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Medical errors: Disclosure and apologyOne of the most difficult things a doctor faces is the apology for mistakes. See why it's so important to get the apology right.
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Thromboprophylaxis in pregnancyVenous thromboembolism (VTE), which includes deep vein thrombosis and pulmonary embolism, is one of the most common, serious complications associated with pregnancy.
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Only about half of all breast cancer survivors seek gynecological careFertility myths and declining sexual satisfaction may contribute to shortfalls in contraceptive use after cancer treatment, a new study concludes.
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CME: Asthma in pregnancy: drugs to keep it under controlAsthma during pregnancy can be life-threatening. So counsel patients not to stop taking asthma drugs; most are not harmful to a fetus.
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Beginner’s guide to single-gene testing in gynecologic careGynecologists are faced with a number of hereditary cancer tests. Understanding benefits and limits is key to counseling patients.
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Trichomoniasis updateThe CDC recently updated guidelines for treatment, but this common STI is considered "neglected" by some experts.
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Depression in pregnancy: When doing nothing is not an optionHow do you and your depressed patients walk that fine line between the risks of taking-or not taking-antidepressants during pregnancy? Which drugs or alternate therapies seem safest? An expert cautions that maternal and fetal risks of untreated mental illness-ranging from spontaneous abortion to suicide-may outweigh the risks of antidepressants.
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Depression in pregnancy: When doing nothing is not an optionHow do you and your depressed patients walk that fine line between the risks of taking-or not taking-antidepressants during pregnancy? Which drugs or alternate therapies seem safest? An expert cautions that maternal and fetal risks of untreated mental illness-ranging from spontaneous abortion to suicide-may outweigh the risks of antidepressants.
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Simulation-based team training in obstetric emergenciesSimulation training can prepare an obstetrical team for emergencies and provide a way to effectively review performance.
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Cervical Insufficiency protocolIn this chapter, Dr. Owen reviews the diagnosis or cervical insufficiency; patient selection for history-indicated (prophylactic), physical examination-indicated (Emergent), and ultrasound-indicated (urgent) cerclage; placement and removal of cerclagel and adjunctive therapies.
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Simulation-based team training in obstetric emergenciesSimulation training can prepare an obstetrical team for emergencies and provide a way to effectively review performance.
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Simulation-based team training in obstetric emergenciesSimulation training can prepare an obstetrical team for emergencies and provide a way to effectively review performance.
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Simulation-based team training in obstetric emergenciesSimulation training can prepare an obstetrical team for emergencies and provide a way to effectively review performance.
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Simulation-based team training in obstetric emergenciesSimulation training can prepare an obstetrical team for emergencies and provide a way to effectively review performance.
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The state of gynecologic robotic surgeryThree esteemed surgeons discuss technology, weighing the pros and cons of existing and newly developed platforms.
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Prophylactic laparoscopic abdominal cerclage: Tips for successTraditionally, transvaginal cerclage placed during the first or early second trimester has been a common treatment for cervical incompetence. Unfortunately, in about 13% of women with cervical incompetence, the transvagincal approach to cerclage will not work.
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CME: Asthma in pregnancy: drugs to keep it under controlAsthma during pregnancy can be life-threatening. So counsel patients not to stop taking asthma drugs; most are not harmful to a fetus.
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Epidural fever in pregnancy: Should we be concerned?Epidural anesthesia can elevate a woman's temperature, but what effect does it have on maternal health or pregnancy outcomes?
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Grand Rounds: Is it precocious puberty? Should you refer?True precocious puberty differs from premature adrenarche and premature thelarche. Understanding normal sexual development and these common variants will help ob/gyns make the correct diagnosis and appropriate referrals.
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Evaluation and management of polyhydramniosThis summary of SMFM Consult Series #46 reviews major considerations in evaluation and management of polyhydramnios.
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Are you comfortable prescribing HRT?POLL: How do you compare with your colleagues in your comfort level for prescribing hormone replacement therapy for symptoms of menopause.
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MEDICAL ECONOMICS SPECIAL SECTION: Finding the right office managerThis key staff member could help improve your bottom line or throw a monkey wrench into your operations. Here's how to make the right choice.
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Common criteria prompting genetic referral for hereditary cancer syndromesThere are several features in a woman’s personal or family history that should raise suspicion for potential involvement of an underlying genetic mutation and prompt genetic counseling/testing.
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Update on managing HIV in pregnancyIt's imperative to identify more HIV-infected women earlier in pregnancy through HIV testing and to reduce mother-to-child transmission of the virus that causes AIDS.
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Update on managing HIV in pregnancyIt's imperative to identify more HIV-infected women earlier in pregnancy through HIV testing and to reduce mother-to-child transmission of the virus that causes AIDS.
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Offering breastfeeding mothers advice on contraceptionOb/gyns should ensure that women have the information they need to make an informed decision about breastfeeding. This article addresses the two key concerns that new mothers most express about contraception and breastfeeding.
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Does low blood pressure increase the risk of stillbirth?While most ob/gyns can recite a long list of risk factors for this lethal complication, mounting evidence suggests that maternal hypotension should be taken into account as well.
