Is anterior Rubin's manuever best choice for shoulder dystocia?
April 15th 2005In a simulator study comparing McRoberts', anterior Rubin's, and posterior Rubin's maneuvers for initial management of shoulder dystocia, researchers from Johns Hopkins found that anterior Rubin's maneuver required the least traction for delivery and produced the least amount of brachial plexus tension.
Incorporating breast MR imaging into your practice
April 15th 2005The emergence of magnetic resonance as a viable imaging tool for evaluating the breast presents new diagnostic possibilities for ob/gyns. But before you can use it wisely, you have to understand certain key clinical parameters, recognize the technical factors that affect the quality of breast MR images, and be familiar with current indications for the procedure.
Grand Rounds: Taking the guesswork out of diagnosing and managing vaginitis
April 1st 2005An expert shares ways to avoid misdiagnosing vulvovaginal infections by becoming better acquainted with the microscopy of vaginal secretions, routinely using both pH paper and the amine test, and prudently employing vaginal yeast and Trichomonas cultures.
Electrofulguration for low-grade CIN lesions
April 1st 2005An improved version of this long-standing technique is back in favor and once again yielding impressive cure rates. Two experts give step-by-step guidelines for an easy-to-perform ablative alternative for persistent low-grade cervical intraepithelial neoplasia.
Can this assessment tool reduce high-order multiple pregnancies?
April 1st 2005A new prediction model may reduce the rate of high-order multiple pregnancy (HOMP)—triplets or more—by about 75%, but only reduces the overall pregnancy rate by 8%, according to the results of a prospective study from Spain.
Direct pharmacy access to EC does not increase use
April 1st 2005The ability to obtain emergency contraception (EC) directly from a pharmacist does not mean women would be more inclined to use it than if they only had access through a clinic, according to a randomized, controlled trial of over 2,000 women.
Editorial: Preventing VTE: Part 1, hormonal therapy
March 1st 2005Venous thromboembolism (VTE), a leading cause of death and disability in women, principally manifests as deep vein thrombosis (DVT) and acute pulmonary embolism (PE). Every year, as many as 600,000 patients develop a PE in the United States, resulting in up to 200,000 deaths.
Bariatric surgery and the ob/gyn patient
March 1st 2005Weight loss surgery may increase fertility but it can also heighten her risk of nutritional deficiencies and the GI problems associated with pregnancy. As more patients seek these procedures, ob/gyns need practical guidelines for managing their care.