http://contemporaryobgyn.modernmedicine.com/obgyn Peer-reviewed gynecology advice from Contemporary OB/GYN. Practical clinical info for gynecologists, obstetricians & nurse practictioners - pregnancy, perimenopause, endometriosis, infertility, malpractice advice, practice managment and more? 2008-08-20T18:13:28Z http://contemporaryobgyn.modernmedicine.com/obgyn/Contemporary+OB%2FGYN+Newsline/Cancer-patients-on-IV-bisphosphonates-need-dental-/ArticleStandard/Article/detail/542117?ref=25 Because breast cancer patients receiving intravenous bisphosphonates may be at higher risk of developing osteonecrosis of the jaws (ONJ), they should receive early referral by oncologists for baseline dental evaluation. 2008-08-15T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/332008/542117null HTML http://contemporaryobgyn.modernmedicine.com/obgyn/Contemporary+OB%2FGYN+Newsline/Most-MFMs-recommend-tocolysis-for-preterm-labor/ArticleStandard/Article/detail/542118?ref=25 Nearly all maternal-fetal medicine (MFM) specialists in the United States recommend tocolysis in the setting of acute preterm labor. 2008-08-13T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/332008/542118null HTML http://contemporaryobgyn.modernmedicine.com/obgyn/Contemporary+OB%2FGYN+Newsline/Prediction-rule-identifies-risk-of-osteoporotic-fr/ArticleStandard/Article/detail/542111?ref=25 A prediction rule based on a heel stiffness index and four clinical factors can identify which elderly women are at high risk of osteoporotic fracture. 2008-08-13T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/332008/542111null HTML http://contemporaryobgyn.modernmedicine.com/obgyn/Contemporary+OB%2FGYN+Newsline/Waiting-room-video-may-help-trim-STDs/ArticleStandard/Article/detail/542113?ref=25 New infections among patients at sexually transmitted disease (STD) clinics can be reduced by up to 10% by showing a brief educational video in the waiting room, according to an article published in the June issue of PLoS Medicine. 2008-08-13T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/332008/542113null HTML http://contemporaryobgyn.modernmedicine.com/obgyn/Contemporary+OB%2FGYN+Newsline/Novel-genetic-test-for-breast-cancer/ArticleStandard/Article/detail/542158?ref=25 The SPOT-Light HER2 CISH kit a genetic test that measures the number of copies of the HER2 gene in breast tumor tissue received approval recently from the Food and Drug Administration. 2008-08-13T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/332008/542158null HTML http://contemporaryobgyn.modernmedicine.com/obgyn/Contemporary+OB%2FGYN+Newsline/Obesity-in-pregnancy-increases-risk-of-NTDs/ArticleStandard/Article/detail/542116?ref=25 Being overweight or obese increases the risk of having a pregnancy affected by neural tube defects. 2008-08-13T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/332008/542116null HTML http://contemporaryobgyn.modernmedicine.com/obgyn/Contemporary+OB%2FGYN+Newsline/Combining-CA-125-with-a-new-symptom-index-may-impr/ArticleStandard/Article/detail/542109?ref=25 A composite tool consisting of a symptom index and the CA-125 blood test identified more than 80% of women with early-stage ovarian cancer and may be useful as part of a multi-step screening process for the disease. 2008-08-13T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/332008/542109null HTML http://contemporaryobgyn.modernmedicine.com/obgyn/Contemporary+OB%2FGYN+Newsline/Pregnancy-does-not-increase-risk-of-most-mental-il/ArticleStandard/Article/detail/542157?ref=25 Although certain groups of women have a high prevalence of psychiatric disorders, pregnancy does not in itself increase the risk of most mental illnesses. 2008-08-13T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/332008/542157null HTML http://contemporaryobgyn.modernmedicine.com/obgyn/Contemporary+OB%2FGYN+Newsline/Environmental-factors-in-utero-may-trigger-adult-c/ArticleStandard/Article/detail/542156?ref=25 The long latency period between exposure to an environmental trigger and cancer has already been recognized. 2008-08-13T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/332008/542156null HTML http://contemporaryobgyn.modernmedicine.com/obgyn/Contemporary+OB%2FGYN+Newsline/New-imaging-approach-accurately-predicts-breast-Ca/ArticleStandard/Article/detail/542107?ref=25 A high-resolution imaging method can accurately predict the risk of tumor recurrence in women. 2008-08-13T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/332008/542107null HTML http://contemporaryobgyn.modernmedicine.com/obgyn/Clinical+Insights/News-Will-risk-of-bacterial-vaginosis-drop-when-pa/ArticleStandard/Article/detail/533549?ref=25 Stopping douching products after menstruation may reduce risk of bacterial vaginosis. 2008-08-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/322008/533549null XML http://contemporaryobgyn.modernmedicine.com/obgyn/Professional+Update/News-Should-medical-specialty-societies-scrutinize/ArticleStandard/Article/detail/533553?ref=25 Some physicians believe that peer review of expert witness testimony is essestial to keep the judicial system fair. 2008-08-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/322008/533553null XML http://contemporaryobgyn.modernmedicine.com/obgyn/Clinical+Insights/News-A-concensus-on-the-Rx-for-PCOS-infertility/ArticleStandard/Article/detail/533537?ref=25 Treatment of infertility in women with polycyctic ovary syndrome (PCOS). 