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Get a handle on the Scanzoni maneuverThis forceps-aided rotation can be used when the fetus is occiput posterior and the head is low in the pelvis.
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Maternal obesity and the fetal brainThe problems go beyond fetal metabolic programming. Obesity has effects on fetal neurodevelopment.
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Get a handle on the Scanzoni maneuverThis forceps-aided rotation can be used when the fetus is occiput posterior and the head is low in the pelvis.
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Morbidly obese gravidas: Labor or not?Prior to the 1980s, because labor after a previous cesarean delivery was believed to be dangerous, many obstetricians recommended repeat cesareans for all subsequent births to women with a previous such delivery. Since then, TOLAC has been advocated as a reasonable alternative for women with a previous cesarean delivery via a low transverse uterine incision.
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Maternal obesity and the fetal brainThe problems go beyond fetal metabolic programming. Obesity has effects on fetal neurodevelopment.
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Misconceptions about HPV testingIn this Medical News Minute, Dr. Bobby Lazzara discusses some of the reasons why women are avoiding cervical smear testing for HPV.
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Menopause symptoms through the seasonsA peak in hot fl ash reports was observed in July, while January had a trough in hot fl ash reports.
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Hysterectomy will ruin my sex life. Orgasm will never be the same!How would a male gynecologist begin to know anything about a woman's orgasm? Easy. In my pre-operative counseling for hysterectomy I discuss sexuality, orgasm, and hysterectomy. And I tell my patient that a year later I'm going to ask her about it. But this is not a controlled scientific study, so before telling you what I am hearing, let's look at some real data.
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COVID-19: The pathogen that will define the decadeCOVID-19 presents a significant threat to our communities, our patients, and our families. As the pandemic continues, more will be learned about how this virus behaves and what we can do to keep ourselves and our patients safe.
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Insurance coverage and postpartum care for immigrantsA recent study found immigrants are less likely to receive postpartum care in states that restrict insurance coverage.
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Lessons of severe maternal morbidityA better understanding of the care and outcomes of women with severe morbidity who survive should provide insight into ways to improve care for all women and reduce both severe morbidity and mortality.
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Putting surgical site infection bundles into practiceRates of post-hysterectomy infection have been shown to be lower in hospitals that have adopted evidence-based guidelines for preventing postsurgical infections.
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The role of IVF with PGS in recurrent miscarriageConsequences of reproductive aging include infertility, an increased likelihood of isolated spontaneous abortion (SAB), and likely an increased likelihood of recurrent pregnancy loss (RPL).
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What to say and do right when things go terribly wrong in obstetricsPatients remember how you respond to adverse pregnancy outcomes such as stillbirth and fetal loss.
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What to say and do right when things go terribly wrong in obstetricsPatients remember how you respond to adverse pregnancy outcomes such as stillbirth and fetal loss.
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An imaging approach to early pregnancy failureUltrasound technology can be an indispensable tool for the management of suspected early pregnancy loss.
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Managing fetal sex discordance in cfDNAThis article presents a clinical algorithm and four cases to consider.
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Safe contraception for women with medical conditionsObesity, headaches, PID among conditions that warrant special consideration.
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Most Americans Have Inadequate Intakes of Vitamins and Minerals: Can Supplements Help?Many health professionals might be surprised to find that numerous studies show over 90% of Americans get less than the Estimated Average Requirement (EAR) or Adequate Intake (AI) for one or more vitamins and minerals in their diets.
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Breast density laws: Are you in compliance?Meant to alert women that breast cancer may be more difficult to detect, the laws confuse physicians and patients alike.
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Breast density laws: Are you in compliance?Meant to alert women that breast cancer may be more difficult to detect, the laws confuse physicians and patients alike.
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The ‘house’ of ethics: A teaching tool67% of residency directors reported that a lack of faculty expertise in medical ethics was a significant barrier to their attempts to provide a more comprehensive educational process. I have a proposal for a solution to these problems: Teaching about the “house of ethics” in ob/gyn, as we do at Vanderbilt University.
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Optimal approaches to fibroid managementFibroids are extremely common in women of reproductive age. One large study reported that 70% of Caucasian and 80% of African-American women had at least one ultrasound- or pathology-confirmed fibroid by the end of their reproductive years. While many of these women experience no negative effects of fibroids on their reproductive function, a significant number are at increased risk of infertility, miscarriage, or poor obstetric outcomes.
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How to manage endometriosis-associated painPain mechanisms are multifactorial, complex, and still poorly understood.
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Optimal approaches to fibroid managementFibroids are extremely common in women of reproductive age. One large study reported that 70% of Caucasian and 80% of African-American women had at least one ultrasound- or pathology-confirmed fibroid by the end of their reproductive years. While many of these women experience no negative effects of fibroids on their reproductive function, a significant number are at increased risk of infertility, miscarriage, or poor obstetric outcomes.
