Brazil has one of the world’s highest cesarean section rates. Contributing factors include the organization of obstetric practice, physicians’ attitudes, and women’s preferences and decisions. This study aimed to identify factors associated with cesarean sections in a public maternity hospital in Rio de Janeiro. A case-control study was conducted with 231 cesarean sections (cases) and 230 vagin...

Brenner1 recently reviewed thrombophilia-related placental vascular complications, notably including preeclampsia and intrauterine growth restriction, and dealt baldly with the question of the potential benefit of aspirin in prevention of preeclampsia, claiming it was raised and refuted in the 1980s. Of course, when preeclampsia occurs in association with factor V (FV) Leiden mutation, factor I...

Context. Hospital stays for newborns and their mothers after uncomplicated vaginal delivery have decreased from an average of 4 days in 1970 to 1.1 days in 1995. Despite the lack of population-based research on the quality-of-care implications of this trend, federal legislation passed in 1996 mandated coverage for 48-hour hospital stays after uncomplicated vaginal delivery. Objective. To assess...

OBJECTIVE The population subgroups with the highest proportion of overweight and obese women often are characterized by the lowest rates of initiation and shortest durations of breastfeeding. We previously documented that these 2 population-level trends may be related. In a population of white women who lived in a rural area, we observed that prepregnant overweight and obesity were associated w...

s (In order of presentation) Presenting Residents Title: A comparison of sentinel lymph node identification between lymphoscintigraphy and sentinel lymph node dissection in patients with vulvar cancer Author: Laura L. Holman, MD Preceptors: Katina M. Robison, MD; Richard G. Moore, MD Other authors: Vrishali V. Lopes, MS; Margaret Steinhoff, MD Objective: The purpose of this study is to determin...