46:251-256. ..................................................... 22

GYNECOLOGY
OPERATIVE GYNECOLOGY

Posthysterectomy Vaginal Vault Prolapse: Primary Repair in 693 Patients.
Maurice J. Webb, Michael R. Aronson, Linda K. Ferguson and Raymond A. Lee. Obstet
Gynecol 1998:92:281-285.......................................................... 25
Transurethral Injection of Silicone Microimplants for Intrinsic Urethral Sphincter
Deficiency. Heinz Koelbl, Veli Saz, Daniela Doerfler, Guenther Haeusler, Christine Sam
and Engelbert Hanzal Obstet Gynecol 1998:92:332-336 ............................... 27
OFFICE GYNECOLOGY

Differentiating Vulvar Intraepithelial Neoplasia From Nonneoplasfic Epithelial Disorders:
The Toluidine Blue Test. Elmar A. Joura, Harald Zeisler, Alexander Losch, Michael 0. Sator
and Silvia MUllauer-ErtI. J Reprod Med 1998:43:671-674 ............................... 28
Atypical Glandular Cells of Undetermined Significance: A Five-Year Retrospective
Histopathologic Study. Dan S. Veljovich, Mark H. Stoler, Willie A. Andersen,
Jamie L. Covell and Laurel W. Rice. Am J Obstet Gynecol 1998:179:382-390........... 29
GYNECOLOGIC ONCOLOGY

Endocervical Glandular Atypia: Does a Preneoplastic Lesion of Adenocarcinoma In
Situ Exist?. Neal S. Goldstein, Ejaz Ahmad, Mujaba Hussain, Rebecca C. Hankin and
Nuria Perez-Reyes. Am J Clin Pathol 1998:110:200-209 .............................. 31
Oral Contraceptives and the Risk of Hereditary Ovarian Cancer. Steven A. Narod,
Harvey Risch, Roxana Moslehi, Anne D^rum, Susan Neuhausen, Hakan Olsson,
Diane Provencher, Paolo Radice, Gareth Evans, Susan Bishop, Jean-Sebastien Brunet and
Bruce A. J. Ponder, for the Hereditary Ovarian Cancer Clinical Study Group. N Engl
J Med 1998:339:424-428.......................................................... 33
NORMAL AND ABNORMAL MENSTRUAL FUNCTION
A Fasting Glucose to Insulin Ratio Is a Useful Measure of Insulin Sensitivity in
Women With Polycystic Ovary Syndrome. Richard S. Legro, Diane Finegood and
Andrea Dunaif. J Clin Endocrinol Metab 1998:83:2694-2698. ......................... 35
The Effect of a Pure Antiandrogen Receptor Blocker, Flutamide, on the Lipid Profile
in the Polycystic Ovary Syndrome. Evanthia Diamanti-Kandarakis, Asimina Mitrakou,
Sotos Raptis, George Tolis, and Antoni J. Duleba. J Clin Endocrinol Metab
1998:83:2699-2705................................................................ 37
MENOPAUSE

Alendronate for the Prevention and Treatment of Glucocorticoid-induced Osteoporosis.
Kenneth G. Saag, Ronald Ernkey, Thomas J. Schnitzer, Jacques P. Brown,
Federico Hawkins, Stefan Goemaere, Gorm Tharnsborg, Uri A. Liberman,
Pierre D. Delmas, Marie-Pierre Malice, Michelle Czachur, and Anastasia G. Daifotis,
for the Glucocorticoid-induced Osteoporosis Intervention Study Group. N Engl J Med
1998:339:292-299 ................................................................ 39

Randomized Trial of Estrogen Plus Progestin for Secondary Prevention of Coronary
Heart Disease in Postmenopausal Women. Stephen Hulley, Deborah Grady,
Trudy Bush, Curt Furberg, David Herrington, Betty Riggs and Eric Vittinghoff,
for the Heart and Estrogen/progestin Replacement Study (HERS) Research Group. J Am
Med Assoc 1998;280:605-613 ...................................................... 41

CME PROGRAM

CATEGORY I CME REVIEW ARTICLES 1, 2, AND 3
Role of Lactate Measurements During Labor. M. Westgren, M. Kublickas and

K. Kruger ........................................................................ 43
The Burch Procedure: A Comprehensive Review. Michael Dainer, Cynthia D. Hall,

Jennifer Choe and Narender N. Bhatia .............................................. 49
Modern Treatments of Menorrhagia Attributable to Dysfunctional Uterine Bleeding.
Seth A. Stabinsky, Mark Einstein and James L. Breen ................................ 61