2008-08-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/322008/533537null XML http://contemporaryobgyn.modernmedicine.com/obgyn/Delivery/Delivering-twins-When-is-the-best-time/ArticleStandard/Article/detail/533543?ref=25 Selecting the appropriate time to deliver near term twins is critical to avoid unnecessary mortality and minimize neonatal complications. 2008-08-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/322008/533543/obgyn0808-cvrtwinsclock_flash.jpg XML http://contemporaryobgyn.modernmedicine.com/obgyn/Clinical+Insights/News-SSRIs-treat-PMSpremenstrual-dysphoric-disorde/ArticleStandard/Article/detail/533551?ref=25 SSRIs effectively treat premenstrual symptoms. 2008-08-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/322008/533551null XML http://contemporaryobgyn.modernmedicine.com/obgyn/Professional+Update/News-Most-physicians-dont-use-electronic-health-re/ArticleStandard/Article/detail/533541?ref=25 Majority of physicians do not use EHRs. 2008-08-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/322008/533541null XML http://contemporaryobgyn.modernmedicine.com/obgyn/Feature+Articles/Letters-to-the-Editor/ArticleStandard/Article/detail/533555?ref=25 Letters written to the editor with comments regarding articles and departments in Contemporary OB/GYN. 2008-08-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/322008/533555null XML http://contemporaryobgyn.modernmedicine.com/obgyn/Clinical+Insights/News-Updated-guidelines-for-treating-thrombosis-in/ArticleStandard/Article/detail/533536?ref=25 There are updated guidelines for treating thrombosis in pregnant patients. 2008-08-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/322008/533536null XML http://contemporaryobgyn.modernmedicine.com/obgyn/Clinical+Insights/News-Simple-maneuver-reduces-postlaparoscopy-shoul/ArticleStandard/Article/detail/533539?ref=25 After laparoscopic surgery, a simple pulmonary recruitment maneuver reduces shoulder pain. 2008-08-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/322008/533539null XML http://contemporaryobgyn.modernmedicine.com/obgyn/Clinical+Insights/News-Insulin-resistant-gravidas-have-more-birthprg/ArticleStandard/Article/detail/533535?ref=25 High degrees of insulin resistance in women may increase their rates of pregnancy and birth complications. 2008-08-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/322008/533535null XML http://contemporaryobgyn.modernmedicine.com/obgyn/Departments/Medicine-sustains-life-but-art-is-why-we-stay-aliv/ArticleStandard/Article/detail/533544?ref=25 An appreciation for Michaelangelo's Pieta can help doctors find a balance between their professional and personal lives. 2008-08-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/322008/533544null XML http://contemporaryobgyn.modernmedicine.com/obgyn/Clinical+Insights/News-Many-hospitals-inadvertently-discourage-breas/ArticleStandard/Article/detail/533547?ref=25 Maternity practices that could interfere with breastfeeding are common in US hospitals. 2008-08-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/322008/533547null XML http://contemporaryobgyn.modernmedicine.com/obgyn/Clinical+Insights/News-Medical-students-should-have-consent-for-gyn-/ArticleStandard/Article/detail/533548?ref=25 Asking medical students to perform "intimate" exams on anesthetized patients without their consent is a violation of basic human rights. 2008-08-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/322008/533548null XML http://contemporaryobgyn.modernmedicine.com/obgyn/Professional+Update/News-Lawyers-misconduct-leads-to-new-medical-liabi/ArticleStandard/Article/detail/533540?ref=25 In Ohio and Michigan, physician defendants were entitld to new trials because of lawyers' misconduct. 2008-08-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/322008/533540null XML http://contemporaryobgyn.modernmedicine.com/obgyn/Clinical+Insights/News-Serum-uric-acid-marks-insulin-resistance-in-o/ArticleStandard/Article/detail/533552?ref=25 A positive association exists between serum uric acid (UA) and insulin resistance in older women. 2008-08-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/322008/533552null XML http://contemporaryobgyn.modernmedicine.com/obgyn/Departments/Legally-Speaking-Malpractice-suit-revolves-around-/ArticleStandard/Article/detail/533542?ref=25 When a abdominal hysterectomy causes a nicked ureter, a flexible defense strategy proves effective. 2008-08-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/322008/533542null XML http://contemporaryobgyn.modernmedicine.com/obgyn/Clinical+Insights/News-Clostridium-dificile-diarrhea-linked-to-mater/ArticleStandard/Article/detail/533534?ref=25 In pregnant women, severe Clostridium difficile-associated disease may be an emerging threat. 2008-08-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/322008/533534null XML http://contemporaryobgyn.modernmedicine.com/obgyn/Medical+Economics/Opinion-Is-there-really-a-physician-shortage/ArticleStandard/Article/detail/533533?ref=25 America is not suffering from a physician shortage but from a disorganized, fragmented health-care delivery system. 2008-08-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/322008/533533/Charles-Lockwood_thumbnail.jpg http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/322008/533533null XML http://contemporaryobgyn.modernmedicine.com/obgyn/Delivery/News-Preventing-anal-sphincter-tears-during-delive/ArticleStandard/Article/detail/533595?ref=25 Slower delivery of the infant's head and no pushing reduces anal sphinter ruptures. 