Pediatrics

Rational decision-making and raging adolescent hormones do sound like strange bedfellows. But research reveals some ways ob/gyns can help teens make wiser choices--and grow into healthy sexual adults.

Rational decision-making and raging adolescent hormones do sound like strange bedfellows. But research reveals some ways ob/gyns can help teens make wiser choices--and grow into healthy sexual adults.

Simplex(differentiated) vulvar intraepithelial neoplasia--probably the immediate precursor of most HPV-negative invasive squamous-cell vulvar carcinomas--is easily missed or misdiagnosed. The women who are most at risk are those with vulvar dystrophy or a prior cancer.

A proactive, stepwise approach to management of asthma in pregnancy can help ensure a good perinatal outcome. Focus on preventing acute asthma attacks because they can leave both mother and fetus vulnerable to progressive hypoxia and potentially disastrous consequences.

Although you can't always anticipate a potentially catastrophic obstetric hemorrhage, rapid diagnosis and intervention can make all the difference in the world. The authors review interventions--new and old--and tell clinicians what to have on hand to implement them.

Many adolescents and young adult women experience physical or sexual violence perpetrated by someone close. Knowledge of risk factors and sequelae associated with interpersonal violence and of screening methods to detect it can help the ob/gyn identify potential victims of assault. Careful management and referral of victims is critical and anticipatory guidance also is advised.

In January the March of Dimes launched a 5-year, $75 million national campaign targeting the complex problem of prematurity. Since we don't know what causes approximately half of all spontaneous preterm births, impacting prematurity is a formidable challenge. Obstetrical providers have a pivotal role in meeting this challenge.

Many adolescents and young adult women experience physical or sexual violence perpetrated by someone close. Knowledge of risk factors and sequelae associated with interpersonal violence and of screening methods to detect it can help the ob/gyn identify potential victims of assault. Careful management and referral of victims is critical and anticipatory guidance also is advised.

To promote breastfeeding after a mother returns to work, clinicians need to make knowledgeable recommendations about which breast pump to use and provide guidelines to ensure proper milk storage.

This is the second in a bimonthly series aimed at educating physicians on the pertinent aspects of litigation. Each case study will provide analysis of an actual ob/gyn lawsuit defended by the New York firm of Aaronson, Rappaport, Feinstein & Deutsch, LLP.

SMFM's Practice Committee reviews the scientific evidence on antenatal steroids and offers its recommendations on rescue and repeat courses of treatment.

Despite national progress towards ensuring that more pregnant women receive early prenatal care, many birth outcomes are not improving.

Part 3: Diseases characterized by genital ulcers.

No. The better question may be whether the cesarean rate is too low.

Yes. It could be lower but it is difficult to know whether it really should be lower.

This is the first in a bimonthly series aimed at educating physicians on the pertinent aspects of litigation.

Even before Bethesda 2001 terminology recommended substantial changes in how labs should report Pap results--including specimen adequacy--many clinicians were confused about which patients to follow-up with repeat Pap tests. This article explains and clarifies the latest Pap test adequacy guidelines.

By helping Hispanic patients interact effectively with the health-care system, ob/gyns can increase the amount of prenatal care these women receive and decrease their high rates of preterm delivery and pregnancy-related maternal mortality.

Multiple births related to infertility treatment have increased dramatically in recent years and are associated with significant personal, economic, and social costs.

These guidelines for the treatment of patients who have sexually transmitted diseases (STDs) were developed by the Centers for Disease Control and Prevention.

While a single course of antenatal corticosteroids improves neonatal outcomes among infants born prematurely, the efficacy and safety of repetitive courses of ACS (including rescue dosing) is less clear. In the absence of adequate data to support a policy of repetitive dosing of ACS, such therapy should only be used as part of well-designed clinical trials.

Screening for inborn errors of metabolism prevents mental retardation and death. Identifying women at risk for PKU and providing prenatal education about screening for a variety of disorders are important prerequisites.

Which small-for-gestational age fetuses are at an increased risk for irreversible perinatal complications and death? Having emphasised the importance of early diagnosis of FGR in Part I, the authors now focus on antepartum surveillance and assess the evidence for various management strategies.