Gynecology

Use of simulation technology for training on labor and delivery is increasing and studies show it can help reduce complications such as perineal lacerations and brachial plexus injury.

Innovation is a major component of gynecologic surgery and surgeons at all levels play a role in progressing the specialty

An ob/gyn shares her experience with implementing enhanced recovery after surgery (ERAS) and its effect on patient care at her institution

Results of a recent extended study of prolapse surgery  showed that in 60% of women, two common procedures failed within 5 years, but patients still reported a higher quality of life than before the surgery. Plus: ACOG has released a revised Committee Opinion to emphasize the idea of the “fourth trimester” in an attempt to reduce maternal morbidity and mortality numbers. Also: A recent study suggests that entering menopause later in life may be associated with a small boost in memory performance years later.

A woman sues after a surgical needle was accidentally left in the patient during a vaginal prolapse surgery. Plus more cases.

Recent studies suggest that a progestin-induced withdrawal bleed may reduce conception and live birth rates in women undergoing ovulation induction with clomiphene citrate.

Total vaginal hysterectomy was found to be associated with better postoperative clinical outcomes and lower hospital costs compared to either total abdominal or robotic laparoscopic hysterectomy, according to the results of a retrospective study presented at the 46th AAGL Global Congress on Minimally Invasive Gynecology.

When it comes to robotic surgical dexterity, gynecologic oncology ranks higher than other disciplines, according to the results of a crowd-sourced assessment of technical skills presented at the 46th AAGL Global Congress on Minimally Invasive Gynecology.

While most clinicians remove vaginal mesh through the vagina, employing laparoscopy is feasible and safe, especially when there is limited visualization through the vagina, according to a case series presented at the 46th AAGL Global Congress on Minimally Invasive Gynecology.

New interim guidance from The Centers for Disease Control and Prevention (CDC) emphasizes the need for standard screening and monitoring of infants with possible congenital Zika virus infection plus hearing screening and specific testing and evaluation in three clinical scenarios. Plus: Are at-risk women commonly tested for rectal gonorrhea, chlamydia? Also: According to a study, ovarian cancer may originate in fallopian tubes.

An Austrian study highlights the need for ob/gyns to counsel breast cancer survivors about sexual health issues, even years after their treatment for the disease

Although still experimental and expensive, 3D printed models have potential for use in preoperative planning in some settings.

This article addresses common errors that lead to litigation involving ob/gyn ultrasound, with options to reduce ultrasound-related litigation.

Office hysteroscopy (OH) remains a valuable but underutilized tool in evaluation and treatment of abnormal uterine bleeding. Fostering a clinic environment in which patients have access to a “one-stop shopping” experience has benefits for both them and the gynecologist. as well as the medical system.

2017 is an incredibly exciting time for reproductive biotechnology that is going to greatly improve patient care.

Several advances in ovarian biotechnology may accelerate ovarian stimulation research.

One study looks at whether or not women with histories of breast or ovarian cancer are receiving necessary genetic testing. Plus: Can in-office hysteroscopy reliably evaluate uterine pathology? Also, researchers say mammographic density changes should be monitored in patients undergoing hormone therapy as a possible indicator of breast cancer.

Hysterectomy is the most common nonobstetric surgical procedure performed on women, with 1 out of 9 women undergoing it in their lifetime. Recent reports have indicated a sharp decline in the number of hysterectomies performed annually in the United States.

When the head of a Kansas woman's baby did not descend easily, the nurse-midwife managing the labor sought an obstetrician’s intervention. The obstetrician used forceps to assist the delivery. The parents sued the obstetrician after the delivery alleging the infant suffered a skull fracture, lacerated ear, bruising around his scalp, and bleeding in the brain as a result of the forceps. What's the verdict? Plus more cases.

Physiologic changes during pregnancy affect the body’s hormonal milieu as well as a woman’s sexual desires, responses, and practices. In this review, we discuss knowledge gaps, the physiology of the female sexual response during pregnancy, types of sexual activity during pregnancy, and existing literature on anatomic and physiologic changes by trimester and postpartum.

Early imaging is key to detecting anomalies, some of which are unique to multiple gestations and some that also occur with singletons. Any anomaly that occurs in singletons can occur in 1 fetus in a multifetal pregnancy.

Contemporary OB/GYN congratulates Founding Editor John T. Queenan, MD, on the lifetime achievement award presented to him at the 9th Philadelphia Prenatal Conference. Held June 8 to 10 in the city for which it was named, the event was jointly sponsored by the American College of Obstetricians and Gynecologists and the Philadelphia Prenatal Diagnosis Institute/The Philadelphia pregnancy, Genetics and Ultrasound Center.

Studies have shown that 1 in 5 women who consult their doctor for heavy or prolonged bleeding during their periods actually have an underlying bleeding disorder.

Like much of medicine, ultrasound diagnosis of fetal anomalies is both a science and an art. Part 1 of this article will detail, within the text and with images, the anomalies that should not be missed when performing ultrasound during the first and second trimesters of pregnancy.

A collection of ultrasounds showing fetal anomalies during the first trimester of pregnancy.

A collection of ultrasounds for fetal anomalies in abdominal structures, genitourinary structures, spine, and extremities.

A collection of ultrasounds showing fetal anomalies in the brain/skull, face, neck, chest, and heart.

A California woman was 35-years-old when she delivered an infant with severe Down's syndrome and then sued all those involved with the prenatal care and alleged that both physicians were told the parents wanted all available testing because of a family history of birth defects. What's the verdict? Plus more cases.

Case rests on physician’s ability to inspire confidence in choices made in the OR.