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Danish gynecology students trained in laparoscopic surgery using a virtual simulator scored substantially higher on a proficiency scale than those receiving standard clinical training, according to research published online May 14 in BMJ.

After a Canadian law mandating the fortification of flour and pasta products with folate went into effect in 1998, the birth prevalence of severe congenital defects has decreased in Quebec, according to a study published online May 12 in BMJ.

Women who undergo breast-conserving surgery for ductal carcinoma in situ (DCIS) often do not receive long-term surveillance mammography, according to a study published online May 11 in the Journal of Clinical Oncology.

Assessment of Ultrasonographic Features of Polycystic Ovaries is Associated with Modest Levels of Inter-observer Agreement

Universal screening for syphilis during pregnancy reduces the rate of congenital syphilis, supporting screening recommendations.

Compared with placebo, all three doses of transdermal E2 gel significantly reduced from baseline the frequency and severity of vasomotor symptoms in postmenopausal women.

A small but growing number of physicians are asking patients to sign agreements pledging not to post negative remarks about them on Web sites that allow the public to rate medical encounters.

Finding the best way to fix our broken health-care system remains one of our major challenges. Dr. Charles J. Lockwood summarizes two competing approaches, one championed by Michael Porter, which revolves around integrated practice units (IPU), and one recommended by Alain Enthoven, which hinges on the use of large integrated health-care delivery systems (IHS).

Women with early breast cancer who are deficient in Vitamin D have a higher risk of distant recurrences and death.

ACOG and SMFM only recommend progesterone for women with prior spontaneous singleton preterm delivery. This update discusses the research supporting their recommendation.

Detecting acute postpartum pancreatitis requires acute diagnostic skills. Three experts explain the best approach.

Asthmatic women are more likely to have asthmatic children if they were overweight before becoming pregnant.

Although all currently available tocolytic agents perform better than placebo at delaying delivery before 32 weeks' gestation, prostaglandin inhibitors are superior.

Induction at term with misoprostol is associated with a significantly faster labor, but also with a greater postpartum blood loss.

Court in Arkansas ruled that hospital acted improperly when it used a credentialing policy that denied admitting privileges to doctors with interest in competing hospitals.

Patient safety was one of the most important topics at this year's Annual Clinical Meeting at ACOG.

An S-equol supplement significantly improved mood-related symptoms associated with pre-, peri-, and postmenopause.

Daily glucose self-monitoring in women with diet-treated gestational diabetes lowers the threat of delivering an oversized infant.

While EIF is often a benign ultrasound finding, it may signal aneuploidy. An expert in maternal-fetal medicine explains how to interpret this "soft marker" and how to explain its significance to patients.

Maternal heavy drinking can almost double the risk of preterm birth.

The looming health-care crisis will bring about a sea change in the practice of medicine, predicts this expert. He assesses whether specialized teams or a return to capitation will likely win out and gives tips on preparing your ob/gyn practice for an uncertain future.

Osteoporosis, a disease that weakens the bones and makes them more likely to break, affects millions and millions of Americans each year. It affects women much more often than men and is more common in older people.

Subclinical HPV infection more prevalent in sexually inactive young girls than thought, say positive HPV DNA test results.

Maternal weight may affect the ability of ultrasound to detect fetal abnormalities during the second trimester.

Gradually increasing doses of clomiphene, then U/S, reduce time to ovulation, may improve ovulation rate in PCOS women.

Infants resuscitated at birth are likelier to have lower IQ scores in childhood.

Oral bisphosphonate does not appear to increase risk for esophageal cancer.

A woman undergoes a tension-free vaginal tape (TVT) procedure for stress urinary incontinence and inadvertently the bladder and urethra is injured.

Pregnant teenager goes into labor and family practitioner attempts delivery using vacuum extractor.

After woman delivers and is discharged from hospital, she is found to have rectal-vaginal fistula.