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A rare but potentially catastrophic obstetrical complication, placenta accreta is on the increase, given the current trend toward elective repeat C/S. Three experts detail the best approach to management, which begins with antenatal ultrasound diagnosis.

Early diagnosis and treatment could drastically reduce the high medical, psychosocial, and economic costs of chlaymydial infections. So why are screening rates so low--especially in disproportionately affected younger women--and what can we do about it?

Coding and reimbursement for Medicare well-woman screening exams is one of the biggest challenges in ob/gyn coding. You must know whether a patient meets Medicare's criteria for "high risk" or "low risk." This risk factor determines the frequency with which Medicare pays for well-woman care.

March of Dimes updates

The average obstetrician is sued 2.5 times during her/his career. According to the American College of Obstetricians and Gynecologists, approximately 75% of obstetricians have been sued at least once

Endometrial biopsy, vaginal ultrasound, and sonohysteroscopy are among the diagnostic procedures to consider in this patient population. Treatment options must be individualized based on the patient's history and each therapy's benefit/risk profile.

Transvaginal color Doppler sonography has revolutionized morphological evaluation of the ovary, unveiling heretofore small, unseen tumor-feeding vessels. But while ovarian blood flow data can provide insights into tumor pathology, TVS cannot stand alone as a diagnostic tool.

Transvaginal color Doppler sonography has revolutionized morphological evaluation of the ovary, unveiling heretofore small, unseen tumor-feeding vessels. But while ovarian blood flow data can provide insights into tumor pathology, TVS cannot stand alone as a diagnostic tool.

Preparing residents for the type of practices they will have--which can vary considerably--is only logical. Flexibility in training is designed to provide not only a strong foundation in ob/gyn but also the opportunity for specific, individualized education.

When did the fetal neurologic injury occur?

Don't wait until an accident happens to inform your patients about ECs. Using routine office visits to make them aware of this option will significantly reduce the risk of unwanted pregnancy.

What are the guidelines for screening in postmenopausal women?

Altmed for March

Whether the etiology is androgen excess or something more benign, excess hair growth negatively impacts quality of life for millions of women. A thorough evaluation is required to uncover underlying causes and provide appropriate treatment.

The March of Dimes Birth Defects Foundation offers a wealth of resources to ob/gyns to improve birth outcomes by preventing birth defects and infant mortality. Future columns will focus on stress in pregnancy, preterm birth, genetics, and other perinatal topics.

Preparing for a disaster in the health-care setting

Alpha 1-antitrypsin deficiency

When stomach, liver, or intestines herniate into the chest cavity of a fetus with this anomaly, they compress the fetal lung.

Controversies in OB/GYN

Consideration of benefits and risks of prophylactic oophorectomy suggest that is it appropriate for women at high risk for ovarian cancer but not warranted in the general public. Decisions about hysterectomy need to be made on a case-by-case basis.

News Briefs

The events of September 11 have heightened the need for disaster-planning in the health-care setting. Because women are among those most vulnerable to the health impact of disasters, ob/gyns have a unique responsibility to be prepared for the worst.