Gynecology

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.

Pelvic organ prolapse is a very prevalent condition, affecting up to half of all women over 50 years old. Biological grafts may be useful in certain patients but long-term trials are needed to guide their proper use.

A collegial debate on robotic versus laparoscopic hysterectomy highlighted the difficulties in researching the efficacy of robotics and whether it had a place in gynecologic surgery.

Von Willebrand disease (VWD) is the most common inherited bleeding disorder. Approximately 90% of women being treated at hemophilia centers in the United States carry the diagnosis of VWD. Because women experience the hemostatic bleeding challenges of menstruation and childbirth, they are disproportionately affected by VWD.

A woman sues her ob/gyn claiming that 3 miscarriages occurred because of an IUD that the ob/gyn believed had been expelled shortly after implantation, but was subsequently found using abdominal x-ray. Plus more cases.

Dr Greenberg reports his thoughts on the Sureglide device and preventing lacerations during cesarean, Überlube and helping women with vaginal dryness and dyspareunia, and TruClear ULTRA Mini tissue removal device for mechanical morcellation.

A study looks at who is being tested for BRCA mutations as testing becomes more common. Also, a look at the impact of Zika virus on birth defects using benchmark data. Plus: How is the United States doing with infant mortality?

Give this to your patients who have questions about the role of ultrasound with cfDNA.

The society's recommendations for women who are undergoing both ultrasound and cfDNA screening.

Can adopting quality measures decrease the cesarean rate? Plus: The Government Accountability Office issues a report on power morcellators and the FDA's system of evaluation. Also, does the volume of one type of heart fat indicate the risk of heart disease?

The data, say the authors, support counseling post-reproductive women undergoing hysterectomy about the risks and benefits of retaining their fallopian tubes.

An analysis looks at the impact of diet on bone mineral density. Also, an examination of which antidepressants in pregnancy may increase the risk of birth defects. Plus: Is the mortality rate of cervical cancer underestimated?

This supplement will review the technology, data and clinical experiences using the MyoSure® Hysteroscopic Tissue Removal System (Myosure Tissue Removal System).

With incidence of this birth defect on the rise, ob/gyns need to understand how best to spot and deal with it.

67% 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.

Fibroids 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.

Find out how to do the Z technique in ultrasound while looking for an IUD.

The 2016 Annual Global Congress for ACOG featured new insights, lively debates, and more. Here's a sample of what the Contemporary OB/GYN staff overheard during the meeting.

2016 was a year of change and new challenges. Find out what the top news stories of 2016 were.

A Phase II study examines the efficacy of a urine-based test in screening for cervical cancer. Also, a study looks at whether cost is the reason why some patients do not adhere to breast cancer medications.

The 25th annual Ultrasound Update for Clinical Practice program took place December 1–4 in Fort Lauderdale, Florida. The meeting was dedicated to Drs John Hobbins, Ilan Timor, and Stuart Campbell, well-known figures in ultrasound who are all celebrating their 80th birthdays.