Feasibility of resectoscopic operative hysteroscopy in a UK outpatient clinic using local anesthetic and traditional reusable equipment, with patient experiences and comparative cost analysis.

Study Objective: To assess procedural success, patient acceptability, and cost-saving potential of operative hysteroscopy using conventional equipment and local anesthetic in an outpatient clinic.

Design: Feasibility study/service evaluation (Canadian Task Force classification II-3).

Setting: Outpatient (office) clinic in a large UK teaching hospital.

Perifollicular blood flow and pregnancy in superovulated intrauterine insemination (IUI) cycles: an observational comparison of recombinant follicle-stimulating hormone (FSH) and urinary gonadotropins.

The group of patients who received urinary gonadotropins (n = 117) for follicular stimulation had a significantly higher incidence of high perifollicular blood flow compared with that of the group who received recombinant FSH (n = 114; 46.3% vs. 22.

Second trimester amniotic fluid endothelin-1 concentrations and subsequent development of intrauterine growth restriction.

Objective: The purpose of this prospective study was to record endothelin-1 (ET-1) concentrations in the second trimester amniotic fluid and compare these values in women who developed intrauterine growth restriction (IUGR) later in pregnancy with those with uneventful pregnancies.

Method: Amniotic fluid was retrieved by amniocentesis from 125 women in the second trimester of pregnancy. The levels of ET1 were measured by a sensitive and specific radioimmunoassay.

Induction to delivery time interval in patients with and without preeclampsia: a retrospective analysis.

Background: Anecdotally, it is suggested that patients with preeclampsia have a shorter induction to delivery interval than patients without preeclampsia, despite there being no good objective evidence.

Methods: A retrospective analysis of 136 primiparous, singleton, cephalic, nonassisted vaginal deliveries between January 1997 and January 2000. Sixty-eight women had induction of labor for preeclampsia and 68 women without preeclampsia had induction of labor for other reasons.

Fluid within the endometrial cavity in an IVF cycle--a novel approach to its management.

Fluid within the endometrial cavity before embryo transfer in IVF cycles is associated with failure of implantation. The etiology of endometrial fluid is surrounded in controversy but it is associated with hydrosalpinges, polycystic ovarian disease, and subclinical uterine infections. The current treatment consists of postponing embryo transfer.