2008-08-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/322008/533595null XML http://contemporaryobgyn.modernmedicine.com/obgyn/Clinical+Insights/News-Probiotics-prevent-necrotizing-enterocolitis-/ArticleStandard/Article/detail/533594?ref=25 A finding from the cochrane neonatal Review Group shows that supplementation with probiotics significantly reduces the risk of sever necrotizing enterocolitis and mortality in preemies. 2008-08-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/322008/533594null XML http://contemporaryobgyn.modernmedicine.com/obgyn/Contemporary+Ob%2FGYN+CME/Can-the-menopausal-transition-trigger-depression-C/CME/Article/detail/534562?ref=25 Experts give a quick and ready reference for diagnosing depression during midlife, along with some very practical pearls. Clinicians may want to treat perimenopausal depression with estrogen, for example, even if a patient doesn't have symptoms like hot flushes. 2008-08-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/cme/obgyn/322008/534562null REMOTE http://contemporaryobgyn.modernmedicine.com/obgyn/Professional+Update/News-ACOG-calls-on-Congress-for-health-care-reform/ArticleStandard/Article/detail/533554?ref=25 The American College of Obstetricians and Gynecologist urge support of ACOG's "Health Care for Women, Health Care for All" campaign. 2008-08-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/322008/533554null XML http://contemporaryobgyn.modernmedicine.com/obgyn/Clinical+Insights/News-Another-reason-to-battle-the-bulge/ArticleStandard/Article/detail/533550?ref=25 Body fat may not be as helpful at protecting against hot flashes as once thought. 2008-08-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/322008/533550null XML http://contemporaryobgyn.modernmedicine.com/obgyn/Clinical+Insights/News-Multivitamins-reduce-risk-of-ovulatory-infert/ArticleStandard/Article/detail/533538?ref=25 Regular use of multivitamin supplements containing folic acid cuts the risk of ovulatory infertility by half. 2008-08-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/322008/533538null XML http://contemporaryobgyn.modernmedicine.com/obgyn/Staging-breast-CA-with-MRI-has-advantages-and-disa/ArticleStandard/Article/detail/529688?ref=25 The use of MRI to stage the affected breast in breast cancer leads to more extensive surgery in an appreciable percentage of women, and the rate of false positives is a cause for concern, according to research published online May 12 in the Journal of Clinical Oncology. 2008-07-15T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/292008/529688null HTML http://contemporaryobgyn.modernmedicine.com/obgyn/The-location-of-pregnancy-back-pain-predicts-postp/ArticleStandard/Article/detail/529687?ref=25 Women who experience both pelvic girdle pain and lumbar pain during pregnancy are more likely to have persistent pain postpartum, researchers report in the May 20 issue of Spine. 2008-07-15T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/292008/529687null HTML http://contemporaryobgyn.modernmedicine.com/obgyn/Low-birthweight-may-increase-autism-risk/ArticleStandard/Article/detail/529702?ref=25 The prevalence of autism is higher among low birthweight or preterm children, particularly in females and in children with other developmental disabilities, according to research published in the June issue of Pediatrics. 2008-07-15T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/292008/529702null HTML http://contemporaryobgyn.modernmedicine.com/obgyn/Membrane-sweeping-doesnt-increase-prelabor-rupture/ArticleStandard/Article/detail/529705?ref=25 The overall rate of prelabor rupture of membranes in women with uncomplicated pregnancies was not significantly higher among those who received membrane sweeps, when compared to those who did not, researchers report in the June issue of Obstetrics and Gynecology. 2008-07-15T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/292008/529705null HTML http://contemporaryobgyn.modernmedicine.com/obgyn/Allergy+%26+Immunology/Maternal-stress-linked-to-allergy-in-children/ArticleStandard/Article/detail/529699?ref=25 Maternal stress can lead to a strong allergic response in their infants, even if they had little allergen exposure, according to research presented at the American Thoracic Society's International Conference in Toronto, Canada. In a related study presented at the same meeting, firstborn children carrying a genetic variant are more likely to have higher allergy responses. In addition, a study presented on May 20 identifies a possible link between cesarean delivery and the risk of allergy and asthma in childhood, and a study presented on May 21 shows that children whose mothers were exposed to farms are protected from allergies. 2008-07-15T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/292008/529699null HTML http://contemporaryobgyn.modernmedicine.com/obgyn/Breastfeeding-lowers-risk-of-rheumatoid-arthritis/ArticleStandard/Article/detail/529712?ref=25 Women who breastfeed their infants for 13 months or longer are less likely to develop rheumatoid arthritis, according to an article published online May 13 in the Annals of the Rheumatic Diseases. 