EXAM ANSWERS for November 1998 .............................................. 73
CME PROGRAM EXAM and ANSWER SHEET .................................... 74

OBSTETRICAL &GYNECOLOGICAL SURVEY

VOL. 54, NO. 4

April 1999

SOUNDINGS

Guest Editorial: Respecting Pregnant Women's Treatment Choices.
Donald T. Ridley, J.D.. ............................................................................................. 215

OBSTETRICS
PHYSIOLOGY & PATHOPHYSIOLOGY OF PREGNANCY, LABOR, & THE
PUERPERIUM
Incidence of Mastitis in Breastfeeding Women During the Six Months After Delivery:
A Prospective Cohort Study. Joanne R. Kinlay, Dianne L. O'Connell and Scott Kinlay.
Med J Australia 1998;169:310-312 ......................................................................... 218

PRECONCEPTION AND PRENATAL CARE
Diagnostic Efficiency of Home Pregnancy Test Kits: A Meta-Analysis. Lori A. Bastian,
Kavita Nanda, Vie Hasselblad and David L. Simel. Arch Fam Med 1998;7:465-469 . . . . . 220

Pregnancies Complicated by Diabetic Proliferative Retinopathy. Finn Friis Lauszus,
Poul Lange Gr0n and Joachim G. Klebe. Acta Obstet Gynecol Scand 1998;77:814-818. . . 221

Knowledge of Periconceptional Folic Acid for the Prevention of Neural Tube Defects:
The Missing Links. Miguel M. Bonin, Jennifer A. Bretziaff, Sandra A. Therrien and
Brian H. Rowe for the Northeastern Ontario Primary Care Research Group. Arch Fam
Med 1998:7:438-442 ........................................................................................223

FETAL DIAGNOSIS AND THERAPY
Obstetric Outcome After RhD and Kell Testing. S. Lipitz, A. Many, S. Mitrani-Rosenbaum,
H. Carp, Y. Frcnkel and R. Achiron Hum Reprod 1998:13(6):1472-1475 ........... 225

MANAGEMENT OF LABOR, DELIVERY, AND THE PUERPERIUM
Vaginal Delivery After Previous Caesarean Section for Failure of Second Stage of
Labour. V. H. W. M. Jongen, M. G. C. Halfwerk and W. K. Brouwer. Br J Obstet
Gynaecol 1998; 105:1079-1081 ......................................................................... 226

Is There an Incremental Rise in the Risk of Obstetric Intervention With Increasing
Maternal Age? Adam N. Rosenthal and Sara Paterson-Brown. Br J Obstet Gynaecol
1998:105:1064-1069 ............................................................................................. 228

NEWBORN MEDICINE
Abbreviated Regimens of Zidovudine Prophylaxis and Perinatal Transmission of the
Human Immunodeficiency Virus. Nancy A. Wade, Guthrie S. Birkhead,
Barbara L. Warren, Tina T. Charbonneau, P. Tyier French, Ling Wang, Jeanne B. Baum,
James M. Tesoriero and Robert Savicki. N Engl J Med 1998:339:1409-1414............ 229

Maternal Cigarette Smoking Is Associated With Increased Inner Airway Wall
Thickness in Children Who Die From Sudden Infant Death Syndrome. John Elliot,
Peter Vullermin and Philip Robinson. Am J Respir Crit Care Med 1998; 158:802-806 . . . . 231

ETHICS, MEDICO-LEGAL ISSUES, AND PUBLIC POLICY
Early Sexual Initiation: The Role of Peer Norms. Sara B. Kinsman, Daniel Romer,
Frank F. Furstenberg and Donald F. Schwarz. Pediatrics 1998; 102(5):] 185-1192 ........ 233

GYNECOLOGY
OPERATIVE GYNECOLOGY
The Risk of Cystocele After Sacrospinous Ligament Fixation. Scott W. Smilen,
Jyot Saini, Stacey J. Wallach and Robert F. Porges. Am J Obstet Gynecol
1998;179:1465-}472.............................................................................................................235

UROGYNECOLOGY
The Efficacy of Urethrolysis Without Re-Suspension for latrogenic Urethral
Obstruction. Howard B. Goidman, Raymond R. Rackley and Rodney A. Appell. J Urol
1999; 161:196-199. .............................................................................................................. 236

INFECTIOUS DISEASES
Efficacy and Safety of Self-Start Therapy in Women With Recurrent Urinary Tract
Infections. Anthony J. Schaeffer and Barbara A. Stuppy. J Urol 1999; 161:207-211 . . . . . 238

