Legally Speaking: A mistreated hemorrhage ends in maternal death
September 1st 2006When a physician is pulled into a patient's care at the tail end of her management, the repercussions can be negative for both patient and doctor. The patient may suffer because the physician is ignorant of prior diagnoses and treatment, and the doctor may face legal repercussions of being drawn into a situation already gone awry.
Study shows how professional liability issues affect ob/gyn practice partners
September 1st 2006A recent study in Obstetrics & Gynecology (06/2006) looked at how practice patterns have changed among Washington state obstetric providers from 2002 to 2004-including how liability issues have affected their practices.
The case for treating mild hyperthyroidism
September 1st 2006Ob/gyns are increasingly being called upon to manage subclinical thyroid disease. In this concluding article of a two-part series, two experts clarify the controversy over when to treat mild hyperthyroidism. Do treat a mildly overactive thyroid in elderly patients, they say, because low bone density and cardiac abnormalities can do substantial harm.
Grand Rounds: Unmasking the many faces of maternal and fetal thrombocytopenia
September 1st 2006Although most cases of mild-to-moderate maternal disease are caused by gestational thrombocytopenia and rarely cause problems, the OB is obliged to rule out more serious causes. And for far-less-common fetal disease, these experts help you differentiate the potentially life-threatening fetal alloimmune thrombocytopenia from a benign drop in platelet count.
Infertility patients keep getting younger
September 1st 2006While fertility treatments have traditionally been aimed at women in their late 30s and 40s, an increasing number of infertility patients are in their 20s, college educated and aware that they are in their prime years to conceive. Many of these young women are reportedly seeking medical help after trying to conceive for just a few months.
Not all women benefit from access to contraceptives and abortions
September 1st 2006A recent report from the Guttmacher Institute has found a "reproductive health gap between poor women and higher-income women." According to the report, unplanned pregnancy rates for poor women have risen 29% since 1994, while the rates for higher-income women dropped 20%-this, despite greater access to contraceptives and legal abortions over the past three decades. Income also seems to have an influence over the timing of abortions: Lower-income women take up to 3 weeks longer than higher-income women to obtain an abortion-a delay that could put poorer women at greater risk.
Do federally funded programs provide misleading abortion info?
September 1st 2006It seems so according to a report from tje office of U.S. Rep. Henry Waxman, D-Calif. The report notes that crisis pregnancy centers that are federally funded receive monies funneled through the abstinence-only-until-marriage program. It also found that 87% of these centers provided "false and misleading information about the physical and mental health effects of abortion and exaggerated the medical risks of abortion," reported the American College of Obstetricians and Gynecologists government relations newsletter Inside Scoop (07/21/2006).
CEE doesn't increase Br Ca risk in women without a uterus
September 1st 2006Long-term treatment with conjugated equine estrogens (CEE) does not increase the risk of breast cancer in postmenopausal women who have had a prior hysterectomy, but it may increase the likelihood that mammographic screening results would require short-interval follow-up, according to the latest data from the Women's Health Initiative Estrogen-Alone trial.