2008-07-15T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/292008/529712null HTML http://contemporaryobgyn.modernmedicine.com/obgyn/Organic-pollutants-linked-to-neonatal-urologic-ano/ArticleStandard/Article/detail/529689?ref=25 Sons born to mothers with high serum levels of polychlorinated biphenyls (PCBs) or polybrominated biphenyls (PBBs) are significantly more likely to have congenital urologic anomalies, according to research recently presented at the Annual Scientific Meeting of the American Urological Association in Orlando, FL. 2008-07-15T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/292008/529689null HTML http://contemporaryobgyn.modernmedicine.com/obgyn/Physical-activity-may-reduce-breast-cancer-risk/ArticleStandard/Article/detail/529718?ref=25 Women who are physically active may have a risk of breast cancer that is 25% lower than sedentary women, according to an article published online May 16 in the British Journal of Sports Medicine. 2008-07-15T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/292008/529718null HTML http://contemporaryobgyn.modernmedicine.com/obgyn/Preterm-births-increasing-mostly-due-to-cesareans/ArticleStandard/Article/detail/529700?ref=25 The percentage of preterm singleton births in the United States has risen to nearly 11%, with most of the increase due to higher rates of cesarean section deliveries, according to a report in the June issue of Clinics in Perinatology. 2008-07-15T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/292008/529700null HTML http://www.modernmedicine.com/modernmedicine/Clinical+Insights/News-Experts-evaluations-of-cervical-images-often-/ArticleStandard/Article/detail/527763?ref=25 Experienced colposcopists' evaluations of cervical lesion grades based on static digital images have fair to poor reproducibility. 2008-07-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/272008/527763null XML http://www.modernmedicine.com/modernmedicine/Clinical+Insights/News-Should-you-treat-mild-gestational-diabetes/ArticleStandard/Article/detail/528841?ref=25 When it comes to hyperglycemia in pregnancy, no clear blood glucose thresholds exist to determine when your patient is at risk for adverse outcomes. 2008-07-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/282008/528841null XML http://www.modernmedicine.com/modernmedicine/Clinical+Insights/News-Transdermal-estrogen-may-pose-less-thrombic-t/ArticleStandard/Article/detail/528838?ref=25 In postmenopausal women, oral estrogen is associated with an increased risk of venous thromboembolism. 2008-07-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/282008/528838null XML http://www.modernmedicine.com/modernmedicine/Professional+Update/News-Why-docs-are-turned-off-by-EMR-systems/ArticleStandard/Article/detail/527758?ref=25 Although some physicians are using EMR systems, the nation is not closer than it was in 2004. 2008-07-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/272008/527758null XML http://www.modernmedicine.com/modernmedicine/Obstetrics%2FGynecology+%26+Women%27s+Health/News-Prognosis-favorable-for-medical-malpractice-i/ArticleStandard/Article/detail/528843?ref=25 This year, physicians can expect to find it easier to get medical malpractice insurance and to pay lower rates for it than in the past. 2008-07-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/282008/528843null XML http://www.modernmedicine.com/modernmedicine/Ultrasound+Clinics/Audit-proofing-your-ultrasound-practice/ArticleStandard/Article/detail/528859?ref=25 Recommendations to help audit-proof your ultrasound practice. 2008-07-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/282008/528859null XML http://www.modernmedicine.com/modernmedicine/Clinical+Insights/News-Fiber-may-help-prevent-pelvic-organ-prolapse/ArticleStandard/Article/detail/527750?ref=25 Gradually increasing fiber intake to 28 g daily decreased constipation and associated symptoms in women with pelvic floor disorders. 2008-07-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/272008/527750null XML http://www.modernmedicine.com/modernmedicine/Clinical+Insights/News-Transdermal-testosterone-improves-sexual-sati/ArticleStandard/Article/detail/527756?ref=25 A daily dose of transdermal testosterone for 16 weeks improved sexual satisfaction. 2008-07-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/272008/527756null XML http://www.modernmedicine.com/modernmedicine/Clinical+Insights/News-ACIP-guidelines-address-vaccination-during-pr/ArticleStandard/Article/detail/528840?ref=25 A new report may help standardize procedures for vaccination during pregnancy. 2008-07-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/282008/528840null XML http://www.modernmedicine.com/modernmedicine/Obstetrics%2FGynecology+%26+Women%27s+Health/News-No-link-between-malpractice-rates-tort-reform/ArticleStandard/Article/detail/528844?ref=25 Medical malpractice insurance premiums may fall in the near future. 2008-07-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/282008/528844null XML http://www.modernmedicine.com/modernmedicine/Legally+Speaking/Legal-When-a-lawsuit-revolves-around-a-known-surgi/ArticleStandard/Article/detail/528846?ref=25 A patient's bowel is perforated during laparoscopy. 