Obstetrics

A new option gives old obs a new life and second career. A new model of ob care offers a chance for today’s older physicians who are highly experienced and motivated to alter their career paths and avoid “forced” retirement from ob by becoming ob/gyn hospitalists.

A study looks at the impact of failed ART on the cardiovascular health of women. Plus: Does a pregnancy near the time of breast cancer lead to worse outcomes. Also, a look at how many women may have little to no access to fertility services.

EPF diagnosis can cause harm, so 100% specificity is the goal.

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.

A study examines whether postpartum depression is on the decline. Plus: Are women who develop preeclampsia at greater risk of cardiovascular disease than those who didn't? Also, a look at the impact of severe nutrition deficiency in pregnancy on the development of mental health disorders in offspring.

The risks of administering ACS at late term and term remain unknown, says this MFM specialist.

Preconception care is primary prevention. The goal is to affirm pregnancy intention, reduce any potential harm, and recognize modifiable risk factors related to pregnancy while stratifying pregnancies on a continuum of low- to high-risk.

A large study reaffirms that mothers with endometriosis and their babies face more complications than those without the condition.

It's never appropriate in pregnancy, says our editor in chief.

Susan C Olmstead and Yalda Afshar, MD, PhD, discuss birth plans and whether there is a place for them.

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

Researchers in Japan have found that endometriosis ups risks of certain complications.

Editorial Director Susan C. Olmstead talks with blogger Yalda Afshar, MD, of UCLA, about how she helps patients who want to develop birth plans.

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.

A study looks at whether receiving the Tdap vaccine in pregnancy increases the risk of microcephaly. Plus: Are younger or older women more at risk of stroke during pregnancy?

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.

Women with endometriosis who have become pregnant through use of assisted reproductive technology may face increased rates of pregnancy complications.

Trophoblast retrieval and isolation from the cervix (TRIC) may one day lead to early identification of fetal genetic disorders.

A 34-year-old Ohio woman was under the care of her longtime family physician, who had minor privileges to deliver uncomplicated pregnancies at a specific hospital, for her pregnancy. The woman is diagnosed with eclampsia in her third trimester and is immediately given a cesarean. After delivery, she is unresponsive having died from a massive intracranial hemorrhage. The physician is sued for fraudulently representing her abilities in obstetric care. What's the verdict?

Patients remember how you respond to adverse pregnancy outcomes such as stillbirth and fetal loss.

For Contemporary OB/GYN, Dr Bobby Lazzara looks at the recent spindle nuclear transfer performed in Mexico which resulted in a child, the first one created with genetic material from 3 adults, and examines the possible implications.

Researchers looked at time to catheter expulsion and time to delivery.

A study in Israel compared mothers older and younger than 35.

A look at the frameworks for decision-making regarding reproductive choice and prenatal testing.

Changes to practice guidelines and insurance coverage are needed, the authors say.