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Electronic feta l heart rate (FHR) monitoring was introduced in the late 1960s with the hope of preventing intrapartum fetal brain injury and cerebral palsy (CP). However, it is now clear that this hope was unrealistic for at least 2 reasons. First, the false-positive rate of intrapartum FHR monitoring for predicting CP exceeds 99%. Except in the most extreme cases, intrapartum FHR monitoring has never been capable of reliably predicting CP.

Compared with nonsmoking mothers, mothers who smoke are less apt to breastfeed their babies. In addition, among mothers who smoke and who choose to breastfeed, the length of time during which they do so may be shortened, compared with nonsmoking mothers, according to new research conducted by the Centers for Disease Control and Prevention.

Risk management in obstetrics and gynecology addresses D&C, negligence in removing ovary, prevention of premature delivery

Celiac disease occurs in roughly 1% of all humans. It is an autoimmune condition initially caused by hypersensitivity and hyperimmunity to a class of proteins, called gliadins, which are found in the outer husk of common grains such as wheat, barley, rye, and oats.

About 1 in 200 deaths of women of childbearing age in California is because of Clostridium sordellii toxic shock (CSTS), according to the findings of a recent population-based study.

Investigators have developed and validated 2 new fracture risk algorithms for estimating the individual risk of osteoporotic fracture or hip fracture over a 10-year time period.

Radiation from mammograms and x-rays may increase the risk for developing breast cancer in young women who are already at highest risk for the disease.

I recall I took some comfort in that adage during my residency. However, such bravado was representative of a different era, a time when 36-hour calls, 120-hour workweeks, and 1 weekend off a month were seen as rites of passage crucial to the creation of competent physicians.

Many obstetric healthcare workers are not knowledgeable about the safety and importance of influenza vaccination during pregnancy, according to results of a survey reported in Obstetrics and Gynecology.

Undiagnosed or a delayed diagnosis of breast cancer will invariably generate suspicion and anger on the part of any patient, and in turn, the patient may contact a lawyer to investigate the care that you rendered.

Forty percent of women 35 years old or younger with a diagnosis of diminished ovarian reserve (DOR) could conceive with fertility treatments, fertility clinic research shows.

The vaginal route is preferable to the open abdominal route and to the laparoscopic technique for hysterectomy for benign disease, according to an American College of Obstetrics and Gynecology (ACOG) committee opinion.

Increasing urinary concentrations of bisphenol A, a substance used in production of many polymers, correlate with increasing risks of implantation failure, one expert indicates.

Women who participated in a group stress management (mind/body) program before or during their second in vitro fertilization cycle were significantly more likely to achieve pregnancy than women who didn't participate, research shows.

The use of blunt, as opposed to sharp, needles significantly reduces the rate of glove perforation-and perhaps needlesticks-for surgeons and assistants performing cesarean-delivery closure, according to the results of a randomized, controlled trial.

Compared with younger women, older women who undergo combined surgery for pelvic organ prolapse (POP) and stress urinary incontinence (SUI) are almost twice as likely to experience SUI (but not POP) treatment failure.

HMG-CoA reductase inhibitors, commonly referred to as statins, have gained popularity for their ability to effectively lower cholesterol levels in patients with CV disease, but new roles for statins may be on the horizon.

Under a rule finalized by the Department of Health and Human Services (HHS), physicians will be required to notify patients of a privacy breach of their records only if the physicians determine that notification is warranted by the level of potential harm, a news report notes.

Mild glucose intolerance during pregnancy may herald cardiovascular disease, according to the results of a retrospective, population-based cohort study in 435,700 Canadian women.

Women older than age 65 years who are overweight and have elevated levels of testosterone are at increased risk for developing coronary heart disease, insulin resistance, and other manifestations of metabolic syndrome.

After a priority review, the US Food and Drug Administration has approved Xanodyne Pharmaceuticals' formulation of tranexamic acid tablets (Lysteda) for the treatment of cyclic menorrhagia.

Treating mild gestational diabetes doesn't improve perinatal mortality or conditions linked to maternal carbohydrate intolerance such as neonatal hypoglycemia, hyperbilirubinemia, hyperinsulinemia, and birth trauma. But treatment does lessen other risks.

The goal of this article is to address the risk to the expectant woman and her baby of toxin exposure in commonly ingested foods.

An ultrasound for a normal pregnancy reveals a shortened cervix. It's important to understand how to manage this scenario.

It is time to implement an integrated electronic health record (IEHR) system in every physician's office and hospital, according to Dr. Lockwood.

The Washington Supreme Court has dealt a setback to physicians by finding unconstitutional a tort reform measure aimed at curbing meritless medical liability lawsuits.

Women prescribed penicillins, erythromycins, and cephalosporins for bacterial infections during their first trimester may be reassured that these ntibacterial agents are not significantly associated with birth defects, new research shows.

Examining the risk management involved in various cases in obstetrics and gynecology

A report in the Journal of the American Medical Association (9/23-9/30/09) suggests that if information about maternal complication rates at training hospitals were generally available, a woman would do well to choose her obstetrician on the basis of where he or she did residency.

This article reviews fetal death from nongenetic causes, with an emphasis on the appropriate work-up for these disorders.