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Obstetrics and Gynecology Commons

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Articles 1 - 30 of 54

Full-Text Articles in Obstetrics and Gynecology

A Practical Technique Aids In Identifying Sigmoidal-Vaginal Fistula, R. Runge, Colleen Stockdale, I. Nygaard, R. Galask Jun 2013

A Practical Technique Aids In Identifying Sigmoidal-Vaginal Fistula, R. Runge, Colleen Stockdale, I. Nygaard, R. Galask

Colleen Kennedy Stockdale

No abstract provided.


Prevalence Of Painful Bladder Syndrome And Functional Bowel Disorders In Women Presenting To A Vulvar Vaginal Specialty Clinic Versus Those Presenting To A General Gynecology Clinic, Colleen Stockdale Jun 2013

Prevalence Of Painful Bladder Syndrome And Functional Bowel Disorders In Women Presenting To A Vulvar Vaginal Specialty Clinic Versus Those Presenting To A General Gynecology Clinic, Colleen Stockdale

Colleen Kennedy Stockdale

No abstract provided.


Evaluation And Treatment Of Postmenopausal Dyspareunia, Colleen Stockdale, L. Boardman Jun 2013

Evaluation And Treatment Of Postmenopausal Dyspareunia, Colleen Stockdale, L. Boardman

Colleen Kennedy Stockdale

No abstract provided.


Prolonged Vaginal And Oral Metronidazole For Refractory Trichomonas Vaginalis: A Case Report, S. Wood, Colleen Stockdale, R. Galask Jun 2013

Prolonged Vaginal And Oral Metronidazole For Refractory Trichomonas Vaginalis: A Case Report, S. Wood, Colleen Stockdale, R. Galask

Colleen Kennedy Stockdale

No abstract provided.


Diagnosis And Management Of Vulvar Skin Disorders, L. Boardman, Colleen Stockdale Jun 2013

Diagnosis And Management Of Vulvar Skin Disorders, L. Boardman, Colleen Stockdale

Colleen Kennedy Stockdale

No abstract provided.


Brachial Plexus Neuritis Following Quadrivalent Human Papillomavirus Vaccination, S. Sung, Colleen Stockdale Jun 2013

Brachial Plexus Neuritis Following Quadrivalent Human Papillomavirus Vaccination, S. Sung, Colleen Stockdale

Colleen Kennedy Stockdale

No abstract provided.


Characteristics And Outcomes Of 16 Patients With Symptomatic Labial Adhesion, S. Girton, Colleen Stockdale, R. Galask Jun 2013

Characteristics And Outcomes Of 16 Patients With Symptomatic Labial Adhesion, S. Girton, Colleen Stockdale, R. Galask

Colleen Kennedy Stockdale

No abstract provided.


Acog Clinical Updates In Women’S Health Care: Vulvar Disorders, L. Boardman, Colleen Stockdale Jun 2013

Acog Clinical Updates In Women’S Health Care: Vulvar Disorders, L. Boardman, Colleen Stockdale

Colleen Kennedy Stockdale

No abstract provided.


Obstetrics And Gynecology Review Chapter, Colleen Stockdale, L. Day Jun 2013

Obstetrics And Gynecology Review Chapter, Colleen Stockdale, L. Day

Colleen Kennedy Stockdale

No abstract provided.


Benign Vulvovaginal Disorders, L. Boardman, Colleen Stockdale Jun 2013

Benign Vulvovaginal Disorders, L. Boardman, Colleen Stockdale

Colleen Kennedy Stockdale

No abstract provided.


Clinical Review: Pelvic Pain, J. Golzarian, F. Youness, Colleen Stockdale Jun 2013

Clinical Review: Pelvic Pain, J. Golzarian, F. Youness, Colleen Stockdale

Colleen Kennedy Stockdale

No abstract provided.


Benign Disorders Of The Vulva And Vagina, Colleen Stockdale, L. Boardman Jun 2013

Benign Disorders Of The Vulva And Vagina, Colleen Stockdale, L. Boardman

Colleen Kennedy Stockdale

No abstract provided.