GYNECOLOGIC ONCOLOGY
Vulvar Intraepithelial Neoplasia III: Occult Cancer and the Impact of Margin Status
on Recurrence. Susan C. Modesitt, Anne B. Waters, Leslie Walton, Wesley C. Fowler,
Jr. and Linda Van Le. Obstet Gynecol 1998;92:962-966............................... 240

Prognostic Factors in Extraovarian Primary Peritoneal Carcinoma.
Gamal H. Eitabbakh, Bruce A. Werness, Steven Piver and Leslie E. Blumenson. Gynecol
Oncol 1998:71:230-239............................................................241

NORMAL AND ABNORMAL MENSTRUAL FUNCTION
Precocious Pubarche, Hyperinsulinism, and Ovarian Hyperandrogenism in Girls:
Relation to Reduced Fetal Growth. Lourdes lbanez, Neus Potau, Inge Francois and
Francis de Zegher. J Clin Endocrinol Metah 1998;83:3558-3562 ......................... 243

Scrum Prolactin Concentration in Patients Taking Neuroleptic Drugs. Anne Pollock
and E. H. McLaren Clin Endocrinol 1998;49:5}3-516................................. 245

INFERTILITY/REPRODUCTIVE TECHNOLOGIES
Relation Between Semen Quality and Fertility: A Population-Based Study of 430 First-
Pregnancy Planners. Jens Peter E. Bonde, Erik Ernst, Tina Kold Jensen,
Niels Henrik 1. Hjollund, Henrik Kolstad, Tine Brink Henriksen, Thomas Scheike,
Aleksander Giwercman, J0rn Olsen and Niels Erik Skakkebaek. Lancet 1998;352:l 172-
1177 .............................................................................247

MENOPAUSE
Which Androgen Replacement Therapy for Women? H. M. Buckler, W. R. Robertson
and F. C. W. Wu. J Clin Endocrinol Metah 1998:83:3920-3924 ....................... 249

CONTRACEPTION
Randomised Trial of Nitric Oxide Donor Versus Prostaglandin for Cervical Ripening
Before First-Trimester Termination of Pregnancy. Andrew J. Thomson,
C. Burnett Lunan, Marieanne Lediiigham, Robert C. L. Howat, lain T. Cameron,
lan A. Greer and Jane E. Norman. Lancet 1998:352:1093-1096 ........................ 251

CME PROGRAM

CATEGORY I CME REVIEW ARTICLES 10, II, AND 12
Automated Cervical Cytology: Meta-Analyses of the Performance of the PAPNET
System. Ovadia Abulafia and David M. Sherer ......................................................... 253

Deep Vein Thrombosis During Pregnancy and the Puerperium: A Meta-Analysis of the
Period of Risk and the Leg of Presentation. J. G. Ray and W. S. Chan ............... 265

Tainoxifen Effects on Menopause-Associated Risk Factors and Symptoms.
Abraham Benshushan and Arnnon Brzezinski ............................................. 272

EXAM ANSWERS for February 1999 ..................................................... 280

CME PROGRAM EXAM and ANSWER SHEET .................................... 281

OBSTETRICAL & GYNECOLOGICAL SURVEY

VOL. 54, NO. 5

MAY 1999

TEACHING ROUNDS

Guest Editorial: Pelvic Inflammatory Disease in a Diabetic Patient After Endometrial
Biopsy. Andrea Ries, Michael Sundborg and Cynthia 1. Maori. ................................... 283

OBSTETRICS
PHYSIOLOGY & PATHOPHYSIOLOGY OF PREGNANCY, LABOR, & PUERPERIUM
Vertical Transmission of HCV. Antonio La Torre, Roberto Biadaioli, Teresa Capobianco,
Maria Grazia Colao, Monica Monti, Francesco Pulli, Carmen Beatriz Visioli,
Anna-Linda Zignego and Firmino Rubaltelli. Acta Obstet Gynecol Scand 1998,'77:889-
892. ...... ............... ........ ...... ........................................... ......... ....... ...... ......... ...285

Does Gestational Hypertension Become Pre-Eclampsia?. Patrick Saudan,
Mark A. Brown, Megan L. Buddle and Michael Jones. Br J Obstet Gynaecol 1998:105:
1177-1184.............................................................................................................. 287

