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In 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.

The airline industry didn't wait for validation before they employed simulation in their credentialing program, and surgeons shouldn't either.

Abdominal sacral colpopexy is still the "gold standard" for this complicated problem. But early results with two minimally invasive procedures show promise for safely managing prolapse.

The 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.

Along with existing surgical simulators, like pelvic trainers and animal and cadaver labs, virtual reality training lets ob/gyns practice increasingly complex surgical techniques in a safe environment, without harming the patient.

Menopause is not simply the result of ovarian failure or depletion; evidently it's also the result of a hypothalamic-pituitary insensitivity to estrogen during the perimenopausal period, according to a multiethnic, observational, cohort study.

An 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.

Early diagnosis of m?llerian anomalies is important because they can have a significant impact on a woman?s reproductive potential. Sonographic clues lead the way to prompt and precise classification.

An 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.

When is OVD indicated? When do the risks outweigh the potential advantages? What should your pre-op assessment include? To answer these and related questions, two experts take an in-depth look at the research data.

The pathogenic triad of vascular stasis, hypercoagulability, and vascular injury remains the prime initiator of thrombosis, and gynecologic surgery is associated with all three.

Obesity has become epidemic in the United States. Why have obesity/overweight grown so rapidly and what role should the ob/gyn play in addressing this major health issue?

A 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.

Menopause is not simply the result of ovarian failure or depletion; evidently it's also the result of a hypothalamic-pituitary insensitivity to estrogen during the perimenopausal period, according to a multiethnic, observational, cohort study.

The 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.

Insisting that women in labor for the first time wait for epidurals does nothing to lower the cesarean section rate, according to a large, randomized, controlled trial in the New England Journal of Medicine.

Recognize the signs and symptoms of septic shock early on and act quickly. Doing so increases the odds of halting the progression of this infrequently encountered but life-threatening condition.

Charting tops the list, according to an informal survey conducted by Medical Economics (12/17/04).

Venous 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.

Recognize the signs and symptoms of septic shock early on and act quickly. Doing so increases the odds of halting the progression of this infrequently encountered but life-threatening condition.

Weight 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.

Miss SC was a 21-year-old G4, P0030 at 21 weeks' gestation by last menstrual period and confirmed by second-trimester ultrasound. Her pregnancy, which had been managed through a clinic, was complicated by multiple urinary tract infections and she had recently been diagnosed with pyelonephritis. The condition was treated with IV antibiotics at a community hospital and she was discharged with a prescription for ampicillin to be taken for 7 days. Miss SC said she felt well until 2 days before her second admission to the same community hospital, when she began having sharp, intermittent right upper-quadrant pain that was unrelated to eating.

Although isolated CPCs rarely have any effect on cerebral function in a chromosomally normal fetus, researchers have recently linked them to trisomy 18. Two experts discuss when to consider invasive prenatal testing.