Pediatrics

Whether to test for GDM is a common quandary in ob/gyn practice. This article will help you make evidence-based decisions about which patients to test and which assay to use.

Doing so can lead to serious—even fatal—complications. To protect mother and fetus alike, manage these patients just as aggressively as your nonpregnant asthmatics.

Because Tv infection is so widespread, increases with age, and—according to important new evidence—raises the risk of both acquiring and shedding HIV, accurately diagnosing this sexually transmitted infection may be an important strategy in fighting the HIV epidemic.

Cervical length assessment is just one of several powerful tools for detecting or excluding patients at risk for preterm birth. An expert tells how to assess and counsel a patient pregnant with triplets on her chances of carrying all three fetuses to at least 32 weeks.

Low-dose aspirin combined with low-molecular-weight heparin (LMWH) during pregnancy is just as safe and effective as aspirin with unfractionated heparin (UFH) for preventing recurrent pregnancy loss due to antiphospholipid syndrome, according to a prospective, controlled, multicenter pilot study.

The caduceus is the modern American symbol of the medical profession. But the Asklepian, which I encountered on a recent trip to the Greek island of Kos, may be a far better emblem for the values we as ob/gyns hold dear. Allow me to explain the import of two snakes versus one.

Postterm birth seems to get a lot less attention than preterm birth when clinicians are discussing the risks of complications and death. But, unlike babies born too soon, timely delivery can almost entirely prevent the risks—including stillbirth—linked with prolonged pregnancy.

Evidently not, according to a large, Danish, population-based, case–control study.

Contrary to the "fetal origins" hypothesis and suggestions of a strong inverse relationship between birthweight and subsequent blood cholesterol levels, a recent study finds that 1-kg lower birthweight may be associated with at most about 2.0 mg/dL (0.05 mmol/L) higher total cholesterol later in life—an amount unlikely to have much impact on public health.

Some say left ventricular intracardiac echogenic focus (ICEF) in the second trimester may signal the presence of Down syndrome.

Women with twin pregnancies should not be given prophylactic cerclage simply because they are carrying two fetuses. A 14-year retrospective study of twins using data from Matria Healthcare indicates that prophylactic cerclage is associated with a higher frequency of very premature delivery, low birth weight and very low birth weight infants, and more nursery days

The 4th Current Issues Update yesterday offered late breaking news in five specialty areas: urogynecology, STD treatment guidelines, reproductive medicine, gynecologic oncology, and maternal-fetal medicine.

Healthy women who have had a prior cesarean delivery can safely delivery vaginally. That is the conclusion of a 14-year retrospective study at the John H. Stroger Jr. Hospital of Cook County, IL.

Delivering an extremely low birthweight (ELBW) infant (

We can do a better job of screening and testing sexually active teens and young adults for STIs. Keeping up with the latest evidence can help you decide when to test, whom to test, and which of a wide array of office- and lab-based tests to choose.

Delivering an extremely low birthweight (ELBW) infant (

The risks of neonatal convulsions and neonatal withdrawal syndrome seem to increase when a pregnant women uses selective serotonin reuptake inhibitors (SSRIs), with paroxetine being the worst offender, according to cases reported by 72 countries to the World Health Organization's Collaborating Centre for International Drug Monitoring in Uppsala, Sweden.

Early diagnosis of m?llerian anomalies is important because they can have a significant impact on a woman?s reproductive potential. Sonographic clues lead the way to prompt and precise classification.

An improved version of this long-standing technique is back in favor and once again yielding impressive cure rates. Two experts give step-by-step guidelines for an easy-to-perform ablative alternative for persistent low-grade cervical intraepithelial neoplasia.

When is OVD indicated? When do the risks outweigh the potential advantages? What should your pre-op assessment include? To answer these and related questions, two experts take an in-depth look at the research data.

The ability to obtain emergency contraception (EC) directly from a pharmacist does not mean women would be more inclined to use it than if they only had access through a clinic, according to a randomized, controlled trial of over 2,000 women.

In what is perhaps the largest study to date to evaluate the impact of neonatal infection on adverse outcomes in early childhood, researchers have found that neonatal infections among extremely low-birthweight (ELBW) infants are associated with serious adverse neurodevelopmental and growth outcomes in early childhood that contribute to long-term disability.

Contrary to conventional medical wisdom, metformin compares favorably with insulin for controlling blood sugar in A2 gestational diabetes—GD with elevated fasting blood sugar levels.