Benign Disorders Of The Vulva, Colleen Stockdale, L. Boardman Jun 2013

Benign Disorders Of The Vulva, Colleen Stockdale, L. Boardman

Colleen Kennedy Stockdale

No abstract provided.


Topical And Injectable Treatments, Colleen Stockdale, C. Leclair, L. Boardman Jun 2013

Topical And Injectable Treatments, Colleen Stockdale, C. Leclair, L. Boardman

Colleen Kennedy Stockdale

No abstract provided.


Pilot Data: Association Between Gluteus Medius Weakness And Low Back Pain During Pregnancy, K. Bewyer, D. Bewyer, D. Messenger, Colleen Kennedy May 2013

Pilot Data: Association Between Gluteus Medius Weakness And Low Back Pain During Pregnancy, K. Bewyer, D. Bewyer, D. Messenger, Colleen Kennedy

Colleen Kennedy Stockdale

This cross-sectional study examines whether there is an association between gluteus medius weakness in the presence of low back pain in pregnant women at any stage of gestation. Prevalence of low back pain during pregnancy is high, and identifying potential etiologies and targeted interventions is lacking. Thus, identification of an association between specific muscle weakness and pain would have clinical relevance. Initial pilot data suggests that weakness of the gluteus medius is strongly associated with the presence of low back pain during pregnancy.


Intrauterine Growth Restriction: Identification And Management, D. Peleg, Colleen Stockdale, Stephen Hunter May 2013

Intrauterine Growth Restriction: Identification And Management, D. Peleg, Colleen Stockdale, Stephen Hunter

Colleen Kennedy Stockdale

Intrauterine growth restriction (IUGR) is a common diagnosis in obstetrics and carries an increased risk of perinatal mortality and morbidity. Identification of IUGR is crucial because proper evaluation and management can result in a favorable outcome. Certain pregnancies are at high risk for growth restriction, although a substantial percentage of cases occur in the general obstetric population. Accurate dating early in pregnancy is essential for a diagnosis of IUGR. Ultrasound biometry is the gold standard for assessment of fetal size and the amount of amniotic fluid. Growth restriction is classified as symmetric and asymmetric. A lag in fundal height of …


Pelvic Floor Symptoms And Lifestyle Factors In Older Women, Catherine Bradley, Colleen Kennedy, I. Nygaard May 2013

Pelvic Floor Symptoms And Lifestyle Factors In Older Women, Catherine Bradley, Colleen Kennedy, I. Nygaard

Colleen Kennedy Stockdale

OBJECTIVES: To measure the prevalence of pelvic floor symptoms in noncare-seeking older women and the association between symptoms and lifestyle factors. METHODS: Women enrolled at one site of the Women's Health Initiative Hormone Therapy clinical trial completed a questionnaire, modified from the Pelvic Floor Distress Inventory, on bladder, bowel, and prolapse symptoms. Individual symptoms and symptom groups were examined in a cross-sectional analysis. RESULTS: In the 297 women who participated, mean age was 68.2 years, mean body mass index (BMI) was 30.2 kg/m(2), and median vaginal parity was 3. The median number of symptoms endorsed was 3 (range 0-18). The …


Vulvar Disease: A Pelvic Floor Pain Disorder? Discussion, K. Noller, Colleen Kennedy May 2013

Vulvar Disease: A Pelvic Floor Pain Disorder? Discussion, K. Noller, Colleen Kennedy

Colleen Kennedy Stockdale

No abstract provided.


