A patient presents to a hospital with onset of contraction and spontaneous rupture of the fetal membranes. The rupture revealed clear amniotic fluid. The resident evaluating the patient noted that her cervix was 3 cm dilated and 70% effaced, and the fetus was at -2 station and in vertex position. The patient was placed on oxytocin and was 6 cm to 7 cm dilated within 90 minutes.
A large clinical trial (JUPITER) demonstrated efficacy of a statin in primary prevention of cardiovascular events in menopausal women. Understand the appropriate circumstances by which ob/gyns should prescribe statins for women.
Ovarian cancer is the "silent killer," causing more deaths in the United States than all other gynecologic malignancies combined. This article focuses on the recent debate or whether or when patients with advanced disease should undergo debulking surgery.
From the Annual Conference of the European Society of Human Reproduction and Embryology in Rome
From the Annual Conference of the European Society of Human Reproduction and Embryology in Rome
From the Annual Conference of the European Society of Human Reproduction and Embryology in Rome
From the Annual Conference of the European Society of Human Reproduction and Embryology in Rome
A 19-year-old patient (gravida 2, para 1) at 12 weeks' gestation had a preterm birth at 23 weeks in her last pregnancy. Delivery was preceded by spontaneous rupture of the membranes and a brief time of irregular contractions. Certain information would assist in determining whether cervical insufficiency was part of her pregnancy outcome.
A 44-year-old woman underwent an uneventful abdominal supracervical hysterectomy. Sponge and needle counts were reported as correct on multiple occasions during surgery. On postoperative day 2, the patients reported abdominal pain and mild abdominal distention. Despite conservative measures taken, the pain and distention did not resolve. On postoperative day 4, she was vomiting and her abdomen appeared further distended. An X-ray revealed an intra-abdominal laparatomy pad and small bowel obstruction.
In 2007, 31.8% of deliveries in the United States were accomplished by cesarean delivery, with more than 1,370,000 women undergoing the procedure. This marks a 2% increase over 2006 and a more than 50% increase since 1996. This figure is not accounted for by repeat procedures only.
A 41-year-old Georgia woman underwent a laparascopic hysterectomy, which included removal of some endometrioisis implants.
Total waste to the healthcare system that is related to medication-related patient behaviors is approximately $163 billion annually, a new Drug Trend Report notes.
In March, the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) convened a consensus conference on vaginal birth after cesarean (VBAC). Various experts described what is known and not known about the safety of trials of labor after prior cesarean delivery.
A 29-year-old woman from Illinois had a cesarean delivery in 2004. A laparatomy sponge was left behind in her abdomen but was not diagnosed until 7 months later when a surgeon examined her for what was thought to be a stitch abscess.
A physician survey finds that two-thirds of obstetricians approve of trying for another pregnancy less than 6 months following a perinatal loss.
The patient, a then 34-year-old gravida 1, para 0, was admitted to the defendant hospital on May 8 under the care of defendant ob/gyn "A." Her blood pressure on admission was 150/90 mmHg (up from 140/90 mmHg at the o ce that morning), and she was past her expected delivery date,April 30. Prenatal records were signi cant for an anatomic ultrasound re ecting a partial placenta previa.
Medication adherence is obviously an important determinant to the success of treating many chronic diseases, just as poor adherence can lead to negative outcomes.
Cesarean hysterectomy and postpartum hysterectomy are commonly performed emergently for severe uterine hemorrhage that is unresponsive to conservative therapies. These procedures differ in timing. Cesarean hysterectomy is performed immediately after a cesarean delivery for severe hemorrhage or, less commonly, as a planned procedure to treat preexisting gynecologic disease. Postpartum hysterectomy is performed after a vaginal delivery for delayed hemorrhage or infectious complications.
A case-management program that is part of the National Breast and Cervical Cancer Early Detection Program (BCCEDP) has had a positive effect on the timeliness of care in women with an abnormal mammogram, according to a new report.
Data on hormone therapy (HT) for treating menopause-related symptoms and preventing disease in postmenopausal women are evolving rapidly. To guide therapy and to put the risks and benefits of HT, estrogen therapy (ET), or combined estrogen-progestogen therapy (EPT) in perspective for healthcare professionals and the public, the North American Menopause Society (NAMS) has updated its evidence-based 2008 statement in light of subsequently published scientific data.
It's important to understand that most positive associations between inherited thrombophilias and adverse pregnancy outcomes were derived from small case-control studies subject to selection and ascertainment biases.
President Obama has announced a new report to identify and recover past Medicare overpayments by expanding Medicare payment recapture audits.
Brachial plexus injury in newborns is commonly ascribed to the occurrence of head rotation with entrapment of the shoulders and subsequent downward traction by the accoucheur on the fetal head, resulting in avulsion of the brachial plexus nerve roots with permanent paralysis. In brachial plexus injury cases, plaintiff attorneys usually contend that damage to the brachial plexus is always caused by negligence of the birth attendant. However, a review of current literature reveals evidence that additional etiologies may underpin brachial plexus injury and raises questions regarding the level of responsibility of the birth attendant in connection with the injury.
Approximately one-quarter of all nonpregnant women older than age 20 report having at least 1 pelvic floor disorder; most of these women also have vitamin D levels below 30 ng/mL, according to new NHANES findings.
Compared with fertile women, women who become pregnant with a single fetus after in vitro fertilization (IVF) or intracytoplasmic sperm injection (ICSI) are more than 4 times as likely to experience stillbirth, according to findings from a Denmark study.
A study involving 77 women with early stage breast cancer who underwent Oncotype DX, a genomic test that provides recurrence risk estimates to help plan adjuvant treatment, found that about one-third of patients did not fully understand subsequent discussions about their test results.
BlueCross BlueShield of North Carolina has launched program to reward primary-care physicians who meet specific quality standards by increasing payment rates by as much as a double-digit percentage.
Nearly one-third (32%) of all births were cesarean deliveries in 2007, which is the highest rate ever reported in the United States.
Women who stick with a Mediterranean-type diet that includes ample amounts of vegetables, vegetable oils, and fish may better their chances of pregnancy following infertility treatment, new research indicates.