Poll: Are You Using Email to Communicate with Patients, and, if so, What are you Emailing About?
June 5th 2011Patients are using email to communicate with their doctors more than ever. But what are they corresponding about? A group of researchers recently evaluated unsolicited emails sent from patients to their general obstetrician-gynecologist to better understand why patients email their physicians.
Researchers Examine How Patients Use Email to Communicate with Their Ob/Gyns
June 4th 2011There is no denying that we live in a fast-paced, communications-driven world. Email is increasingly being used for business and personal communications, but how has this impacted communications between patients and their doctors?
Mayer-Rokitansky-Kuster-Hauser Syndrome in a 17-Year-Old Female
June 2nd 2011Mayer-Rokitansky-Kuster-Hauser (MRKH) syndrome affects at least 1 in 4500 female births.1 The syndrome consists of vaginal aplasia with other müllerian duct abnormalities. The characteristic feature of MRKH syndrome is congenital absence or underdevelopment of the upper vagina and uterus; it is rarely associated with unilateral renal agenesis, ectopia, or horseshoe kidney.
IOM recommends standards for practice guidelines/systematic reviews
June 1st 2011The Institute of Medicine released new reports that recommend standards to enhance the quality and reliability of 2 important tools for informing healthcare decisions: clinical practice guidelines and systematic review of the evidence base for healthcare services.
Drospirenone in combined oral contraceptives raises risk for nonfatal venous thromboembolism
June 1st 2011Combined oral contraceptives containing drospirenone are associated with a 2- and 3-times higher risk for nonfatal venous thromboembolism than COCs containing levonorgestrel, according to new findings from 2 studies.
Hysterectomy: The most cost-effective solution for heavy menses
June 1st 2011Using available evidence on effectiveness, cost and utility values, hysterectomy is a more cost-effective solution for heavy menstrual bleeding than first- or second-generation endometrial ablation techniques or the levonorgestrel-releasing intrauterine system, according to a new UK analysis.
Pelvic Pain and Urinary Symptoms in Women with Cesarean Versus Vaginal Delivery
June 1st 2011Pelvic pain and urinary symptoms can present following delivery, but how does delivery method impact these symptoms? Dr Daniel G. Kiefer, physician in the division of maternal-fetal medicine/obstetrics in Lehigh Valley Health Network in Allentown, Pennsylvania, and colleagues conducted a prospective observational cohort study to further explore this question.
The Cost of Healthcare and the Ob/Gyn
May 30th 2011The cost of health care has been a major topic in the news of late. The growth in public debt is due in no small part to inflation in the Medicare and Medicaid programs. As physicians, we always wish to do what we can to maximize our patient’s health. But is there any way to do this without increasing the price-tag of medicine?
Addressing Health Service Needs of Mothers With Infants in the NICU
May 29th 2011Along with the excitement and joy of a new baby come stresses, increased health concerns for mom and the newborn, and other health service issues. Women with infants in the neonatal intensive care unit (NICU) often experience more distress than their counterparts with healthy infants, yet they may lack the resources to address these needs. Dr Kathryn Menard, director of the Center for Maternal and Infant Health and division director and distinguished professor of obstetrics and gynecology at the University of North Carolina at Chapel Hill Medical School, and colleagues sought to ascertain the specific needs of this patient population to help determine if these needs can be met in the NICU setting.
Adolescents Partaking in Risky Sexual Behavior Are Candidates for Early Pap Screens
May 29th 2011The American College of Obstetricians and Gynecologists recommends that women begin Pap test screening at 21 years, but are there certain circumstances in which Pap tests are warranted at younger ages? Dr Amy M. Johnson of Hartford Hospital in Connecticut and colleagues hypothesized that teenage girls who engage in risky behaviors would benefit from early initiation of cervical screening.
Poll: How often do you recommend the HPV vaccine?
May 28th 2011Dr 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.