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Putting surgical site infection bundles into practiceRates of post-hysterectomy infection have been shown to be lower in hospitals that have adopted evidence-based guidelines for preventing postsurgical infections.
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The role of IVF with PGS in recurrent miscarriageConsequences of reproductive aging include infertility, an increased likelihood of isolated spontaneous abortion (SAB), and likely an increased likelihood of recurrent pregnancy loss (RPL).
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What to say and do right when things go terribly wrong in obstetricsPatients remember how you respond to adverse pregnancy outcomes such as stillbirth and fetal loss.
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What to say and do right when things go terribly wrong in obstetricsPatients remember how you respond to adverse pregnancy outcomes such as stillbirth and fetal loss.
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An imaging approach to early pregnancy failureUltrasound technology can be an indispensable tool for the management of suspected early pregnancy loss.
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Managing fetal sex discordance in cfDNAThis article presents a clinical algorithm and four cases to consider.
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Safe contraception for women with medical conditionsObesity, headaches, PID among conditions that warrant special consideration.
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Most Americans Have Inadequate Intakes of Vitamins and Minerals: Can Supplements Help?Many health professionals might be surprised to find that numerous studies show over 90% of Americans get less than the Estimated Average Requirement (EAR) or Adequate Intake (AI) for one or more vitamins and minerals in their diets.
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Breast density laws: Are you in compliance?Meant to alert women that breast cancer may be more difficult to detect, the laws confuse physicians and patients alike.
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Breast density laws: Are you in compliance?Meant to alert women that breast cancer may be more difficult to detect, the laws confuse physicians and patients alike.
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The ‘house’ of ethics: A teaching tool67% of residency directors reported that a lack of faculty expertise in medical ethics was a significant barrier to their attempts to provide a more comprehensive educational process. I have a proposal for a solution to these problems: Teaching about the “house of ethics” in ob/gyn, as we do at Vanderbilt University.
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Optimal approaches to fibroid managementFibroids are extremely common in women of reproductive age. One large study reported that 70% of Caucasian and 80% of African-American women had at least one ultrasound- or pathology-confirmed fibroid by the end of their reproductive years. While many of these women experience no negative effects of fibroids on their reproductive function, a significant number are at increased risk of infertility, miscarriage, or poor obstetric outcomes.
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How to manage endometriosis-associated painPain mechanisms are multifactorial, complex, and still poorly understood.
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Optimal approaches to fibroid managementFibroids are extremely common in women of reproductive age. One large study reported that 70% of Caucasian and 80% of African-American women had at least one ultrasound- or pathology-confirmed fibroid by the end of their reproductive years. While many of these women experience no negative effects of fibroids on their reproductive function, a significant number are at increased risk of infertility, miscarriage, or poor obstetric outcomes.
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Caring for patients with chronic pelvic painThe right combination of medication, physical therapy, and lifestyle changes may help patients with this sometimes stubborn condition.
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PODCAST: Sexual coercion: Moving beyond screeningElizabeth Miller, MD, PhD, discusses her article in the February issue of Contemporary OB/GYN on sexual coercion.
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11 tips for guiding patients considering prenatal testingThese 11 statements to guide decision-making with patients can help patients fully consider their values and preferences in regard to prenatal testing.
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SMFM Clinical Guideline: Nonimmune Hydrops FetalisA summary of the evidence-based SMFM guidelines for the evaluation and management of nonimmune hydrops fetalis (NIHF). The guidelines cover the epidemiology, risk factors, work-up, prognosis, and treatment of pregnancies complicated by NIHF.
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Clinician to Clinician: Reaffirming the role of lung maturity testing in the at-risk pregnancyKnowledge of fetal lung maturity provides useful adjunctive information that is unique and relevant to a patient.
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Uterine fibroids: medical management optionsFor women in whom surgery is not recommended or necessary, treatment with the goal of symptom relief and size reduction can be achieved medically.
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Clinician to Clinician: Reaffirming the role of lung maturity testing in the at-risk pregnancyKnowledge of fetal lung maturity provides useful adjunctive information that is unique and relevant to a patient.
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Breastfeeding myths and mainstays for the obstetricianStrategies to help more of your patients breastfeed longer
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Fetal Fibronectin: The Benefits of a High Negative Predictive Value in Management of Preterm LaborThe clinical diagnosis of preterm labor (PTL) has up to a 50% false-positive rate, often leading to unnecessary hospitalizations and interventions. What objective tools can clinicians use to accurately diagnose true PTL - and reduce the drain on resources and overexposure to treatments?
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The ob/gyn hospitalistA look at the evidence shows that a program using ob/gyn hospitalists makes sense for many facilities and may improve outcomes.
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Home birth: The obstetrician's ethical responseThe professional responsibility model of obstetric ethics provides a powerful antidote to maternal rights-based reductionism.
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Home birth: The obstetrician's ethical responseThe professional responsibility model of obstetric ethics provides a powerful antidote to maternal rights-based reductionism.
