March 17th 2023
For preterm infants, clinical outcomes from microbial mechanisms are not affected by a diet of only human milk compared to bovine milk formulas or fortifiers.
Electrofulguration for low-grade CIN lesions
April 1st 2005An improved version of this long-standing technique is back in favor and once again yielding impressive cure rates. Two experts give step-by-step guidelines for an easy-to-perform ablative alternative for persistent low-grade cervical intraepithelial neoplasia.
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Direct pharmacy access to EC does not increase use
April 1st 2005The ability to obtain emergency contraception (EC) directly from a pharmacist does not mean women would be more inclined to use it than if they only had access through a clinic, according to a randomized, controlled trial of over 2,000 women.
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Infections in very LBW infants stunt neurodevelopment and growth
April 1st 2005In what is perhaps the largest study to date to evaluate the impact of neonatal infection on adverse outcomes in early childhood, researchers have found that neonatal infections among extremely low-birthweight (ELBW) infants are associated with serious adverse neurodevelopmental and growth outcomes in early childhood that contribute to long-term disability.
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LSILs almost always regress in young women
March 1st 2005About 91% of low-grade abnormalities on Pap smears in immunocompetent young women regress within 3 years of their finding, and only about 3% progress to high-grade disease, according to a recent cohort study. The findings provide strong support for the position that subjecting all young women with low-grade squamous intraepithelial lesions (LSIL) to colposcopy is unwarranted.
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Celiac disease: not as rare as previously thought
January 1st 2005Celiac disease-once believed to be rare-actually affects up to 1% of the US population. So underdiagnosed is the problem that the National Institutes of Health convened a consensus panel, which recently announced recommendations for appropriate diagnosis and management of the disease.
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Cesarean delivery (Part 3): Is it time to embrace elective procedures?
December 1st 2004In June 2000, I arrived a few minutes late to the American College of Obstetricians and Gynecologists' headquarters for a meeting of the Committee on Obstetric Practice. As Chair, I was used to dealing with political hot potatoes, but that day, I was handed a real sizzler. Earlier that morning, then ACOG president, Benjamin Harer, MD, speaking for himself and not the College, had seemingly endorsed "elective" cesarean deliveries (CD) in an interview with Diane Sawyer on "Good Morning America." After watching an excerpt of the interview in which Dr. Harer debated a non-physician advocate of home VBACs attended by midwives, I was struck by the logic of his arguments and his grace under fire. Yet it fell to my committee to restate ACOG's official position against such surgeries, which we did in a press release
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Grand Rounds: What's the best approach to spontaneous premature ovarian failure?
November 1st 2004Learning that she has what used to be called premature menopause can devastate a woman in her 20s or 30s. Diagnose this mysterious condition without delay, deliver the bad news in person, and provide sensitiveanswers to four basic questions.
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Offering breastfeeding mothers advice on contraception
Ob/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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Editorial: Why the CD rate is on the rise (Part 1)
October 1st 2004Ob/gyns with even a little gray hair have witnessed an extraordinary evolution in our collective thinking about cesarean delivery (CD) over the past three decades. I believe that a variety of factors are behind high CD rates in the United States, and that continued increases are inevitable.
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U/S Clinics: Diagnosing and managing mild fetal cerebral ventriculomegaly
September 1st 2004Thanks to advances in U/S technology, clinicians can now detect ventricular enlargement in its earliest stages. Unfortunately, a few fetuses with borderline ventriculomegaly still have chromosomal or structural malformations.
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Preventing perineal lacerations during labor
September 1st 2004Using a technique called super crowning, avoiding episiotomy, and reaching for a vacuum device rather than forceps during operative vaginal deliveries are among the strategies that can help reduce the number of third- and fourth-degree lacerations.
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