2008-07-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/282008/528846null XML http://www.modernmedicine.com/modernmedicine/Clinical+Insights/News-Most-women-make-mastectomy-decision-early-on/ArticleStandard/Article/detail/527761?ref=25 Most women being tested for mutations in the breast CA antigen (BRCA) genes have already decided their preferred course of action before learning the outcome. 2008-07-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/272008/527761null XML http://www.modernmedicine.com/modernmedicine/Legally+Speaking/Legal-Use-of-oxytocin-blamed-for-shoulder-dystocia/ArticleStandard/Article/detail/528852?ref=25 After giving oxytocin, shoulder dystocia occurred. 2008-07-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/282008/528852null XML http://www.modernmedicine.com/modernmedicine/Obstetrics%2FGynecology+%26+Women%27s+Health/Domestic-violence-Dont-forget-to-ask/ArticleStandard/Article/detail/528857?ref=25 Ob/gyns are uniquely qualified to identify victims of physical abuse, treat their medical complications, and refer them to the right resources. 2008-07-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/282008/528857/violence_woman_COG0708_flash.jpg XML http://www.modernmedicine.com/modernmedicine/Clinical+Insights/News-Flaxseed-reduces-totalLDL-cholesterol-levels-/ArticleStandard/Article/detail/527754?ref=25 Three months of dietary supplementation with flaxseed lowered total and low-density lipoprotein cholesterol levels. 2008-07-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/272008/527754null XML http://www.modernmedicine.com/modernmedicine/Legally+Speaking/Legal-Was-this-laparoscopy-unnecessary/ArticleStandard/Article/detail/528850?ref=25 An unnecessary laparoscopy. 2008-07-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/282008/528850null XML http://www.modernmedicine.com/modernmedicine/Clinical+Insights/News-US-plus-mammography-increase-detection-and-fa/ArticleStandard/Article/detail/527749?ref=25 Combining mammography with U/S boosts the breast cancer detection rate in women at high risk by almost 30%. 2008-07-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/272008/527749null XML http://www.modernmedicine.com/modernmedicine/Professional+Update/News-Do-husbands-pressure-wives-to-have-babies-soo/ArticleStandard/Article/detail/527757?ref=25 According to a recent survey, husbands don't pressure wives to have babies sooner than they want. 2008-07-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/272008/527757null XML http://www.modernmedicine.com/modernmedicine/Professional+Update/News-ACOG-part-of-new-e-prescribing-program/ArticleStandard/Article/detail/528845?ref=25 ACOG has launched a new program designed to help more physicians send prescriptions to pharmacies electronically. 2008-07-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/282008/528845null XML http://www.modernmedicine.com/modernmedicine/Legally+Speaking/Legal-Delay-in-OR-blamed-for-cerebral-palsy/ArticleStandard/Article/detail/528851?ref=25 Cerebral palsy due to delay in the operating room? 2008-07-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/282008/528851null XML http://www.modernmedicine.com/modernmedicine/Clinical+Insights/News-Rx-drug-labels-to-change-for-pregnancy/ArticleStandard/Article/detail/527751?ref=25 The FDA proposed sweeping changes to physician labeling for prescription drugs and biologic products to provide more accurate information about using the agents during pregnancy and breastfeeding. 2008-07-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/272008/527751null XML http://www.modernmedicine.com/modernmedicine/Clinical+Insights/News-Low-dose-estradiol-spray-decreases-hot-flashe/ArticleStandard/Article/detail/527760?ref=25 A low-dose estradiol spray may significantly decrease hot flashes in healthy postmenopausal women with vasomotor symptoms. 2008-07-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/272008/527760null XML http://www.modernmedicine.com/modernmedicine/Clinical+Insights/News-Lipid-prifile-tied-to-heart-risk-with-HT/ArticleStandard/Article/detail/527762?ref=25 Lipid profiles have predictive value in determining the risk of coronary heart disease events in postmenopausal women taking HT. 2008-07-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/272008/527762null XML http://www.modernmedicine.com/modernmedicine/Contemporary+Ob%2FGYN+CME/Extended-and-continuous-OC-dosing-regimens-CME/CME/Article/detail/529212?ref=25 Birth control regimens that manipulate the hormone-free interval: telling patients what to expect. 2008-07-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/cme/obgyn/282008/529212null REMOTE http://www.modernmedicine.com/modernmedicine/Editorial/Opinion-The-Terrible-Hours-Counseling-patients-car/ArticleStandard/Article/detail/528837?ref=25 Although caring for a woman whose unborn is at the edge of viability can be heart-wrenching, NICHD now offers a clinical tool to individualize counseling and provide a more accurate prognosis. 2008-07-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/282008/528837/Charles-Lockwood_thumbnail.jpg http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/282008/528837null XML http://www.modernmedicine.com/modernmedicine/Legally+Speaking/Legal-Delay-in-diagnosis-of-pelvic-abscess/ArticleStandard/Article/detail/528854?ref=25 After delivery, pelvic abscess was overlooked. 