
A commentary on ACOG Practice Bulletin Number 154: Operative Vaginal Delivery by Charles J Lockwood, MD, MHCM.

A commentary on ACOG Practice Bulletin Number 154: Operative Vaginal Delivery by Charles J Lockwood, MD, MHCM.

Prior to the 1980s, because labor after a previous cesarean delivery was believed to be dangerous, many obstetricians recommended repeat cesareans for all subsequent births to women with a previous such delivery. Since then, TOLAC has been advocated as a reasonable alternative for women with a previous cesarean delivery via a low transverse uterine incision.

A look at how Lean and Six Sigma can help streamline medical practice.

The problems go beyond fetal metabolic programming. Obesity has effects on fetal neurodevelopment.

This forceps-aided rotation can be used when the fetus is occiput posterior and the head is low in the pelvis.

Do sex hormone level changes from ovary removal increase colorectal cancer risk? Plus: The CDC releases the newest information on the birth rate among teenagers. Also, a look at the impact of hyperglycemia and excessive weight gain on offspring.

For Contemporary OB/GYN, Dr Bobby Lazzara explains key findings from a research article published in PLoS One. The research article based on Danish women looked at the long-term financial impact that delaying birth has for the mother.

An ob/gyn saves a patient's life and uterus, but then is faced with a lawsuit.

This debate posed the question: "If no elective inductions before 39 weeks, why not induce everyone at 39 weeks?" The debate looked at the feasibility of induction as well as the safety for mother and baby.

Transgender patients who visit your practice will have needs specific to their desire to transition. This presentation examined how ob/gyns can bring their medical expertise and support to help these patients obtain the best possible outcomes.

The need to keep patients satisfied and provide optimal prenatal care can be stressful. This presentation looked at a new care model that may reduce the stress while providing safe prenatal care to your patients.

Fear of vaccines and potential adverse events isn’t just a problem in the world of pediatrics. This session looked at what can be done to increase acceptance of vaccines that can greatly improve outcomes for mother and baby.

Monoamniotic monochorionic twins pose a particular challenge, with a recent ACOG bulletin stating that cesarean was the safest course of delivery. This session asked whether cesarean delivery was the only option for safe delivery.

Co-testing for human papillomavirus is the recommended screening type, but some physicians may not be testing according to recent guidelines. This session compared ob/gyns to family medicine physicians to see how they stacked up and how well ob/gyns were meeting the guidelines.

Home birth can carry risks, regardless of whether the woman has previously delivered, and prior cesarean delivery can also carry risks. This session examined the risks that can occur among women who choose home birth with a history of at least one cesarean delivery.

Are postpartum readmissions becoming more common than they were in the past? This session examined the current trends and looked at complex reasons behind the trend.

For Contemporary OB/GYN, Dr Bobby Lazzara explains key findings from a special report published in The New England Journal of Medicine. The report looked at the teratogenic element of the Zika virus and whether causality exists.

A new study looks at whether breast density letters are too difficult for the typical woman to understand. Plus: The FDA issues a warning on fluconazole and miscarriage. Also, do irregular menses provide protection against ovarian cancer or increase risk?

Change. It is a concept and a system of livelihood that defines our training. These include changes in the conditions of our patients, in the standard of care, and in the daily workflow. Permutations of change occur on rounds and in the operating room, which is what we learn to expect and accept.

Does a healthy diet reduce the risk of high blood pressure in women who had a history of gestational diabetes? Also, a new meta-analysis indicates that a way to predict preeclampsia may be possible. Plus: A look at the impact of preconception lifestyle on pregnancy loss.

In the past decade, the rate of preterm delivery in the United States has declined 11% from its peak of 12.8% in 2006.

Contemporary OB/GYN readers speak up about exploratory laparotomy, the cesarean epidemic, and the difficulty to re-enter ob.

Interstitial cystitis/bladder pain syndrome (IC/BPS) is now recognized as a common etiology in women with chronic pelvic pain.

A new study looks at whether ovary-sparing hysterectomies can lead to early menopause. Plus: Does betamethasone reduce respiratory complications in preterm infants? Also, the impact of the vaginal microbiome on preterm birth.


You do have some control over what's being said about you on the web.

The Centers for Disease Control and Prevention have declared Zika teratogenic. Also, a look at whether the HPV vaccine is as effective in women with kidney disease. Plus: What impact does cannabis have on adverse outcomes for mom and baby?

Ob/gyns' fear of being sued may be disproportionate to the frequency of malpractice claims.

The Perinatal Quality Foundation's exam tests clinician knowledge of fetal heart rate monitoring technology using simulation.

The FDA approves the first containment system for morcellation. Plus: ASRM provides guidance for Zika virus. And, the impact of HRT timing and its impact on cardiovascular disease.