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Women 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.

Women 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.

Ob/gyns have welcomed the expanded role of pharmacists in providing quality care to women. The detailed instructions that pharmacists give when dispensing medication reinforce the information we give in the office.

Whether to test for GDM is a common quandary in ob/gyn practice. This article will help you make evidence-based decisions about which patients to test and which assay to use.

Doing so can lead to serious—even fatal—complications. To protect mother and fetus alike, manage these patients just as aggressively as your nonpregnant asthmatics.

Because Tv infection is so widespread, increases with age, and—according to important new evidence—raises the risk of both acquiring and shedding HIV, accurately diagnosing this sexually transmitted infection may be an important strategy in fighting the HIV epidemic.

An isopropanolic extract of black cohosh root effectively relieves hot flashes and other climacteric complaints, especially in newly symptomatic women, according to a randomized, multicenter, double-blind clinical trial.

Although there's research to suggest that folic acid increases the risk of twins, the data are seriously flawed because they fail to take into account the large number of women in the study that had to undergo IVF.

No, according to a recent study of over 500 first cycle recipients of donor oocytes. Obese recipients do not have significantly lower rates of implantation or pregnancy or significantly higher rates of spontaneous abortions than women who are underweight, overweight (but not obese), or of normal weight.

Outpatients undergoing early uterine evacuations in your office require a safe environment and a clinician with a thorough knowledge of the medical and surgical techniques. This practical review provides protocols for medical abortion and early pregnancy failures and guides you through the manual vacuum aspiration procedure.

Cervical length assessment is just one of several powerful tools for detecting or excluding patients at risk for preterm birth. An expert tells how to assess and counsel a patient pregnant with triplets on her chances of carrying all three fetuses to at least 32 weeks.

Women who smoke cigarettes during their third trimester give birth to boys with IQs up to 6.2 points lower than boys born to non-smoking counterparts, according to a recent Danish study.

Low-dose aspirin combined with low-molecular-weight heparin (LMWH) during pregnancy is just as safe and effective as aspirin with unfractionated heparin (UFH) for preventing recurrent pregnancy loss due to antiphospholipid syndrome, according to a prospective, controlled, multicenter pilot study.

The caduceus is the modern American symbol of the medical profession. But the Asklepian, which I encountered on a recent trip to the Greek island of Kos, may be a far better emblem for the values we as ob/gyns hold dear. Allow me to explain the import of two snakes versus one.

Once considered extremely rare, CDSP has become more common as cesarean rates have risen. Consider CDSP when you see a gestational sac in the lower uterine segment on U/S.

Recently, I was privileged to spend several days on a National Institutes of Health consensus panel evaluating current evidence on menopause symptomatology.

In a previous article, we reviewed coding changes for vaginal colpopexy. This article looks at a related code introduced in CPT 2005 and how to report multiple services provided during the same surgery.

Once considered extremely rare, CDSP has become more common as cesarean rates have risen. Consider CDSP when you see a gestational sac in the lower uterine segment on U/S.

Postterm birth seems to get a lot less attention than preterm birth when clinicians are discussing the risks of complications and death. But, unlike babies born too soon, timely delivery can almost entirely prevent the risks—including stillbirth—linked with prolonged pregnancy.

Contemporary OB/GYN was recently honored by American Business Media (ABM) with two Jesse H. Neal National Business Journalism Awards.

Evidently not, according to a large, Danish, population-based, case–control study.

As I write this I am post-call, which may account for the tone of my meandering discourse. At my age, the problem is not so much taking call but surviving the next day. While tackling clinical challenges can be exciting, what I find most stimulating is the chance to teach and learn from my residents.

"This is a silent disease with fracture as the primary presentation," said Elwyn Grimes, MD, from the John H. Stroger Jr. Hospital of Cook County in Chicago, IL. "It is a condition that is silent and has mortality as an important outcome. It has the potential to have a significant impact across the nation."