SPOTLIGHT -
News: Health-care workers don't know how much blood to collect
An anonymous survey of 360 health-care employees working at an urban tertiary care facility reveals that the vast majority have no idea that at least 10 mL of blood per culture is necessary for an optimal yeild of organisms.
News: Puerperal psychosis rears its ugly head
Almost three quarters of women who develop puerperal psychosis (PP) experience hypomanic symptoms by 3 days postpartum.
News: Why do women elect C/S?
While about half of first-time mothers requesting elective cesarean section have a clinically significant fear of childbirth, the other half just have more negative expectations of a vaginal delivery.
News: The better to see you with: Improving screening for breast Ca
While film mammography remains the gold standard for breast cancer screening, new mammographic techniques and modalities are promising to improve sensitivity and specificity.
New Products: Developing Baby
Book charts fetal growth throughout pregnancy via 2D and 3D U/S
Legal: Ureter injury after hysterectomy
Ureter injury after hysterectomy
Legal: Failure to obtain ob backup alleged
Failure to obtain ob backup alleged
Legal: Failure to timely inform physician of changes on FHR strip
Failure to timely inform physician of changes on FHR strip
Legal: Would earlier C/S have prevented brain damage?
Would earlier C/S have prevented brain damage?
News: Would you report a medical error?
In a survey of faculty and resident physicians at three teaching hospitals, researchers found that 92% of 338 respondents would report a hypothetical error it it resulted in major harm.
Legal: Alleged negligent management of nonreassuring FHR
Alleged negligent management of nonreassuring FHR
New Products: Avalon FM40 and FM50
Fetal-maternal monitors with optional external touch-screen display
New Products: Harvey Stirrups
Boot-like stirrups help convert exam table into procedure tables.
Menopause medicine: Resolving three treatment dilemmas in older women.
Should hormone therapy be stopped before surgery? Does low libido in women require testosterone testing? The pelvic exam: At what age should it be discontinued?
Legal: Failure to respond to FHR tracing
Failure to respond to FHR tracing
Don't raise false hope or misrepresent the risks of medical care
Phyisicians have to explain the risks of patient care in plain English, without trivializing the dangers or overestimating them. Cautious optimism may be in order but don't soft pedal the threat of complications.
Appendicitis in pregnancy: A guessing game?
Appendicitis in pregnancy should be treated as a surgical emergency. By quickly ruling out cholecystitis or pyelonephritis, surgery can begin before a burst appendix threatens a patient's life.
Legal: Was this hysterectomy unnecessary?
Was this hysterectomy unnecessary?
Legal: Uterine perforation during endometrial ablation
Uterine perforation during endometrial ablation
Legal: Failure to stop oxytocin until FHR deterioration
Failure to stop oxytocin until FHR deterioration
Placenta accreta/increta/percreta: Ways to stop life-threatening bleeding
Placenta accreta, increta, and percreta can threaten or take a pregnant patient's life when massive hemorrhage ensues. Experts give life-saving strategies for such a surgical emergency.
Adhesion prevention and hemostasis in pelvic surgery: New tools
Adhesion barriers and controlling excess bleeding during pelvic surgery are easier than ever-thanks to biotechnology advances.
Medical abortion in the first trimester: Update
Medical abortion update on newer evidence-based regimens of mifepristone and misoprostol compares their effectiveness and side effects to FDA-approved regimen. Patient counseling points are included.
Vaginal microbicides: What does the future hold?
New antimicrobial agents that hold promise against HIV and other sexually transmitted diseases are now being tested. Agents include Acidform, BufferGel and dapivirine.
News: Radiopaque clips improve breast Ca outcomes
Placing radiopaque clips in the primary tumor bed in women with breast ca helps to localize the prime tumor site.
New Products: Etravirine (Intelence)
The latest in medical products for obstetrics and gynecology.
News: Mastectomy procedure succeeds in preserving nipple
Total skin-sparing mastectomy (TSSM) is an option for some women with breast cancer.
New Products: ProSound 3500SX
News: More evidence linking caffeine to miscarriage
Caffeine intake increases the risk of miscarriage.
News: Modified TVUS accurately diagnoses deep endometriosis
A slightly modified way of performing transvaginal ultrasonography (TVUS) diagnoses deep endometriosis.