Delay in aggressively treating out-of-control, unremitting vomiting in pregnancy can dehydrate, deplete, and nearly starve a woman and her fetus. This expert's approach tells you how to quickly distinguish developing hyperemesis gravidarum from something more benign.
The only way for women's health care as we know it to survive is if young ob/gyns lead the way in saying NO. Let's stop taking the horrible contracts offered by insurance companies, HMOs, and managed-care organizations and take back control of our futures.
The challenge is to identify this potentially life-threatening infection in time--and to treat it aggressively. The condition can appear out of the blue after vaginal delivery, C/S, or any gynecologic surgery.
There are two surgical approaches to tubal sterlization: open and closed. The open approach is commonly used for postpartum tubal sterilization, concomitant cesarean delivery, and interval minilaparotomy.
When I finished my presentation at the annual meeting of the North American Menopause Society, I was amazed to see the audience stand and applaud. It was heartwarming, but as I thought about it, I realized the applause was not for me.
IVF "refund" programs have been around for more than a decade and patients seem to like them. But critics question whether such "money-back" offers--and the physicians involved--are ethical or exploitative. This article will help you better answer patients' questions about the pros and cons.
Once a common cause of perinatal death, Rhesus (Rh) disease is now quite rare in pregnant women, thanks in large part to advances in ultrasound and DNA technology. But the fact that roughly 7 out of every 1,000 liveborn infants are delivered by Rh-sensitized women emphasizes the need for more vigorous preventive efforts and up-to-date management skills.
The first multiethnic longitudinal study of the menopause ever done in the US, the Study of Women's Health Across the Nation (SWAN) is changing our ideas about the change of life.
The dopamine agonists cabergoline and bromocriptine have replaced surgery for prolactinomas, a key cause of infertility. Two experts share their protocols for treating these benign tumors and explain which drug to choose when pregnancy is the goal--and which better restores menses.
Many women are more impaired by premenstrual symptoms such as depression, anxiety, mood swings, and anger than by physical changes. Lower and luteal-phase dosing with selective serotonin reuptake inhibitors is an effective treatment strategy.
Folic acid, calcium, and iron are essential not only during pregnancy but also for long-term health. But supplements may not meet all of a patient's nutritional needs.
Once a common cause of perinatal death, Rh disease is now quite rare in pregnant women, thanks in large part to advances in U/S and DNA technology. But the fact that roughly 7 out of every 1,000 liveborn infants are delivered by Rh-sensitized women emphasizes the need for more vigorous preventive efforts and up-to-date management skills.
Out of Israel come several potentially useful ob/gyn devices, the development of which is being sponsored in part by the government's Chief Scientist Office.
Relieving the pain of endometriosis requires visualization of "invisible" lesions and complete elimination of all implants. Blue light, pain mapping, and laser therapy hold promise in increasing the likelihood of success.
Two experts review the tension-free vaginal tape procedure that revolutionized SUI treatment, the wide choice of pubovaginal sling types now available, and the latest approach: transobturator slings.
An EMR program can streamline-or complicate-ob/gyn practice. Answering several critical questions before you choose a system can go a long way to ensuring a successful outcome.
There are several biological mechanisms behind the age-related drop in female fertility--and a number of tests to assess this decline.
Depression does occur in pregnant women and not just in those with preexisting mood symptoms. Knowing how to detect the disorder and when to refer is important because you may be the only physician these patients see during the perinatal period.
Measuring cervical length and funneling with transvaginal ultrasound can help ob/gyns predict which patients will deliver preterm. But how do you interpret U/S results and put them to use in patient care? An expert in the field offers practical guidelines for meeting this challenge.
Studies leave little doubt that this nonsteroidal anti-inflammatory agent can stop preterm labor. But the drug also needs to be administered wisely, and with several fetal complications in mind.
