Volume 57, Number 2, April2012

  Editorial
93
A Note from the Editor-in-Chief 
L. D. Devoe, M.D.
 
  Brief Communication
95
Creation of an Advisory Group for Physician Workforce Studies in Obstetrics and Gynecology 
W. F. Rayburn, M.D., M.B.A., M. McReynolds, B.S., E. C. Elwell, B.A., and E. Salsberg
In response to the potential shortage of obstetrician-gynecologists, an advisory group was approved by the American Congress of Obstetricians and Gynecologists to undertake workforce studies.
 
 
  Original Articles
98
Emergency Contraception After Sexual Assault: Changes in Provision from 2004 to 2009
A. Patel, M.D., M.P.H., S. Tilmon, M.P.H., V. Bhogireddy, M.D., J. Chor, M.D., M.P.H., D. Patel, M.D., and L. Keith, M.D., Ph.D.
From 2004 to 2009 there has been no change in provision of emergency contraception after sexual assault despite its increased availability without prescription.
 
 
105
Hemoglobin Levels in Normal-Weight and Obese Patients During Pregnancy
A. M. Crabb and R. Chamberlin, M.D.
Second trimester hemoglobin levels during pregnancy are lower in obese women compared with normal-weight women.
 
 
109
Comfort in Discussing Vulvar Pain in Social Relationships Among Women with Vulvodynia
R. H. N. Nguyen, Ph.D., R. F. MacLehose, Ph.D., C. Veasley, R. M. Turner, B. L. Harlow, Ph.D., and K. J. Horvath, Ph.D.
The length of time a woman has lived with vulvar pain and the intensity of the pain are associated with whether she discusses her vulvodynia with friends and family.
 
 
115
Posttraumatic Stress Disorder, Anxiety and Depression Following Pregnancies Conceived Through Fertility Treatments: The Effects of Medically Assisted Conception on Postpartum Well-Being
J. C. Warmelink, M.Sc., C. A. I. Stramrood, M.D., K. M. Paarlberg, M.D., Ph.D., H. H. Haisma, Ph.D., A. J. J. M. Vingerhoets, Ph.D., W. C. M. Weijmar Schultz, M.D., Ph.D., and M. G. van Pampus, M.D., Ph.D.
No differences in the prevalence of PTSD, anxiety and depression were found between women who conceived through medically assisted conception and women who conceived naturally.
 
 
123
Results with GnRH Antagonist Protocols Are Equivalent to GnRH Agonist Protocols in Comparable Patient Populations
M. Luna, M.D., G. Vela, M.D., C. A. McDonald, M.S., and A. B. Copperman, M.D.
When all other variables are held constant, success rates are equivalent in IVF cycles stimulated with a GnRH antagonist or with a long luteal GnRH agonist protocol.
 
 
129
Does Assisted Reproductive Technology Itself or Polycystic Ovary Syndrome as a Cause of Infertility Have Any Effect on First Trimester Serum Screening Results?
A. Kosus, M.D., N. Kosus, M.D., M. Duran, M.D., and N. O. Turhan, M.D.
Although not significant, PAPP-A was higher in PCOS patients who conceived with ART, which may in turn increase the false negative rate in these cases.
 
 
136
Amniotic Fluid Arborization in the Diagnosis of Previable Preterm Premature Rupture of Membranes
S. Sugibayashi, M.D., T. Aeby, M.D., D. Kim, M.D., M.B.A., and B. Kaneshiro, M.D., M.P.H.
Amniotic fluid arborizes in the second trimester of pregnancy, however the sensitivity of the test decreases when fluid is collected from the vaginal pool.
 
 
141
Electromyography and Vaginal Pressure of the Pelvic Floor Muscles in Women with Recurrent Vulvovaginal Candidiasis and Vulvodynia
N. C. Polpeta, P.T., M.Sc., P. C. Giraldo, M.D., Ph.D., C. R. T. Juliato, M.D., Ph.D., L. P. Yoshida, P.T., R. L. Gomes do Amaral, M.D., Ph.D., and J. Eleut�rio Jr., M.D., Ph.D.
Pelvic floor muscle dysfunction, observed by electromyography, is frequently found in women with vulvodynia and also in women with recurrent candidiasis.
 
 
148
Intercellular Adhesion Molecule-1 K469E Polymorphism: Is It Associated with Preeclampsia in the Korean Population?
H.-S. Kwon, M.D., I.-S. Sohn, M.D., H.-S. Hwang, M.D., and Y.-W. Park, M.D.
The frequencies of the KK genotype and the K allele were higher in the preeclampsia group than those in the control group; however, there was no statistically significant difference.
 
 
153
Personality and Emotional Adjustment in Infertility
V. M. Silva Lopes, M.S., and I. M. Pereira Leal, Ph.D.
This study examines the relationship between adjustment to diagnosed infertility and personality, anxiety, depression and stress in couples using a cross-sectional design and convenience sample.
 
 
  Case Reports
159
Full-term Vaginal Live Birth After Laparoscopic Radiofrequency Ablation of a Large, Symptomatic Intramural Fibroid: A Case Report
J. M. Berman, M.D., E. E. Puscheck, M.D., M.S., and M. P. Diamond, M.D.
A full-term vaginal delivery is reported for the first time after laparoscopic ultrasound-guided radiofrequency thermal ablation of a symptomatic 6.1-cm intramural fibroid.
 
 
164
Utilization of Instruments in the Chairman�s Curio Cabinet: A Case Report
K. Tocce, M.D., M.P.H., B. M. Fisher, M.D., Ph.D., and M. Wheeler, M.D.
We describe a case of respecting patient autonomy, which resulted in a term fetal demise, and assisted delivery using instruments from the department chairman�s antique collection.
 
 
167
Management Options and Prognosis of Pancreatic Adenocarcinoma at 16 Weeks� Gestation: A Case Report
D. Papoutsis, M.D., M. Sindos, M.D., Ph.D., N. Papantoniou, M.D., Ph.D., and A. Antsaklis, M.D., Ph.D.
A rare case of pancreatic adenocarcinoma during pregnancy is presented with prognosis and management options; only nine such cases have been previously reported.
 
 
171
Spontaneous Pregnancy Reaches Viability After Low First Trimester Serum Progesterone: A Case Report
J. R. Crochet, M.D., M. C. Peavey, M.D., T. M. Price, M.D., and M. A. Behera, M.D.
We present a case of viable pregnancy after a low first trimester progesterone level and discuss using 5 ng/mL as the threshold to indicate viability.
 
 
175
Vulvar Endometriosis Presenting with Dyspareunia: A Case Report
P. Brug, M.D., N.-A. Gueye, M.D., and G. Bachmann, M.D.
When superficial dyspareunia presents with cyclical pain, endometriosis involving the vulva should be considered. Surgical correction usually results in complete resolution of symptoms.
 
 
178
Thoracic Endometriosis: A Case Report
D. J. Chamsy, M.D., S. Qasim, B.S., and K. A. Kho, M.D., M.P.H.
The diagnosis of thoracic endometriosis is often missed unless a temporal association is made between the patient�s pulmonary symptoms and menstruation.
 
 
181
Uterine Fibroid Managed by Uterine Artery Embolization and Delivered Vaginally by Obstetric Outlet Forceps: A Case Report
N. Biswas, M.R.C.O.G., D. Beckett, F.R.C.R., and A. A. Taylor, M.R.C.O.G., M.D.
Uterine fibroid embolization is an effective alternative to surgery in symptomatic cases, however, postprocedure fibroid expulsion might need the assistance of outlet forceps.