2008-07-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/282008/528854null XML http://www.modernmedicine.com/modernmedicine/Legally+Speaking/Legal-Delay-in-cesarean-delivery/ArticleStandard/Article/detail/528855?ref=25 Cesarean delivery delayed 2008-07-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/282008/528855null XML http://www.modernmedicine.com/modernmedicine/Practice+Management/Job-sharing-Flexibility-has-a-price/ArticleStandard/Article/detail/528858?ref=25 Some doctors are doing it successfully, but costs and logistics can be a challenge. 2008-07-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/282008/528858null XML http://www.modernmedicine.com/modernmedicine/Clinical+Insights/News-DASH-diet-lowers-risk-of-CHD-and-stroke-in-wo/ArticleStandard/Article/detail/527755?ref=25 Diet really does lower the risks for coronary heart disease and stroke among middle-aged women. 2008-07-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/272008/527755null XML http://www.modernmedicine.com/modernmedicine/Legally+Speaking/Legal-Underestimated-fetal-size-results-in-Erbs-pa/ArticleStandard/Article/detail/528853?ref=25 Underestimated fetal size results in Erb's palsy. 2008-07-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/282008/528853null XML http://www.modernmedicine.com/modernmedicine/Clinical+Insights/News-MRI-and-mammography-for-women-at-high-risk-fo/ArticleStandard/Article/detail/527752?ref=25 Combining MRI and mammography for women at high risk for breast cancer. 2008-07-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/272008/527752null XML http://www.modernmedicine.com/modernmedicine/Legally+Speaking/Legal-Cord-injury-from-intrauterine-pressure-cathe/ArticleStandard/Article/detail/528849?ref=25 Death of infant due to damaged umbilical cord. 2008-07-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/282008/528849null XML http://www.modernmedicine.com/modernmedicine/Obstetrics%2FGynecology+%26+Women%27s+Health/News-Number-of-disciplinary-actions-against-docs-c/ArticleStandard/Article/detail/528842?ref=25 Number of disciplinary actions against doctors fell for the third straight year in 2007. 2008-07-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/282008/528842null XML http://www.modernmedicine.com/modernmedicine/Clinical+Insights/News-Hot-flashes-in-breast-CA-survivors-reduced-wi/ArticleStandard/Article/detail/527759?ref=25 Neural block reduces hiot flashes in breast cancer survivors. 2008-07-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/272008/527759null XML http://www.modernmedicine.com/modernmedicine/Legally+Speaking/Legal-Forceps-blamed-for-sphincter-laceration/ArticleStandard/Article/detail/528856?ref=25 Sphincter laceration due to forceps delivery 2008-07-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/282008/528856null XML http://www.modernmedicine.com/modernmedicine/Clinical+Insights/News-Comparing-osteoporosis-drugs/ArticleStandard/Article/detail/527753?ref=25 Seems little difference exists in available osteoporosis drugs when it comes to nonvertebral fractures. 2008-07-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/272008/527753null XML http://www.modernmedicine.com/modernmedicine/Feature+Articles/Parvovirus-Assessing-and-treating-infection-during/ArticleStandard/Article/detail/527748?ref=25 Parvovirus B19 infection can be fatal to a fetus if maternal exposure is not diagnosed and treated during pregnancy. An algorithm tells how. 2008-07-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/272008/527748null XML http://www.modernmedicine.com/modernmedicine/Clinical+Insights/News-Low-vitamin-D-levels-linked-to-breast-Ca-meta/ArticleStandard/Article/detail/528839?ref=25 Vitamin D deficiency is common among newly diagnosed breast cancer patients and is associated with poor long-term outcomes. 2008-07-01T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/282008/528839null XML http://contemporaryobgyn.modernmedicine.com/obgyn/Encouraging-obgyns-to-apply-practice-guidelines/ArticleStandard/Article/detail/524307?ref=25 A multifaceted behavioral intervention to encourage adherence to obstetric guidelines resulted in increased use of prophylactic oxytocin during the third stage of labor and decreased rates of episiotomy, according to an article published in the May 1 issue of the New England Journal of Medicine. 2008-06-16T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/252008/524307null HTML http://contemporaryobgyn.modernmedicine.com/obgyn/Physicians-tell-colleagues-but-dont-report-errors/ArticleStandard/Article/detail/524298?ref=25 Physicians are willing to share knowledge about harmful errors and near misses with their institutions but find current systems to report and disseminate this information inadequate. So they rely instead on informal discussions with colleagues, according to a survey of more than 1,000 physicians, as reported in the Medical Liability Monitor (3/2006). As a consequence, much important information remains invisible to institutions and the health care system, investigators concluded, noting the importance of gathering comprehensive information about all errors and near misses to understand and prevent medical errors. Results of the survey, which focused on attitudes about communicating errors as well as experience with errors, were published in the February/March issue of Health Affairs. 