PRECONCEPTION AND PRENATAL CARE
Screening Pregnant Women for Group B Streptococcal Colonization. T. A. Madani,
G. K. Harding, M. Helewa and M. J. Alfa. Infection 1998:26:288-291.................. 289

Moxibustion for Correction of Breech Presentation: A Randomized Controlled Trial.
Francesco Cardini and Huang Weixin. J Am Med Assoc 1998:280:1580-1584 ........... 291

FETAL DIAGNOSIS AND THERAPY

Fetal Versus Maternal and Gestational Age Effects of Repetitive Antenatal
Glucocorticoids. Alan H. Jobe, John Newnham, Karen Willet, Peter Sly and
Machiko Ikegami. Pediatrics 1998:102:1116-1125. ............................................ 292
MANAGEMENT OF LABOR, DELIVERY, AND THE PUERPERIUM

Uterine Exteriorisation at Caesarean Section: Influence on Maternal Morbidity.
Edmond C. 0. Edi-Osagie, Ronald E. Hopkins, Victor Ogbo, Farhana Lockhat-Clegg,
Michael Ayeko, William 0. Akpala and Frederick N. Mayers. Br J Obstet Gynaecol
1998:105:1070-1078..................................................................................... 294

A Randomized Study of Combined Spinal-Epidural Analgesia Versus Intravenous
Meperidine During Labor: Impact on Cesarean Delivery Rate. David R. Gambling,
Shiv K. Sharma, Susan M. Ramin, Michael J. Lucas, Kenneth J. Leveno, Jackie Wiley
and J. Elaine Sidawi. Anesthesiology 1998:89:1336-1344. ............................. 295

NEWBORN MEDICINE
Prenatal Cocaine Exposure and Child Behavior. Virginia Delaney-Black,
Chandice Covington, Thomas Templin, Joel Ager, Susan Martier and Robert Sokol.
Pediatrics 1998:102:945-950....................................................... 297

Cohort Study on Circumcision of Newborn Boys and Subsequent Risk of Urinary-
Tract Infection. Teresa To, Mohammad Agha, Paul T. Dick and William Feidman.
Lancet 1998:352:1813-1816........................................................ 299

ETHICS, MEDICO-LEGAL ISSUES, AND PUBLIC POLICY
Outcomes Among 562 Recipients of Placental-Blood Transplants From Unrelated
Donors. Pablo Rubinstein, Carmelita Carrier, Andromachi Scaradavou, Joanne Kiirtzberg,
John Adamson, Anna Rita Migliaccio, Richard L. Berkowitz, Michael Cabbad,
N. Ludy Dobrila, Patricia E. Taylor, Richard E. Rosenfield and Cladd E. Stevens. N Engl
J Med 1998:339:1565-1577 ................................................................................... 300

GYNECOLOGY
OPERATIVE GYNECOLOGY
Early Evaluation of an Electromechanical Morcellator for Laparoscopic Supracervical
Hysterectomy. James F. Daniell, Calvin Channell, James Lindsay, Stephen Staggs and
Traci Henry. Gynecol Endosc 1998:7:295-305. ..................................................... 303
OFFICE GYNECOLOGY

Cost-Effectiveness of 3 Methods to Enhance the Sensitivity of Papanicolaou Testing.
Adalsteinn D. Brown and Alan M. Garber. J Am Med Assoc 1999:281 -347-353 .........305
GYNECOLOGIC ONCOLOGY


Laparoscopy in 533 Patients With Abdominal Malignancy. David B. Pearlstone,
Paul F. Mansfield, Steven A. Curley, Matt Kumparatana, Patricia Cook and
Barry W. Feig. Surgery 1999:125:67-72 .................................................................. 307

Pregnancies After Radical Vaginal Trachelectomy for Early-Stage Cervical Cancer.
Michel Roy and Marie Plante. Am J Obstet Gynecol 1998:179:1491-1496. .............. 309

Paget's Disease of the Vulva: Prevalence of Associated Vulvar Adenocarcinoma,
Invasive Paget's Disease, and Recurrence After Surgical Excision. James Fanning,
Lois Lambert, Theodore M. Hale, Peter C. Morris and Conrad Schuerch. Am J Obstet
Gynecol 1999;180:24-27............................................................................................. 311
NORMAL AND ABNORMAL MENSTRUAL FUNCTION

