December 17th, 2018


Volume 63
Number 6
   
 Editorial
489
Lawrence D. Devoe, M.D.


 Original Articles
491
Elliot M. Levine, M.D., Melissa Dennis, M.D., Yahaira Plata, M.D., and Stephen Locher, M.D.
Nulliparous, term, singleton, vertex-presenting pregnant women may not all be at low risk for cesarean delivery, as some have suggested.


495
Olga T. Filippova, M.D., Heidi E. Godoy, D.O., Timothy J. McElrath, M.D., Daniel C. Kredentser, M.D., Patrick F. Timmins, III, M.D., and Joyce N. Barlin, M.D.
A retrospective analysis of patients with uterine leiomyosarcoma demonstrates only a 29% incidental diagnosis rate, with 71% having a high preoperative suspicion by various modalities.


501
Craig V. Towers, M.D., Shelly Compton, M.D., Katie Chattin, B.S., Emily Liske, B.S., Collin Smith, B.S., and Beth Weitz, WHNP
Newborns delivered with a low 1-minute Apgar score followed by a normal 5-minute Apgar score are at minimal risk for adverse perinatal outcome.


505
Logan C. Peterson, M.D., Timothy S. Batig, M.D., and Alison L. Batig, M.D.
In clinical practice, the probability of intrauterine device perforation may be higher than that reported by the manufacturers. The overall risk of perforation remains low (<1%).


512
Loralei L. Thornburg, M.D., Susan Bradford, M.D., Stefanie J. Hollenbach, M.D., M.S., Arie Shaw, M.D., and J. Christopher Glantz, M.D., M.P.H.
Although pregnant women and their obstetrical providers have significant gaps in their knowledge regarding sonographic screening tests, most patients feel adequately counseled.


 Case Reports
523
Jane Martin, M.D., Juanita Garces, M.D., Cuong J. Bui, M.D., and Sherri Longo, M.D.
The authors present the first documented case of spinal epidural abscess presenting with acute onset paraplegia at term and managed with cesarean delivery followed immediately by decompressive laminectomy.


527
Malini D. Persad, M.D., M.P.H., Xiannian Wu, M.D., Jennie Ou, M.D., J. Gerald Quirk, M.D., Ph.D., and David J. Garry, D.O.
The authors present 2 cases of gestational diabetes insipidus, both identified by excessive urine output and managed with desmopressin until spontaneous resolution following delivery.


530
Yujie Huang, M.D., Jun Ying, M.D., Wei Zhao, M.D., and Jian-hua Qian, M.D.
The authors report 3 cases of extremely high-risk or resistant gestational trophoblastic neoplasia patients who received a 3-drug regimen containing gemcitabine, oxaliplatin, and paclitaxel after failing first-line regimens.


535
Alyssa M. Larish, M.D., and Charles C. Coddington, M.D.
Review of the limited evidence regarding botulinum toxin–exposed pregnancies does not suggest detrimental effect; however, caution should be used until further prospective data are obtained.


 2018 Indexes
539


540


549


 

The opinions and statements in this journal are those of the authors and are not attributable to the sponsor, publisher, editors or editorial board of JRM. Product dosages, indications and methods of use referred to in the papers and discussions reflect the authors' clinical experience or are derived from other professional sources.