Properly timing subsequent pregnancies is important for both mothers and babies. It’s often accomplished with postpartum contraception, which may be out of reach for low-income women. A recent study in Obstetrics & Gynecology looked at how prescription of postpartum contraception through publicly funded programs affects the interval between pregnancies.
An ob/gyn neglects to follow a molar pregnancy to its conclusion and the patient develops choriocarcinoma. A jury found in favor of the plaintiff.
In his August 2013 editorial, editor in chief Dr. Charles Lockwood discusses recent findings that obese women have a higher risk of extremely early preterm delivery.
A commentary on some of the best research in this field published in the past year
Obstetricians often see pregnant patients with psychiatric disorders, the most common being depression. Treatment includes both nonpharmacologic and pharmacologic options. This article focuses on use of selective serotonin reputake inhibitors (SSRIs), the drugs most often used to treat depression in pregnancy.
Your guide to determining appropriate candidates and appropriate routes of hysterectomy for benign gynecologic conditions
Retinoids may have some effect on regression of certain grades of cervical intraepithelial neoplasia (CIN) but do not prevent disease progression.
What is your diagnosis based on these images?
Women with a history of cancer are nearly twice as likely to experience severe menopausal symptoms, according to the results of a new study.
A therapy for Down syndrome may be just around the corner, thanks to scientists’ success in altering a genetic fault in isolated cells that ultimately leads to the condition, according to new study findings in Nature.
Incidence of gastroschisis among newborns appears to be on the rise, with the proportion of babies born with the rare defect almost doubling since 1995, new research shows.
When it comes to securing and protecting patient health information, physician practices with fewer than 50 providers fared the worst in a recent audit by the U.S. Department of Health and Human Services’ Office for Civil Rights (OCR).
Research shows that vaccinating all teens-both boys and girls--results in an enormous reduction in HPV-related infections. Why aren't we doing it in the United States?
This middle-aged woman has a history of dysmenorrhea. What is your diagnosis based on these images?
After minimally invasive laparoscopic surgery, gum chewing has beneficial effects on bowel motility when used as an adjunct treatment in postoperative care, according to the results of a randomized controlled trial.
Despite new screening guidelines, most obstetrician-gynecologists continue to perform annual pap tests, according to a recent survey of members of the American Congress of Obstetricians and Gynecologists (ACOG).
The common practice of clamping an umbilical cord within a minute of birth to reduce the possibility of maternal hemorrhaging may need to be revised, according to a new paper published in The Cochrane Database of Systematic Reviews. The study authors searched the Cochrane Pregnancy and Childbirth Group’s Trials Register to find 15 trials involving a total of 3911 mother and infant pairs. The risk of bias in the trials was considered by the paper’s authors to be moderate in nature.
If women are prediabetic when giving birth, they may find it difficult to make enough breast milk to feed their newborns, according to new research from Cincinnati Children's Hospital Medical Center and the University of California, Davis. The findings show that insulin dysregulation can negatively impact milk supply.
With the October 1, 2014, deadline looming, many physicians are still struggling to get started in their adoption of the International Classification of Diseases, Tenth Revision (ICD-10).
These beautiful and often other-worldly photographs by pathologist Ed Uthman, MD, show both benign and malignant ovarian pathology.
Prevention of maternal influenza during pregnancy may reduce the risk of bipolar disorder, suggest new study findings published in JAMA Psychiatry.
Forty-two percent of physicians say they are ‘dissatisfied’ or ‘very dissatisfied’ in their medical practices, and 59% say they are unlikely to encourage a young person to go into medicine.
The current treatment of mild gestational diabetes mellitus results in fewer cases of preeclampsia, shoulder dystocia, and macrosomia but seems to have no effect on neonatal hypoglycemia or future poor metabolic outcomes, concluded a systematic review and meta-analysis.
After rising steadily for nearly a decade, the rate of cesarean deliveries appears to have stabilized, according to a new report (www.cdc.gov/nchs/data/databriefs/db124.pdf) from the National Center for Health Statistics. New guidelines and policies encouraging longer gestations have led to a trend of cesarean deliveries occurring more frequently at 39 weeks than at 38 weeks.
Use of cell-free DNA (cfDNA) testing at 10 weeks’ gestation to routinely screen for trisomies 21, 18, and 13 is achievable and it yields lower false-positive rates compared with combined testing. The downside, however, is that abnormal results must be validated by chorionic villus sampling (CVS), according to new research in the journal Ultrasound in Obstetrics & Gynecology.
FDA has approved low-dose paroxetine capsules (Brisdelle, Noven Pharmaceuticals), 7.5 mg/day, for treatment of moderate to severe vasomotor symptoms (VMS) associated with menopause, also referred to as hot flashes and night sweats.
The duty to nonmaleficence suggests that it might be most ethical to deny patients when what they want presents too much risk, and too little benefit--even at the expense of respecting their autonomy.
While long-acting beta2-agonists (LABAs) and low to moderate doses of inhaled corticosteroids for asthma in pregnancy were not associated with an increased prevalence of adverse perinatal outcomes in a recent cohort study, there was a slight trend toward increased prevalence of low birthweight, premature birth, and small for gestational age infants when mothers were exposed to inhaled corticosteroids at high doses.
