OBGYN.net Staff

Dr Rebecca B. Perkins and colleagues recently found that the HPV vaccine was not being appropriately offered in a cohort of 136 young, low-income, minority women. The results of their study were presented at the Annual ACOG Meeting in Washington, DC.

One click can help millions around the world. Every new healthcare professional who creates a free account on hcp.obgyn.net will trigger our donation of $10 to the international organization Doctors Without Borders/ Mdecins Sans Frontires (MSF) - a non-profit delivering emergency medical assistance in nearly 60 countries to people affected by armed conflict, epidemics, malnutrition, natural disasters, or exclusion from health care. It's our way of promoting global social good for doctors caring for those in desperate need. Our goal is to donate $25,000 - enough for vaccinations for 25,000 people against meningitis, measles, polio or other deadly epidemics.

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height:100%; /* transparency for different browsers */ filter:alpha(opacity=50); -moz-opacity:0.5; -khtml-opacity: 0.5; opacity: 0.5; background:#000; /* make sure it appear behind the dialog box but above everything else */ position:absolute; top:0; left:0; z-index:3000; /* hide it by default */ display:none;}/* @end */$jq.fn.fadeToggle = function(speed, easing, callback) { return this.animate({opacity: 'toggle'}, speed, easing, callback);};$jq.fn.clearForm = function() { return this.each(function() { var type = this.type, tag = this.tagName.toLowerCase(); if (tag == 'form') return $jq(':input',this).clearForm(); if (type == 'text' || type == 'password' || tag == 'textarea') this.value = ''; else if (type == 'checkbox' || type == 'radio') this.checked = false; else if (tag == 'select') this.selectedIndex = -1; });};function launchbutton(){ $jq(function() { //Overlay // get the screen height and width var maskHeight = $jq(document).height(); var maskWidth = $jq(window).width(); // calculate the values for center alignment var dialogTop = (maskHeight/3) - ($jq('#dialog-box').height()); var dialogLeft = (maskWidth/2) - ($jq('#dialog-box').width()/2); // assign values to the overlay and dialog box $jq('#dialog-overlay').css({height:maskHeight, width:maskWidth}).show(); //clear the form $jq('#from').clearForm(); $jq('#to').clearForm(); $jq('#name').clearForm(); $jq('#message_custom').clearForm(); //re-enable the fields $jq('.std_input').removeAttr('disabled'); //but lock out non-editable ones :-) $jq('#subject').attr('disabled','true'); $jq('#message_std').attr('disabled','true'); //hide the loading message $jq('.loading').hide(); $jq('.done').hide(); $jq("#tellfriend").fadeToggle('slow'); });}var hostname=window.location.hostname;var linkArray = new Array();linkArray['www.cancernetwork.com'] = "cn";//change these when we have final link valueslinkArray['www.consultantlive.com'] = "cl";linkArray['www.diagnosticimaging.com'] = "di";linkArray['www.psychiatrictimes.com'] = "pt";linkArray['www.physicianspractice.com'] = "p2";linkArray['mediakit.ubmmedica.com'] = "ubm";linkArray['hcp.obgyn.net'] = "hcp";linkArray['www.musculoskeletalnetwork.com'] = "msn";linkArray['hcp.pediatricsconsultantlive.com'] = "ped";//for testinglinkArray['localhost'] = "localhost";var refererrLink = "";try{ referrerLink = linkArray[hostname];}catch (err) //might not be in array{}$jq(document).ready(function() { $jq('#tellfriend').hide(); $jq('a.email').click(function() { //Overlay // get the screen height and width var maskHeight = $jq(document).height(); var maskWidth = $jq(window).width(); // calculate the values for center alignment var dialogTop = (maskHeight/3) - ($jq('#dialog-box').height()); var dialogLeft = (maskWidth/2) - ($jq('#dialog-box').width()/2); // assign values to the overlay and dialog box $jq('#dialog-overlay').css({height:maskHeight, width:maskWidth}).show(); //clear the form $jq('#from').clearForm(); $jq('#to').clearForm(); $jq('#name').clearForm(); $jq('#message_custom').clearForm(); //re-enable