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It goes without saying that expedient recognition of a rare condition, in and of itself, does not necessarily guarantee a favorable outcome. In situations where a physician exercises questionable judgment and the outcome is less than favorable, however, the door is open for second-guessers and an increased potential for litigation.

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The latest in medical products for obstetrics and gynecology.

The authors say that this formula-which focuses on the size of both the baby and the mother-allows obstetricians to determine which women are at greatest risk for shoulder dystocia with permanent brachial plexus injury.

Most studies suggest that certain oral hypoglycemic agents can be safely used in pregnancy. If patients are unable to commit to or be adherent to insulin therapy, oral glyburide may be an appropriate alternative.