Vulvar Disease: A Pelvic Floor Pain Disorder?, Colleen Kennedy, I. Nygaard, A. Saftlas, T. Burns, J. Torner, R. Galask May 2013

Vulvar Disease: A Pelvic Floor Pain Disorder?, Colleen Kennedy, I. Nygaard, A. Saftlas, T. Burns, J. Torner, R. Galask

Colleen Kennedy Stockdale

Objective: The purpose of this study was to compare the rates of painful bladder syndrome and functional bowel disorders in women with vulvar disease and control subjects. Study design: In this cross-sectional survey, a questionnaire that contained validated outcome measures was administered to women who were seeking care in a vulvar disease clinic and in general gynecology clinics. Results: Women who were seen at a vulvar disease clinic were 2.18 (95% CI, 1.19, 3.97) times more likely to have painful bladder syndrome and 2.13 (95% CI, 1.35, 3.35) times more likely to have functional bowel disorders than general gynecology clinic …


Are Bladder And Bowel Symptoms Universal Among Women With Vulvar Disease?, Colleen Kennedy, I. Nygaard, C. Bradley, R. Galask May 2013

Are Bladder And Bowel Symptoms Universal Among Women With Vulvar Disease?, Colleen Kennedy, I. Nygaard, C. Bradley, R. Galask

Colleen Kennedy Stockdale

No abstract provided.


Prolonged Vaginal And Oral Metronidazole For Refractory Trichomonas Vaginalis - A Case Report, Sara Wood, Colleen Kennedy, Rudolph Galask May 2013

Prolonged Vaginal And Oral Metronidazole For Refractory Trichomonas Vaginalis - A Case Report, Sara Wood, Colleen Kennedy, Rudolph Galask

Colleen Kennedy Stockdale

BACKGROUND: Resistant Trichomonas vaginalis infection is typically treated with increased doses of oral metronidazole. Because of side effects that limit compliance, such treatment may be ineffective. CASE: A young woman had an 8-year history of T vaginalis that was refractory to multiple courses of metronidazole, tinidazole and intravaginal paromomycin. After microscopic examination confirmed trichomonads, she began an extended, 14-day course of combined oral and vaginal metronidazole. Six weeks later her symptoms were unchanged, but microscopy revealed fewer trichomonads. After a 5% acetic acid vaginal wash and dilute silver nitrate bladder instillation, she was given the same treatment for 21 days. …


Association Of Vulvar Symptoms With Pelvic Organ Prolapse And Urinary Incontinence, Susan Wing, Catherine Bradley, Colleen Kennedy May 2013

Association Of Vulvar Symptoms With Pelvic Organ Prolapse And Urinary Incontinence, Susan Wing, Catherine Bradley, Colleen Kennedy

Colleen Kennedy Stockdale

No abstract provided.


Randomized Controlled Trial Assessing The Effect Of Vitamin A Supplementation On Maternal Morbidity During Pregnancy And Postpartum Among Hiv-Infected Women, Colleen Kennedy, A. Coutsoudis, L. Kuhn, K. Pillay, A. Mburu, Z. Stein, H. Coovadia May 2013

Randomized Controlled Trial Assessing The Effect Of Vitamin A Supplementation On Maternal Morbidity During Pregnancy And Postpartum Among Hiv-Infected Women, Colleen Kennedy, A. Coutsoudis, L. Kuhn, K. Pillay, A. Mburu, Z. Stein, H. Coovadia

Colleen Kennedy Stockdale

Objective: To determine whether low-cost treatment of HIV using vitamin A would be beneficial, we examined the effect of vitamin A supplementation on morbidity of HIV-1 infected women. Methods: We conducted a randomized, double blind placebo-controlled trial at King Edward VIII Hospital, in Durban, South Africa. In total, 312 HIV-seropositive pregnant women between 28 and 32 weeks' gestation were recruited into this trial. Patients were randomized to receive placebo or 5000 IU retinyl palmitate and 30 mg beta-carotene daily. At delivery of their children, patients received placebo or 200,000 IU retinyl palmitate. The main outcome measures were pre- and postnatal …


Prolapsing Vaginal Cyst - A Case Report, Jessica Kresowik, Colleen Kennedy, Susan Wing, Rudolph Galask May 2013

Prolapsing Vaginal Cyst - A Case Report, Jessica Kresowik, Colleen Kennedy, Susan Wing, Rudolph Galask