2008-06-16T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/252008/524298null HTML http://contemporaryobgyn.modernmedicine.com/obgyn/New-Ohio-law-requires-clarity-in-health-plan-contr/ArticleStandard/Article/detail/524297?ref=25 Under Ohio’s Healthcare Simplification Act, which goes into effect on June 25, health care plans are required to be clearer and more open about contract terms with physicians than they have been in the past, disclosing what insurers will pay for services, and notifying doctors of significant changes to the contract. The law also places limits on so-called silent PPOs: the health plan practice of paying for access to other companies’ network physicians, then reimbursing physicians at the lowest available rate. 2008-06-16T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/252008/524297null HTML http://contemporaryobgyn.modernmedicine.com/obgyn/Alendronate-increases-threat-of-atrial-fibrillatio/ArticleStandard/Article/detail/524319?ref=25 Alendronate may increase the risk of developing atrial fibrillation, according to research in the April 28 issue of the Archives of Internal Medicine. 2008-06-16T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/252008/524319null HTML http://contemporaryobgyn.modernmedicine.com/obgyn/Should-physicians-pitch-products/ArticleStandard/Article/detail/524300?ref=25 The ethical ramifications of physicians serving as commercial endorsers was spotlighted recently when Pfizer was pressured into terminating a massive advertising campaign for Lipitor (atorvastatin) featuring Robert Jarvik, MD, in the wake of a US House Energy and Commerce Committee probe. Pfizer ended the campaign after Rep. John Dingell (D, Mich.), chairman of the committee, charged that the ads misled the public because they created the impression that Dr. Jarvik, one of the developers of the Jarvik-7 artificial heart, is a practicing physician. In fact, Dr. Jarvik is not licensed to practice medicine. The committee disclosed that Dr. Jarvik had a 2-year contract to receive $1.35 million for his participation in the campaign, according to American Medical News (3/31/2008). Dr. Jarvik defended his role as a physician spokesman, saying in a statement that his “credibility as a heart expert is fully justified and is fairly represented” in the ads. 2008-06-16T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/252008/524300null HTML http://contemporaryobgyn.modernmedicine.com/obgyn/Which-states-have-the-best-and-worst-tort-systems/ArticleStandard/Article/detail/524296?ref=25 To answer this question, Pacific Research Institute (PRI) assessed two aspects of the tort systems of all 50 states: (1) tort liability costs and risks and (2) rules on the books that reduce lawsuit abuse and tort costs—if implemented and enforced. Florida ranked worst in tort costs and litigation risks and North Dakota best, Medical Liability Monitor (3/2008) reported. The worst tort laws were in Rhode Island and the best in Colorado, according to PRI’s Tort Liability Index: 2008 Report. 2008-06-16T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/252008/524296null HTML http://contemporaryobgyn.modernmedicine.com/obgyn/Pre-pregnancy-diet-linked-to-sex-of-baby/ArticleStandard/Article/detail/524309?ref=25 Women with a higher calorie intake before conception are more likely to bear boys, according to research published online April 22 in the Proceedings of the Royal Society B. 2008-06-16T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/252008/524309null HTML http://contemporaryobgyn.modernmedicine.com/obgyn/HT-increases-stroke-risk-even-in-younger-women/ArticleStandard/Article/detail/524308?ref=25 In postmenopausal women, hormone therapy is associated with a significantly increased risk of stroke regardless of the type of regimen or the timing of therapy initiation, according to a report published in the April 28 issue of the Archives of Internal Medicine. 2008-06-16T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/252008/524308null HTML http://contemporaryobgyn.modernmedicine.com/obgyn/Can-mid-pregnancy-cervical-length-predict-CS-durin/ArticleStandard/Article/detail/524321?ref=25 Yes, according to the results of a UK study involving over 27,000 primiparous women. The authors of the study found that women with a cervix measuring 40 to 67 mm at a median of 23 weeks’ gestation were almost twice as likely to require a cesarean delivery at term because of poor progress in labor as women with a mid-pregnancy cervical length measurement of 16 to 30 mm (odds ratio [OR] 1.81, 95% CI, 1.66–1.97). Adjusting for maternal age, bodymass index, smoking status, race or ethnic group, gestational age at birth, spontaneous or induced labor, birthweight percentile, and hospital of delivery still left these women more than one-and-a-half times more likely to require the surgery as the women with shorter cervices (OR 1.68, 95% CI, 1.53–1.84; P<0.001). 2008-06-16T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/252008/524321null HTML http://contemporaryobgyn.modernmedicine.com/obgyn/More-data-suggest-early-postmenopausal-HT-reduces-/ArticleStandard/Article/detail/524310?ref=25 Women with at least one risk factor for cardiovascular disease can improve endothelial function by starting hormone replacement therapy soon after menopause, according to study findings presented at the American Heart Association’s Arteriosclerosis, Thrombosis and Vascular Biology Annual Conference held this week in Atlanta. 