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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.
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Caring for patients with chronic pelvic painThe right combination of medication, physical therapy, and lifestyle changes may help patients with this sometimes stubborn condition.
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PODCAST: Sexual coercion: Moving beyond screeningElizabeth Miller, MD, PhD, discusses her article in the February issue of Contemporary OB/GYN on sexual coercion.
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11 tips for guiding patients considering prenatal testingThese 11 statements to guide decision-making with patients can help patients fully consider their values and preferences in regard to prenatal testing.
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SMFM Clinical Guideline: Nonimmune Hydrops FetalisA summary of the evidence-based SMFM guidelines for the evaluation and management of nonimmune hydrops fetalis (NIHF). The guidelines cover the epidemiology, risk factors, work-up, prognosis, and treatment of pregnancies complicated by NIHF.
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Clinician to Clinician: Reaffirming the role of lung maturity testing in the at-risk pregnancyKnowledge of fetal lung maturity provides useful adjunctive information that is unique and relevant to a patient.
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Uterine fibroids: medical management optionsFor women in whom surgery is not recommended or necessary, treatment with the goal of symptom relief and size reduction can be achieved medically.
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Clinician to Clinician: Reaffirming the role of lung maturity testing in the at-risk pregnancyKnowledge of fetal lung maturity provides useful adjunctive information that is unique and relevant to a patient.
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Breastfeeding myths and mainstays for the obstetricianStrategies to help more of your patients breastfeed longer
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Fetal Fibronectin: The Benefits of a High Negative Predictive Value in Management of Preterm LaborThe clinical diagnosis of preterm labor (PTL) has up to a 50% false-positive rate, often leading to unnecessary hospitalizations and interventions. What objective tools can clinicians use to accurately diagnose true PTL - and reduce the drain on resources and overexposure to treatments?
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The ob/gyn hospitalistA look at the evidence shows that a program using ob/gyn hospitalists makes sense for many facilities and may improve outcomes.
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Home birth: The obstetrician's ethical responseThe professional responsibility model of obstetric ethics provides a powerful antidote to maternal rights-based reductionism.
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Home birth: The obstetrician's ethical responseThe professional responsibility model of obstetric ethics provides a powerful antidote to maternal rights-based reductionism.
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ACOG Guidelines at a glance: Lynch syndromeIdentification and surveillance will help carriers avoid cancer.
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COG Puzzler: What's Gyn got to do with it?A 14-year-old with altered mental status has a seizure in the ER. Find out why a gynecology consult was called for.
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Robotic surgery in the morbidly obese patient: a surgeon’s planning guideCareful preoperative planning and positioning will help to overcome some of the challenges presented by the obese patient's body habitus.
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The Perinatal Episode of Care Model: How will it affect you and your high-risk patients?Limited patient access to care and financial penalties to high-risk providers may be unintended consequences of this payment system.
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The Perinatal Episode of Care Model: How will it affect you and your high-risk patients?Limited patient access to care and financial penalties to high-risk providers may be unintended consequences of this payment system.