A Progesterone-induced Endometrial Homolog of a New Candidate Tumor Suppressor,
DMBTI. Christopher 1. Ace and William C. Okulicz. J Clin Endocrinol Metab 1998-83:
3569-3573............................................................................................................... 312
The Effect of Ovarian Steroids on Epithelial Ciliary Beat Frequency in the Human
Fallopian Tube. T. Mahmood, E. Saridogan, S. Smutna, A. M. Habib and
0. Djahanbakhch. Hum Reprod 1998:13:2991-2994. ............................... 314
INFERTILITY/REPRODUCTIVE TECHNOLOGIES

Role of Vascular Endothelial Cell Growth Factor in Ovarian Hyperstimulation
Syndrome. Ellis R. Levin, Gregory F. Rosen, Denise L. Cassidenti, Bill Yee,
David Meldrum, Arthur Wisot and Ali Pedram. J Clin Invest 1998:102-1978-1985 ......316

CONTRACEPTION
Suppression of Spermatogenesis in Man Induced by Nal-Glu Gonadotropin-Releasing
Hormone Antagonist and Testostcrone Enanthate (TE) Is Maintained by TE Alone
R. S. Swerdloff, C. J. Bagatell, C. Wang, B. D. Anawalt, N. Berman, B. Steiner and
W. J. Bremner. J Clin Endocrinol Metub 1998; 83:3 527-3533 ....................... 319

Contraceptive Potential of a Mifepristone-Nomegestrol Acetate Sequential Regimen in
Women. Horacio B. Croxatto, Ana M. Salvatierra, Blanca Fuentealba and Rebeca Massai
Hum Reprod 1998;13:3297-3302. .............................................. 321

CME PROGRAM
CATEGORY I CME REVIEW ARTICLES 13, 14, AND 15
Primary Peritoneal Carcinoma: A Review of the Literature. Christina S. Chu,

Andrew W. Menzin, Debra G. B. Leonard, Stephen C. Rubin and James E. Wheeler . .. .. 323
Effect of Exogenous Corticosteroids on the Developing Central Nervous System:

A Review. W. L. Huang, S. A. Dunlop and C. G. Harper ............................. 336

Delayed Interval Delivery in Multiple Gestations. Julie S. Platt and Cesar Rosa ......... 343

EXAM ANSWERS for March 1999.................................................. 350

CME PROGRAM EXAM and ANSWER SHEET .................................... 351

Errata.............................................................................. 350

_______________________________________

OBSTETRICAL & GYNECOLOGICAL SURVEY

VOL 54, NO. 8 , AGUST 1999



Soundings
A Guest Editorial: Dr. George Papanicolaou and the Birth of the Pap Test.
George A. Vilos. 481


OBSTETRICS
PHYSIOLOGY AND PATHOPHYSIOLOGY OF PREGNANCY, LABOR, AND THE
PUERPERIUM
Teenage Pregnancies and Risk of Late Fetal Death and Infant Mortality.
Petra Otterblad Olausson, Sven Cnattingius and Bengt Haglund. Br J Obstet Gynaecol
484



Management of Deep Vein Thrombosis of the Lower Extremity in Pregnancy: A
Challenging Dilemma. Ali R Aburahma and James P. Boland. Am Surg 486


PRECONCEPTION AND PRENATAL CARE
Effect of the Interval Between Pregnancies on Perinatal Outcomes. Bao-Ping Zhu,
Robert T. Rolfs, Barry E. Nangle and John M. HoraiL N Engi J Med 488



Diabetes and Pregnancy: Preconception Care, Pregnancy Outcomes, Resource
Utilization and Costs. William H. Herman, Nancy K, Janz, Mark P. Becker and
Denise Charron-ProchowniL J Reprod Med 489



FETAL DIAGNOSIS AND THERAPY
Fetal Loss Rate After Second Trimester Amniocentesis at Different Gestational Age.
Sissel Saltvedt and Harald Almstrom. Acta Obstet Gynecol Scund 491


MANAGEMENT OF LABOR, DELIVERY, AND THE PUERPERIUM
Is Antenatal Bladder Neck Mobility a Risk Factor for Postpartum Stress
Incontinence? Jennifer K. King and Robert M, Freeman. Br J Obstet Gynaecol 493



Electronic Fetal Monitoring: WhaVs Reassuring? Michael D. Berkus, Oded Langer,
Amon Samueloff, Elly M. J. Xenakis and Nancy T. Field. Acta Obstet Gynecol Scand 494



NEWBORN MEDICINE
Are All Growth-Restricted Newhorns Created Equal(ly)? Michael S. Kramer,
Robert Platt, Hong Yang, Helen McNamara and Robert H. Usher. Pediatrics 496

