"This research supports the use of known medications that will allow us to help even more babies get the healthiest start at life," explained Dr. Rouse. "I am proud of our hardworking MFMU Network research team for their dedication to this project. I am also very grateful for the contribution of Women & Infants' obstetricians and midwives, who gave their ongoing support to this study and encouraged their patients -- to whom I am also profoundly grateful -- to participate. As a result, Women & Infants contributed more than ten percent of the patients enrolled in this large trial, more than any other participating hospital."
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The typical problems presented by uterine leiomyomas have traditionally been evaluated by pelvic and abdominal examinations. Cantuaria and coworkers reported a strong correlation between bimanual examination and ultrasound examination with regard to determining the size of uterine myomas. 10 The addition of ultrasonography (Fig. 3) and especially of magnetic resonance imaging (MRI) (Fig. 4) has increased the accuracy in the diagnosis and measurement of uterine leiomyomas. MRI often can differentiate adenomyosis from the leiomyoma. Radiologic studies are particularly important when the physical assessment is difficult, as in the case of morbid obesity, or when adnexal pathology cannot be excluded on physical examination. If there is any uncertainty about the diagnosis of uterine leiomyomas after radiologic studies, laparoscopy (Fig. 5), or laparotomy should be performed.