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In this protocol, Dr. Hankins reviews the pathophysiology, diagnosis, and management of external cephalic version. Included are step-by-step guidelines for performing the procedure with illustrations of the maneuvers required for successful cephalic version with 2 operators or 1. As the author notes, careful assessment of fetal presentation in the third trimester is important. Otherwise, patients may be deprived of the option of external cephalic version to decrease the risk of cesarean delivery. Before the procedure, fetal well-being and the presence of any contraindications should be ascertained. Informed consent and counseling with regard to the likelihood of success of the procedure should be performed. Post-version assessment for fetal presentation on subsequent encounters is vital in these patients.

In this protocol, Dr. Hankins reviews the pathophysiology, diagnosis, and management of external cephalic version. Included are step-by-step guidelines for performing the procedure with illustrations of the maneuvers required for successful cephalic version with 2 operators or 1. As the author notes, careful assessment of fetal presentation in the third trimester is important. Otherwise, patients may be deprived of the option of external cephalic version to decrease the risk of cesarean delivery. Before the procedure, fetal well-being and the presence of any contraindications should be ascertained. Informed consent and counseling with regard to the likelihood of success of the procedure should be performed. Post-version assessment for fetal presentation on subsequent encounters is vital in these patients.

Traditionally, transvaginal cerclage placed during the first or early second trimester has been a common treatment for cervical incompetence. Unfortunately, in about 13% of women with cervical incompetence, the transvagincal approach to cerclage will not work.

Letters discuss the many issues surrounding compounding pharmacy and 17P with a response from the Joe Cabaliero and cancer biomarkers

Simulation training can prepare an obstetrical team for emergencies and provide a way to effectively review performance.

Emerging information on the link between ovarian cancer and endometriosis gives us an unprecedented opportunity to develop comprehensive screening plans for early detection and prevention of specific types of ovarian cancer.

The debate over Makena vs. 17p in the prevention of preterm birth continues. What do you prescribe?

Commercial fetal DNA tests, or noninvasive prenatal diagnosis (NIPD) tests, are here. Are we ready for the legal and ethical implications?

Nonpharmacologic treatment for urinary incontinence can result in significant benefit, making up to 100% difference in continence rates, with no adverse effects, according to a review by the Agency for Healthcare Research and Quality.

FDA has issued a warning to healthcare professionals that exposure to a contaminated generic ultrasound gel may result in bacterial infection.

Methods used during closing after a cesarean section affect intra-abdominal adhesions, according to a new study published in American Journal of Obstetrics & Gynecology.

Like many of my patients, my life revolves around information. Personally, I use the same technology as most of you to keep track of obligations and loved ones. Professionally, the Houston Fertility Center team uses technology and constant communication to manage our patients' treatment plans. In this era of digital info, we can all feel more empowered, more often, more quickly. It seems like there's always room for more information, doesn't it?

Are you performing a episiotomy on your patients during spontaneous vaginal deliveries?

Our patient is a 30 year old female with a history of mild pain during micturition.

Laparoscopy has been shown to be a safe and effective option for many diverse pelvic organ diseases, but how does the procedure fare during pregnancy? Due to the absence of large, comparative studies in pregnancy, there has been no definitive answer to this question. Now, researchers from Korea have found that laparoscopic surgeries can be safely used in women who are pregnant. Their results have been published in The Australian and New Zealand Journal of Obstetrics and Gynaecology.

Human papillomavirus vaccines provide still some benefit to women who have undergone treatment for HPV-related diseases, according to a new study published in the British Medical Journal.

In patients who need to lower their risk of cardiometabolic disorders, not consuming diet beverages can sometimes lower that risk a bit more.

Using ultrasound or MRI to augment mammography in women with elevated cancer risk and dense breast tissue benefits some patients-but not all.

In addition to the high personal costs to women who have vulvodynia, the disorder imposes a financial burden on the US economy.

Urinary incontinence plagues as many as 17% of women in the United States. Some medications claim to ease the disease burden, but how well do these medications work?

New screening guidelines for the prevention and early detection of cervical cancer are now largely based on the patient’s age, and testing for HPV DNA has now been incorporated into the screening process.

This is an ultrasound scan of the pelvis in 35 year old female patient.

Fatigue, which can plague patients’ years after cancer treatment has ended, may be the result of inflammation. Now, a new study published in the Journal of Clinical Oncology has found that omega-3 may help reduce fatigue associated with inflammation in these patients.

New screening guidelines for the prevention and early detection of cervical cancer are now largely based on the patient’s age and, for the first time, testing for human papillomavirus (HPV) DNA has been incorporated into the screening process.

Research has shown that glucocorticoid administration has a significant beneficial effect for preterm births, as it decreases the incidence of respiratory distress syndrome in infants delivered between 24 weeks and 34 weeks gestation, reduces the incidence of intraventricular hemorrhage, improves circulatory stability in premature infants, reduces the need for oxygen and ventilatory support, and reduces overall neonatal mortality.

IVF has made great strides in assisting women with infertility problems. However, many women believe that achieving pregnancy in their 40s is as simple as going to a fertility clinic.

Women with a history of breast cancer have a one in five chance that the cancer will recur within 10 years of treatment. With that in mind, researchers have developed a blood test that can detect cancer recurrence sooner and with more sensitivity than previous blood tests.

Last week, Choosing Wisely released a list of 45 overused tests and treatments as determined by nine major medical societies.