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According to a recent review of clinical guideline development, the obstetric and gynecologic literature increasingly provides evidence that standardization of care not only improves patient outcomes but also ahs a positive effect on malpractice litigation.

Stress urinary incontinence, defined by the International Continence Society as the complaint of involuntary leakage on effort or exertion or on sneezing and coughing, affects 23% to 38% of the female population in the United States over the age of 20 years.

The prevalence of cerebral palsy (CP) in children with an Apgar score of 3 less than 5 minutes after birth is more than 130-fold higher than in children with an Apgar score of 10, according to the findings of a population-based study from Norway.

The overall number of obstetric and gynecologic procedures performed in the United States has decreased from about 5.3 million in 1979 to 4.9 million in 2006, according to an analysis of data.

Adequate maternal folate levels are necessary for prevening neural tube defects; however, an insufficent number of woman in the United States avail themselves of folc acid supplementation during their childbearing years, and diet rarely supplies sufficient folate despite the recent fortification of many grains with folic acid.

Contrary to the findings of previous studies, 800 mg/d of DHA delivered via fish oil capsules does not lower levels of postpartum depression in mothers or improve cognitive or language development in their offspring during early childhood, according to one trial.

In a safety update, the US Food and Drug Administration announced that information about the risk of atypical fractures of the thigh in patients who take bisphosphonates for osteoporosis must be added to the "warnings and precautions" section of the drugs' labels.

A review of the incidence of nephrolithiasis among postmenopausal women receiving estrogen monotherapy or estrogen in combination with progestin suggests that HT increases the risk of stone formation.

The Centers for Disease Control and Prevention Advisory Committee on Immunization Practice and the American College of Obstetricians and Gynecologists Committee on Obstetric Practice recommend that all women who are pregnant between October and May receive inactive influenza vaccine.

In 1994, an Illinois woman received care at a department of public health clinic and was delivered by an obstetrician who had not seen her before delivery.

Almost one-third of deliveries in the United States are by cesarean delivery, and about one-third of all of these are scheduled repeat procedures because of a previous uterine scar, according to new research.

A Virginia woman underwent a laparascopic-assisted vaginal hysterectomy in 2007 performed by her gynecologist. Three days later, the woman required emergency surgery.