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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.

Infection Protocol- this ulcerative genital infection has been found in the southeastern region of the US, particularly in African-Amnericans.

Although there is still no gold standard for screening women at risk for the disease, there are several valuable procedures available.

Innovations like HDTV laparoscopy and virtual colonoscopy--which once were only science fiction--will continue transforming surgery and the OR as we know them today.

Cost, ease of use, and patient acceptance are the key factors in determining which technique is best. The jury is still out on mnay of the newer techniques because of a paucity of long-term data.

Considering the number of severe maternal and fetal complications that can result from untreated hypertension, ob/gyns must be vigilant about recognizing the chronic form of the disease. Anything less puts your patients and you in harm's way.

Although properly managing women with APS during pregnancy decreases both maternal and fetal morbidity and mortality, lack of standardization in lab testing can confuse clinicians. Complicating matters further, treatment can sometimes be controversial.

The latest NIH consensus development panel has concluded that a single course of therapy can improve clinical outcomes for preterm infants. They also caution that more is not necessarily better.