the fields $jq('.std_input').removeAttr('disabled'); //but lock out non-editable ones :-) $jq('#subject').attr('disabled','true'); $jq('#message_std').attr('disabled','true'); //hide the loading message $jq('.loading').hide(); $jq('.done').hide(); $jq("#tellfriend").fadeToggle('slow'); }); $jq('#tellfriend a.close').click(function() { //Overlay // get the screen height and width var maskHeight = $jq(document).height(); var maskWidth = $jq(window).width(); // calculate the values for center alignment var dialogTop = (maskHeight/3) - ($jq('#dialog-box').height()); var dialogLeft = (maskWidth/2) - ($jq('#dialog-box').width()/2); // hide the overlay $jq('#dialog-overlay').hide(); //clear the form $jq('#from').clearForm(); $jq('#to').clearForm(); $jq('#name').clearForm(); $jq('#message_custom').clearForm(); //re-enable the fields $jq('.std_input').removeAttr('disabled'); //but lock out non-editable ones :-) $jq('#subject').attr('disabled','true'); $jq('#message_std').attr('disabled','true'); //hide the loading message $jq('.loading').hide(); $jq('.done').hide(); $jq("#tellfriend").fadeToggle('slow'); });});$jq(document).ready(function() { //if submit button is clicked $jq('#submit').click(function () { //Get the data from all the fields var sn = $jq('input[name=sn]'); var se = $jq('input[name=se]'); var re = $jq('input[name=re]'); //remove extra spaces between emails var mc = $jq('textarea[name=mc]'); var ms = $jq('input[name=ms]'); var sub = $jq('input[name=sub]'); //Simple validation to make sure user entered something //If error found, add hightlight class to the text field //Also email address validation on sender and recipient fields var emailReg = /^([\w-\.]+@([\w-]+\.)+[\w-]{2,4})?$/; if (sn.val()=='') { sn.addClass('hightlight'); return false; } else sn.removeClass('hightlight'); if (se.val()=='') { se.addClass('hightlight'); return false; } else if(!emailReg.test(se.val())) { se.addClass('hightlight'); return false; } else se.removeClass('hightlight'); if (re.val()=='') { re.addClass('hightlight'); return false; } else re.removeClass('hightlight'); //strip out whitespace between address var re_clean = re.val().replace(/ /g,''); //need to split values first var recipient_emails = re_clean.split(';') for (i = 0; i< recipient_emails.length; i++) { if(!emailReg.test(recipient_emails[i])) { re.addClass('hightlight'); return false; } } //organize the data properly var data = 'sn=' + sn.val() + '&se=' + se.val() + '&re=' + re.val() + '&mc=' + mc.val() + '&sub=' + sub.val() + '&ms=' + ms.val() + '&referrer=' + referrerLink; //disabled all the text fields $jq('.std_input').attr('disabled','true'); //show the loading sign $jq('.loading').show(); //$jq('.loading').fadeIn('slow'); //start the ajax $jq.ajax({ //this is the php file that processes the data and send mail url: "http://hcp.obgyn.net/all/emailfriend.php", //GET method is used type: "GET", //pass the data data: data, //Do not cache the page cache: false, //success success: function (html) { //if process.php returned 1/true (send mail success) //if (html==1) { //hide the form $jq('#tellfriend').fadeOut('slow'); //show the success message $jq('.done').fadeIn('slow'); //if process.php returned 0/false (send mail failed) //} else alert('Sorry, unexpected error. Please try again later.'); } }); //cancel the submit button default behaviours $jq('#dialog-overlay').hide(); return false; });});

Your one click will help provide emergency medical care to millions of people caught in crises in nearly 60 countries around the world.

Podcast: EHR Meaningful Use Update In this podcast, Justin Barnes, of the EHR Association and Greenway Medical Technologies, explains CMS’ final rule for meaningful use criteria for EHR incentives. 

A recent survey found that US ob/gyn residents need more education about the benefits of the IUD in addition to evidence-based recommendations for IUD candidate selection.

