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Who should undergo genetic testing? Before ordering it, three conditions should be met: There should be a greater than 10% likelihood of a positive test; the ordering physician should be able to interpret the result; and the information should be used to make management decisions.

While electronic fetal heart rate monitoring has become a routine part of intrapartum care, abnormal patterns often alarm physicians needlessly. Pulse oximetry can clarify a confusing FHR pattern and may reduce the risk of perinatal complications.

ISGE News

Inside this Issue: Editor’s Corner - Passing The Torch Past President's Message Laparoscopy: Maintaining Delicate Integrity Culdolaparoscopy Abdominal-Pelvic Pain: When to Operate and When to Not News From Around The World

The presence of meconium can indicate a severely debilitating fetal event. Its exact role in fetal hypoxia, CNS damage, heart rate abnormalities, and pulmonary dysfunction--all hotly debated--is the basis of this discussion.

The presence of meconium can indicate a severely debilitating fetal event. Its exact role in fetal hypoxia, CNS damage, heart rate abnormalities, and pulmonary dysfunction--all hotly debated--is the basis of this discussion.

After analyzing the clinical research, the authors present a practical approach to the challenge of caring for pregnant women who weigh 250 lb or more. Guidelines for these patients--who tend to have more C/S, larger babies, and longer hospital stays--aim to minimize morbidity and mortality, thus improving perinatal outcome.

This device represents a new option in contraception that has a low failure rate and better bleeding profile and continuation rate than nonhormonal IUDs. Proper patient selection and counseling about amenorrhea are the keys to effective use.