Glyburide as effective as insulin for gestational diabetes
October 1st 2005Glyburide is as effective as insulin for women with gestational diabetes mellitus and a fasting plasma glucose of 140 mg/dL or less on a 3-hour glucose tolerance test, according to a 4-year retrospective study of a large and diverse managed-care population.
How is medical technology affecting your practice?
September 15th 2005Ob/gyns rely on medical technology every day to care for their patients. But are you using the same devices as other ob/gyns across the country? A survey commissioned by Contemporary OB/GYN lets you see how you stack up with your colleagues in adopting these tools.
Grand Rounds: Will active management of obstetric risk lower C/S rates?
September 1st 2005Can a radical approach that's counter to conventional wisdom cut climbing cesarean rates by inducing labor in patients with risk—before their risk becomes an indication for C/S? It's certainly controversial—but it just might be right!
Grand Rounds: Will active management of obstetric risk lower C/S rates?
September 1st 2005Can a radical approach that's counter to conventional wisdom cut climbing cesarean rates by inducing labor in patients with risk—before their risk becomes an indication for C/S? It's certainly controversial—but it just might be right!
The latest contraceptive option: The single-rod implant
September 1st 2005A new option for long-term contraception is coming soon. Here are the pros and cons on Implanon—an implant that doesn't get into breast milk nor diminish bone mineral density—but can cause irregular and unpredictable bleeding patterns.
Sign Out: The National Children's Study: A new window on child health
September 1st 2005Ob/gyns often ask me vague questions about "that large study at NICHD." They want to know if it will be like the old "Collaborative Perinatal Project." Have we chosen the sites? How can they participate? Clearly many physicians and health-care providers either have never heard of the National Children's Study (NCS) or do not know much about it. I hope this column will help change that so the National Institute of Child Health and Human Development (NICHD) can have all the support we need to successfully launch this study. And I welcome your participation in this landmark research endeavor.
Aspirin may prevent heart attacks, but probably not cancer
September 1st 2005While low-dose aspirin may help prevent heart disease, a randomized, placebo-controlled study of almost 40,000 women finds that alternate day use of 100 mg aspirin for an average of 10 years does not lower the risk of total, breast, or colorectal cancer.
No more inhaled nitric oxide for premature infants?
September 1st 2005Contrary to some previous findings, inhaled nitric oxide therapy does not reduce the risk of death or further lung problems in premature infants weighing less than 1,500 g and should not be administered to this population, according to a study by the National Institute of Child Health and Human Development of the National Institutes of Health. However, a separate prospective, longitudinal study of similarly sick and premature infants found that those treated with nitric oxide at birth had improved neurodevelopmental outcomes at 2 years of age.
Treatment of gestational diabetes reduces perinatal morbidity
August 1st 2005Women with gestational diabetes who receive dietary advice, blood glucose monitoring, and insulin therapy as needed experience significantly fewer serious perinatal complications and seem to have a higher health-related quality of life than women who receive routine care; however, more of them have their labor induced and more of their infants are admitted to the neonatal nursery.
Treatment of gestational diabetes reduces perinatal morbidity
August 1st 2005Women with gestational diabetes who receive dietary advice, blood glucose monitoring, and insulin therapy as needed experience significantly fewer serious perinatal complications and seem to have a higher health-related quality of life than women who receive routine care; however, more of them have their labor induced and more of their infants are admitted to the neonatal nursery.