A 36-year-old woman presented with erythematous confluent macules on her whole body with fever and chills associated with jaundice after 8 months of dapsone therapy. Her symptoms had developed progressively, and a physical examination revealed bilateral cervical lymphadenopathy and splenomegaly. Excisional biopsy of a cervical lymph node showed effacement of the normal architecture with atypica...

Roughly 11% of induced abortions in the United States are performed after 14 weeks of gestation, most commonly by dilation and evacuatio (D&E). For aD&Eprocedure, the cervixmust be dilated sufficiently to allow passage of operative instruments and products of conceptionwithou injuring the uterus or cervical canal. Preoperative preparation of the cervix reduces the risk of cervical laceration an...

Artificial insemination (AI) and embryo transfer (ET) play an important role in the genetic improvement of sheep herds. This review primarily describes the methods that have recently been researched and/or adapted to circumvent the problematic anatomy of the ovine cervix, which prevents the widespread application of transcervical AI and ET in this species. A mechanism of cervical ripening at pa...

OBJECTIVE To investigate the effects of two tocolytics, nifedipine and magnesium sulfate, on Doppler indices in maternal and fetal vessels. MATERIALS AND METHODS We recruited 100 pregnant women with preterm birth between 24-36 gestational weeks who were admitted to our tertiary center over a two-year period. Patients were allocated to nifedipine (n=49) and magnesium sulfate (n=51) groups and ...

BACKGROUND Labor that progresses faster than anticipated may lead to unplanned out-of-hospital births. With the aim to improve planning of transportation to birthing institutions, this study investigated predictors of time to completion for the first stage of labor conditional on cervical opening (conditional time) in multiparous women at term. METHODS We performed a retrospective analysis of...

OBJECTIVES To evaluate and describe retrograde endoscopic dilation of 100% strictures of the cervical esophagus and hypopharynx. METHODS AND MATERIALS All patients who presented to the senior author (Y.D.) from September 1997 to September 2003 with strictures of the cervical esophagus and hypopharynx were retrospectively reviewed. RESULTS Six patients with 100% strictures of the cervical es...

BACKGROUND Acupressure has been used frequently to improve labor, manage labor pain, and shorten delivery time. However, there has been little research-based evidence to support the positive effects of acupressure in the obstetric area and obstetric nursing. OBJECTIVES The aim of this study was to evaluate the effects of SP6 acupressure on labor pain and delivery time in primigravida women in...

Magnetic resonance imaging of the female pelvis permits visualization of soft tissue structure previously unseen with other radiological techniques. The internal architecture of the corpus uterus, cervix and vagina are directly visualized in any plane. Furthermore, the hormonal environment of the female can be indirectly determined via assessment of the MR appearance of the uterus. Similarly, t...

BACKGROUND AND OBJECTIVES Cervical dilation measurement is difficult to teach. This pilot study's objective was to determine if residents participating in an innovative workshop improved their cervical measurement accuracy when using soft cervical models in the classroom. METHODS Resident physicians measured cervical models before and after the workshop. We compared pre-workshop and post-work...

Pregnancies complicated by midtrimester painless cervical dilation are known to have associations with preterm birth. In situations where fetal amniotic membranes are exposed, the risk of perinatal morbidity and mortality increases dramatically in this particularly high-risk population. Multifetal gestations further increase the risk of preterm birth, yet there remains a paucity of data support...