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Large group medical practices: Understanding the human dynamicsThe larger the practice, the greater the potential for personality clashes. People-savvy leaders offer advice on how to avoid conflicts.
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Treating UTIs in the age of antibiotic resistance: Strategies for the practicing OB/GYNOb/gyns have witnessed how development of antibiotic resistance has affected disease management in our specialty. Increased resistance of Neisseria. Gonorrhea (N. gonorrhea) to penicillins and quinolones, emergence of methicillin-resistant staphylococcus aureus (MRSA) and resistance of Group B Streptococcus to erythromycin and clindamycin have led us to modify our antibiotic treatment regimens.
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6 tips to help save lives in cases of AFE/ASPOb/gyns must be ready to move quickly when a patient exhibits the sudden and unexpected signs of anaphylactoid syndrome (ASP).
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Society for Maternal-Fetal Medicine Consult Series #51: Thromboembolism prophylaxis for cesarean deliveryThe risk of venous thromboembolism is particularly high during the postpartum period and especially following cesarean delivery.
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Medical errors: Disclosure and apologyOne of the most difficult things a doctor faces is the apology for mistakes. See why it's so important to get the apology right.
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Medical errors: Disclosure and apologyOne of the most difficult things a doctor faces is the apology for mistakes. See why it's so important to get the apology right.
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Thromboprophylaxis in pregnancyVenous thromboembolism (VTE), which includes deep vein thrombosis and pulmonary embolism, is one of the most common, serious complications associated with pregnancy.
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Only about half of all breast cancer survivors seek gynecological careFertility myths and declining sexual satisfaction may contribute to shortfalls in contraceptive use after cancer treatment, a new study concludes.
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CME: Asthma in pregnancy: drugs to keep it under controlAsthma during pregnancy can be life-threatening. So counsel patients not to stop taking asthma drugs; most are not harmful to a fetus.
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Beginner’s guide to single-gene testing in gynecologic careGynecologists are faced with a number of hereditary cancer tests. Understanding benefits and limits is key to counseling patients.
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Trichomoniasis updateThe CDC recently updated guidelines for treatment, but this common STI is considered "neglected" by some experts.
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Depression in pregnancy: When doing nothing is not an optionHow do you and your depressed patients walk that fine line between the risks of taking-or not taking-antidepressants during pregnancy? Which drugs or alternate therapies seem safest? An expert cautions that maternal and fetal risks of untreated mental illness-ranging from spontaneous abortion to suicide-may outweigh the risks of antidepressants.
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Depression in pregnancy: When doing nothing is not an optionHow do you and your depressed patients walk that fine line between the risks of taking-or not taking-antidepressants during pregnancy? Which drugs or alternate therapies seem safest? An expert cautions that maternal and fetal risks of untreated mental illness-ranging from spontaneous abortion to suicide-may outweigh the risks of antidepressants.
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Simulation-based team training in obstetric emergenciesSimulation training can prepare an obstetrical team for emergencies and provide a way to effectively review performance.
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Cervical Insufficiency protocolIn this chapter, Dr. Owen reviews the diagnosis or cervical insufficiency; patient selection for history-indicated (prophylactic), physical examination-indicated (Emergent), and ultrasound-indicated (urgent) cerclage; placement and removal of cerclagel and adjunctive therapies.
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Simulation-based team training in obstetric emergenciesSimulation training can prepare an obstetrical team for emergencies and provide a way to effectively review performance.
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Simulation-based team training in obstetric emergenciesSimulation training can prepare an obstetrical team for emergencies and provide a way to effectively review performance.
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Simulation-based team training in obstetric emergenciesSimulation training can prepare an obstetrical team for emergencies and provide a way to effectively review performance.
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Simulation-based team training in obstetric emergenciesSimulation training can prepare an obstetrical team for emergencies and provide a way to effectively review performance.
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The state of gynecologic robotic surgeryThree esteemed surgeons discuss technology, weighing the pros and cons of existing and newly developed platforms.
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Prophylactic laparoscopic abdominal cerclage: Tips for successTraditionally, transvaginal cerclage placed during the first or early second trimester has been a common treatment for cervical incompetence. Unfortunately, in about 13% of women with cervical incompetence, the transvagincal approach to cerclage will not work.
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CME: Asthma in pregnancy: drugs to keep it under controlAsthma during pregnancy can be life-threatening. So counsel patients not to stop taking asthma drugs; most are not harmful to a fetus.
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Epidural fever in pregnancy: Should we be concerned?Epidural anesthesia can elevate a woman's temperature, but what effect does it have on maternal health or pregnancy outcomes?
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Grand Rounds: Is it precocious puberty? Should you refer?True precocious puberty differs from premature adrenarche and premature thelarche. Understanding normal sexual development and these common variants will help ob/gyns make the correct diagnosis and appropriate referrals.
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Evaluation and management of polyhydramniosThis summary of SMFM Consult Series #46 reviews major considerations in evaluation and management of polyhydramnios.
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Are you comfortable prescribing HRT?POLL: How do you compare with your colleagues in your comfort level for prescribing hormone replacement therapy for symptoms of menopause.
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MEDICAL ECONOMICS SPECIAL SECTION: Finding the right office managerThis key staff member could help improve your bottom line or throw a monkey wrench into your operations. Here's how to make the right choice.
