1 Dr. Paraiso is from the Department of Obstetrics and Gynecology, Cleveland Clinic, Cleveland, OH; e-mail: PARAISM@ccf.org. Dr. Brown is from the Department of Obstetrics and Gynecology, University of Texas MD Anderson Cancer Center, Houston, TX. Dr. Michener is from the Department of Obstetrics and Gynecology, Cleveland Clinic, Cleveland, OH.