Would you turn an obese woman away from your practice? While it may seem unethical to most, Florida's Sun Sentinel has polled 105 ob/gyn practices to ask if they have set an established "weight cut-off" for new patients - 15 said they have.

A recent study found that women with gestational hypertension are not receiving appropriate follow-up care and prevention. Specifically, the researchers found that women with gestational hypertension were less likely to have their blood pressure checked within the previous 2 years and were less likely to have their blood cholesterol checked within the previous 4 years.

Do you have a case that will stump your colleagues?Send in your most interesting case, and we'll post it here for your peers to see. Just provide images (jpgs, pngs, etc.) and a short write-up of the history, findings, and diagnosis along with any discussion you'd like to add. (Remeber to leave the diagnosis out until the discussion.) It's the easiest way to get published, ever.Get Started

Obgyn article

In Part 3, the speakers address the question: Is there a place for robot-assisted laparoscopy? They also discuss the benefits that should not be ignored and what role robot-assisted laparoscopy might play in clinical practice in the future.

Children whose mothers used paracetamol during their pregnancy may have a slightly increased risk of childhood wheeze, according to a meta-analysis published in the April issue of Clinical & Experimental Allergy.

Incorrectly positioned intrauterine devices (IUDs) make intrauterine pregnancy (IUP) more likely, with more than half of IUDs identified during the first trimester of pregnancy malpositioned, according to a study published online Feb. 24 in the American Journal of Obstetrics & Gynecology.

In Part 2, the authors discuss how robotic laparoscopic hysterectomy compares with traditional laparoscopic hysterectomy. They also explore the clinical implications of one treatment versus the other.

Use of the new Global Trigger Tool, developed by the Institute for Healthcare Improvement, detects at least 10 times more adverse events than other methods currently in use, according to a study published in the April issue of Health Affairs.

Although most victims of intimate partner violence (IPV) present to the emergency department (ED), they are not usually identified and may not receive interventions, according to a study published online March 15 in the Journal of General Internal Medicine.

The duration of breast-feeding is associated with higher maternal ghrelin and pancreatic peptide YY (PYY) levels at three years postpartum, independent of other risk factors for metabolic disease, according to a study published in the April issue of Diabetes.

Young women who are subject to controlling behaviors from a partner and suffering from physical and sexual relationship violence (RV) are more reticent about screening for RV, according to a study published in the April issue of the Archives of Pediatrics & Adolescent Medicine.

Consumption of food containing soy isoflavones does not appear to increase the risk of cancer recurrence or mortality among breast cancer survivors, according to research presented at the annual meeting of the American Association for Cancer Research, held April 2 to 6 in Orlando, Fla.

A recent video segment on ABC News (see embedded video) addresses the growing rate of placenta accreta. The accompanying article with the jarring headline, "Placenta Accreta: Multiple C-Sections Can Kill Mother," reports that doctors are attributing the rise in this condition (from 1 in 30,000 pregnancies in the 1950s and 1960s to 1 in 2500 pregnancies in 2007, according to a report in AJOG) to the increased number of cesarean births. The article goes on to describe more reasons for the growing incidence of cesarean delivery, including diabetes, preeclampsia, and advanced maternal age, under the heading "More Women Demand Caesarians."Not surprisingly, the article has readers in a tizzy over when, exactly, a cesarean delivery is needed . . . and has them pointing fingers regarding who is to blame for the increased rate of this surgery.

Among postmenopausal women with prior hysterectomy, cessation of conjugated equine estrogen (CEE) therapy reduces the risk of stroke, and the risk of breast cancer remains reduced, according to a study to be published on April 6 in the Journal of the American Medical Association.

Teen birth rates in the United States have declined over the last two decades, but they remain high, according a Vital Signs report in the April 5 early-release issue of the U.S. Centers for Disease Control and Prevention's Morbidity and Mortality Weekly Report.

An individualized screen evaluating epithelial cells from women's breast milk may provide insight into breast cancer risk, according to research presented at the annual meeting of the American Association for Cancer Research, held April 2 to 6 in Orlando, Fla.