Colleen Kennedy Stockdale

BACKGROUND: Mullerian duct cysts are remnants Of the embryologic paramesonephric ducts. When remnants persist in the vagina, the patient may present with a cyst, which is usually asymptomatic and < 2.0 cm in diameter. CASE: A 33-year-old woman with a 4-year history of a cystic vaginal mass presented after the cyst rapidly enlarged and protruded. She reported discomfort with walking and increased vaginal pressure. The pedunculated, 8-cm cyst was surgically removed. Pathology revealed mullerian duct origin. CONCLUSION: Although mullerian duct cysts are commonly described as small and located in the anterolateral vaginal wall, they should be included in the differential diagnosis …


Constipation In Pregnancy: Prevalence, Symptoms, And Risk Factors, Catherine Bradley, Colleen Kennedy, A. Turcea, S. Rao, I. Nygaard May 2013

Constipation In Pregnancy: Prevalence, Symptoms, And Risk Factors, Catherine Bradley, Colleen Kennedy, A. Turcea, S. Rao, I. Nygaard

Colleen Kennedy Stockdale

OBJECTIVE: To prospectively estimate constipation prevalence and risk factors in pregnancy. METHODS: We enrolled healthy pregnant women in this longitudinal study during the first trimester. At each trimester and 3 months postpartum, participants completed a self-administered bowel symptom questionnaire, physical activity and dietary fiber intake measures, and a prospective 7-day stool diary. Constipation was defined using the Rome II criteria (presence of at least two of the following symptoms for at least one quarter of defecations: straining, lumpy or hard stools, sensation of incomplete evacuation, sensation of anorectal obstruction, manual maneuvers to facilitate defecation, and fewer than three defecations per …


Sexual Pain, Lori Boardman, Colleen Stockdale May 2013

Sexual Pain, Lori Boardman, Colleen Stockdale

Colleen Kennedy Stockdale

No abstract provided.


Antenatal Diagnosis Of Vesicouterine Fistula, Colleen Kennedy, D. Peleg, Craig Syrop, I. Nygaard May 2013

Antenatal Diagnosis Of Vesicouterine Fistula, Colleen Kennedy, D. Peleg, Craig Syrop, I. Nygaard

Colleen Kennedy Stockdale

Background: In pregnancy, vesicouterine fistulas usually are diagnosed postpartum after cesarean deliveries. Case: An Ill-year-old woman, gravida 3, para 2,with two prior cesarean deliveries had pain and apparent rupture of membranes at 23 weeks' gestation. At 26 weeks' gestation, she developed increasing suprapubic pain and irregular contractions. Ultrasonographic findings included a small uterine defect and possible ballooning of membranes into her bladder. Cytoscopy showed ballooning of amnion into the bladder dome. A viable 900-g female infant was delivered by classic cesarean, the fistulous tract was excised, and the rupture sites were repaired. Conclusion: Vesicouterine fistulas might be diagnosed antenatally. With …


Hpv: The Vaccine And Barriers To Vaccination, Colleen Kennedy May 2013

Hpv: The Vaccine And Barriers To Vaccination, Colleen Kennedy

Colleen Kennedy Stockdale

No abstract provided.


Understanding A Sticky Situation - A Retrospective Case Review Of Labial Adhesions, Stephanie Girton, Colleen Kennedy, Rudolph Galask May 2013

Understanding A Sticky Situation - A Retrospective Case Review Of Labial Adhesions, Stephanie Girton, Colleen Kennedy, Rudolph Galask

Colleen Kennedy Stockdale

No abstract provided.


New Approaches To External Genital Warts And Vulvar Intraepithelial Neoplasia, Colleen Kennedy, Lori Boardman May 2013

New Approaches To External Genital Warts And Vulvar Intraepithelial Neoplasia, Colleen Kennedy, Lori Boardman

Colleen Kennedy Stockdale

Human papillomavirus is the most common sexually transmitted disease in the United States. For the majority of affected individuals, the virus remains subclinical. However, human papillomavirus infection may result in a broad spectrum of vulvar disease including genital warts, dysplasia, and invasive carcinoma. We review the evaluation and currently available therapies to assist in patient management.