CME: Decisions in prescribing HRT
August 1st 2001You can help patients make informed decisions by providing counseling on menopausal changes and therapeutic options. Lower hormone dosages are a significant trend, although controversy exists on whether to prescribe cyclic or continuous combined therapy.
BRCA1 and BRCA2: Genetic testing and intervention strategies
July 1st 2001Who 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.
Cover Story: Evaluating fetal hypoxia with pulse oximetry
July 1st 2001While 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.
Cover Story: Caring for obese obstetric patients
June 1st 2001After 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.