2008-06-16T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/252008/524310null HTML http://contemporaryobgyn.modernmedicine.com/obgyn/New-national-standards-for-rating-doctors-to-be-de/ArticleStandard/Article/detail/524299?ref=25 Physicians’ groups and insurers recently agreed to develop a national set of standards for measuring doctors’ performance. The agreement represents a significant step in resolving a longstanding dispute about current rating practices. Physicians charge that health plans focus too much on cost rather than quality of care and that the rankings are often inaccurate, according to The New York Times (4/2/08). Leading physician groups, including the American Medical Association, American College of Surgeons, and American College of Physicians, signed on to the agreement, along with major health insurers, such as Aetna and United Healthcare. The broad coalition endorsing the new plan also includes consumer, labor, and employer organizations. 2008-06-16T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/252008/524299null HTML http://contemporaryobgyn.modernmedicine.com/obgyn/Docs-still-forgetting-to-test-for-Chlamydia/ArticleStandard/Article/detail/524312?ref=25 Although young women often see their obstetrician-gynecologists or primary care physicians for pelvic exams, Pap smears and urinalyses, chlamydia testing is often not performed at the same time, according to study findings published in the May issue of Obstetrics & Gynecology. 2008-06-16T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/252008/524312null HTML http://contemporaryobgyn.modernmedicine.com/obgyn/Do-antidepressants-really-work/ArticleStandard/Article/detail/524323?ref=25 Perhaps only modestly in severely depressed patients, say the results of a recent meta-analysis. 2008-06-16T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/252008/524323null HTML http://contemporaryobgyn.modernmedicine.com/obgyn/For-would-be-gynecologists-a-happy-Match-Day/ArticleStandard/Article/detail/524304?ref=25 A whopping 88.1% of fourth-year US medical school students who applied for a residency in obstetrics/gynecology were paired with a program in their preferred specialty on “Match Day” 2008. A total of 1,163 residencies were offered in the field and, for the second year in a row, 99% were filled through the match; 72.1% of those positions were filled by US medical school seniors. The most competitive specialties were plastic surgery, orthopedic surgery, dermatology, otolaryngology, diagnostic radiology, radiation oncology, and general surgery. 2008-06-16T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/252008/524304null HTML http://contemporaryobgyn.modernmedicine.com/obgyn/Can-human-placental-extract-relieve-menopausal-sym/ArticleStandard/Article/detail/524324?ref=25 Eight weeks of treatment with human placental extract (HPE) improved menopausal symptoms and fatigue in middle-aged Korean women without affecting their risk profile for cardiovascular disease, according to the results of a small, randomized, placebo-controlled trial. 2008-06-16T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/252008/524324null HTML http://contemporaryobgyn.modernmedicine.com/obgyn/Who-gets-sentinel-lymph-node-biopsy-versus-axillar/ArticleStandard/Article/detail/524325?ref=25 It seems nonclinical factors, including sociodemographic characteristics and insurance status, are largely making the call. A retrospective, population-based study using data from a hospital-based cancer registry finds that while use of sentinel lymph node biopsy (SLNB) has increased from 26.8% in 1998 to 65.5% in 2005, it is reserved largely for younger, white, socioeconomically advantaged women with private medical insurance and high school diplomas. 2008-06-16T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/252008/524325null HTML http://contemporaryobgyn.modernmedicine.com/obgyn/Which-hormone-receptors-are-linked-to-breast-Ca-re/ArticleStandard/Article/detail/524318?ref=25 The risk of local recurrence and distant metastases is associated with hormone receptor status in women who underwent breast-conserving therapy for breast cancer, according to a study published online April 14 in the Journal of Clinical Oncology. 2008-06-16T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/252008/524318null HTML http://contemporaryobgyn.modernmedicine.com/obgyn/Federal-court-throws-out-state-challenge-to-aborti/ArticleStandard/Article/detail/524305?ref=25 A federal judge tossed out California’s constitutional challenge to a US statute that strengthens physicians’ right to refuse to perform abortions because of their personal beliefs, according to American Medical News (4/14/08). The Weldon Amendment extends “conscience” protection to hospitals and health plans by prohibiting federal, state, and local agencies from taking action against doctors or institutions that opt not to offer abortions. Government bodies that violate the measure risk losing federal funding. 2008-06-16T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/252008/524305null HTML http://contemporaryobgyn.modernmedicine.com/obgyn/Imiquimod-Promising-treatment-for-vulvar-intraepit/ArticleStandard/Article/detail/524328?ref=25 Topical 5% imiquimod cream is an effective alternative to surgery for vulvar intraepithelial neoplasia, according to the results of a small placebo-controlled trial from the Netherlands. 2008-06-16T04:00:00Z http://contemporaryobgyn.modernmedicine.com/obgyn/data/articlestandard/obgyn/252008/524328null HTML