ETHICS, MEDICO-LEGAL ISSUES, AND PUBLIC POLICY
Compensation for Birth-Related Injury: No-Fault Programs Compared With Tort
System, Kathryn Whetten-Goldstein, Elizabeth Kulas, Frank Sloan, Gerald Hickson and
Stephen Entman. Arch Pediatr Adoiesc Med 498



The Utility of an In-Hospital Observation Period After Discontinuing Intravenous
Antibiotics. Andrew S. Dunn, Keri L. Peterson, Clyde B, Schechter, Philip Rabito,
Andrew D. Gotlin and Lawrence G, Smith. Am J Med 499


GYNECOLOGY
OPERATIVE GYNECOLOGY
Vulvar Vestibulitis Treated by Modified Vestibulectomy. Sean Kehoe and
David Luesley, Int J Gynecol Obstet 501



Randornized Trial of Antibiotic Prophylaxis for Combined Urodynamics and
Cystourethroscopy, Geoffrey W. Cundiff, Mary T. McLennan and Alfred E. Bent.
Obstet Gynecol 503



OFFICE GYNECOLOGY
Interim Results of the American Vesta Trial of Endometrlal Ablation.
Stephen L. Corson, Andrew I, Brill, Philip G. Brooks, Jay M. Cooper, Paul D, Indman,
James H. Liu, Richard M. Soderstrom and Thierry G. Vancaillie. J Am Assoc Gynecol
laparosc 505


INFECTIOUS DISEASES
Oral Metronidazole vs. Metrogel Vaginal for Treating Bacterial Vaginosis: Cost-
Effectiveness Evaluation. Scott B. Ransom, Judith R McComish, R, Greenberg and
Doris A, Tolford, J Reprod Med 507



GYNECOLOGIC ONCOLOGY
Ovarian Preservation in the Surgical Treatment of Cervical Carcinoma,
Gudrun H, Windbichler, Elisabeth MUller-Holzner, Gudrun Nicolussi-Leck, Ulrike Meisel,
Otto Dapunt and Christian Marth. Am J Obstet Gynecol 508


NORMAL AND ABNORMAL MENSTRUAL FUNCTION
Functional Hypothalamic Amenorrhea: Hypoleptinemia and Disordered Eating. M. P.
Warren. F. Voussoughian, E, B. Geer, E. P. Hyle, C. L. Adberg and R, H. Ramos. J Clin
Endocrinol Metab 510


Ovulation After Glucocorticoid Suppression of Adrenal Androgens In the Polycystic
Ovary Syndrome Is Not Predicted by the Basal Dehydroepiandrosterone Sulfate
Level. R. Azziz, V. Y, Black, K S.Knochenhauer, G. A, Hines and L. R. Boots. J Clin
Endocrinol Metab 511



Decreased Inhibin Tone and Increased Activin A Secretion Characterize Reproductive
Aging in Women. Nanette Santoro, Tovaghgol Adel and Joan H. Skumick, Fertil Steril
513


INFERTILITY/REPRODUCTIVE TECHNOLOGIES
Unique Checkpoints During the First Cell Cycle of Fertilization After Intracytoplasmic
Sperm Injection in Rhesus Monkeys. Laura Hewitson, Tanja Dominko,
Diana Takahashi, Crista Martinovich, Joao Ramalho-Santos, Peter Sutovsky, John Fanton,
Daria Jacob, Dayrnond Monteith, Martha Neuringer, David Battaglia, Cal Simerly and
Gerald Schatten. Nat Med 515

Efficacy of Superovulation and Intrauterine Insemination in the Treatment of
Infertility. David S. Guzick, Sandra Ann Carson, Christos Courifaris,
James W. Overstreet, Pam Factor-Litvak, Michael P. Steinkampf, Joseph A. Hill,
Luigi Mastroianni, Jr„ John E. Buster, Steven T. Nakajima, Donna L. Vogel and Robert
E. Canfield for the National Cooperative Reproductive Medicine Network. N Engl J Mod 517



CME PROGRAM
CATEGORY I CME REVIEW ARTICLES 22, 23, AND 24
Focus on Primary Care:
Depression in Women. Nada L, Stotland and Naomi E. Stotland 519



Peripartum Cardiomyopathy: A Review of the Literature. Angela L. Heider,
Jeffrey A. Kuller, Robert A. Strauss and Steven R. Wells 526



Postmenopausal Osteoporosis. Nelson B, Watts 532


EXAM ANSWERS for June 1999 539


CME PROGRAM EXAM and ANSWER SHEET 540


Erratum 539