SPOTLIGHT -
Legal: Failure to respond to FHR tracing
Failure to respond to FHR tracing
Don't raise false hope or misrepresent the risks of medical care
Phyisicians have to explain the risks of patient care in plain English, without trivializing the dangers or overestimating them. Cautious optimism may be in order but don't soft pedal the threat of complications.
Appendicitis in pregnancy: A guessing game?
Appendicitis in pregnancy should be treated as a surgical emergency. By quickly ruling out cholecystitis or pyelonephritis, surgery can begin before a burst appendix threatens a patient's life.
Legal: Was this hysterectomy unnecessary?
Was this hysterectomy unnecessary?
Legal: Uterine perforation during endometrial ablation
Uterine perforation during endometrial ablation
Legal: Failure to stop oxytocin until FHR deterioration
Failure to stop oxytocin until FHR deterioration
Placenta accreta/increta/percreta: Ways to stop life-threatening bleeding
Placenta accreta, increta, and percreta can threaten or take a pregnant patient's life when massive hemorrhage ensues. Experts give life-saving strategies for such a surgical emergency.
Adhesion prevention and hemostasis in pelvic surgery: New tools
Adhesion barriers and controlling excess bleeding during pelvic surgery are easier than ever-thanks to biotechnology advances.
Medical abortion in the first trimester: Update
Medical abortion update on newer evidence-based regimens of mifepristone and misoprostol compares their effectiveness and side effects to FDA-approved regimen. Patient counseling points are included.
Vaginal microbicides: What does the future hold?
New antimicrobial agents that hold promise against HIV and other sexually transmitted diseases are now being tested. Agents include Acidform, BufferGel and dapivirine.
News: Radiopaque clips improve breast Ca outcomes
Placing radiopaque clips in the primary tumor bed in women with breast ca helps to localize the prime tumor site.
New Products: Etravirine (Intelence)
The latest in medical products for obstetrics and gynecology.
News: Mastectomy procedure succeeds in preserving nipple
Total skin-sparing mastectomy (TSSM) is an option for some women with breast cancer.
New Products: ProSound 3500SX
News: More evidence linking caffeine to miscarriage
Caffeine intake increases the risk of miscarriage.
News: Modified TVUS accurately diagnoses deep endometriosis
A slightly modified way of performing transvaginal ultrasonography (TVUS) diagnoses deep endometriosis.
Opinion: I admit it, I'm a technophile
Technology has transformed medicine; to keep up with these advances requires access to unbiased clinical reviews, which are provided in this special issue.
News: Best postop treatment for stage III-IV endometriosis
Following conservative pelvic surgery, hormonal suppression or dietary therapy are better than placebo at reducing pain and improving quality of live in women with stage III-IV endometriosis.
News: Daidzein-rich isoflavones reduce menopausal hot flashes
Daidzein-rich isoflavones improve hot flash frequency and severity.
News: Can noninvasive pelvic physical therapy open occluded fallopian tubes?
Manual pelvic physical therapy resulted in unilateral or bilateral patency in formerly infertile women with occluded fallopian tubes.
Should pregnant patients use smoking cessation meds?
Data on smoking cessation medication in pregnancy are sparse and safety of drugs in pregnancy is unknown.
News: CDC: Pregnant women need to know more about cytomegalovirus risk
Fewer than half of ob/gyns counsel pregnant patients on risk of congenital cytomegalovirus and on preventive measures.
News: Moisturizer maintains symptom relief in women with vulvar LS
A safe and inexpensive moisturizing cream can relieve symptoms induced by topical corticosteroids in women with vulvar lichen sclerosus (LS).
Legally Speaking: Can you win a case involving premature twins?
Brain-damaged baby cases often pose the most significant challenges to defendant physicians and defense attorneys alike. With that in mind, sometimes the most we can hope to achieve is a palatable resolution of the case.
Editorial: Our not-so-not-for-profit hospitals
Are 'Not-for-Profits' providing a reasonable level of defined community benefits?
Avoiding EHR sticker shock
Here's how to dissect EHR bids to make sure you're getting the best deal.
Placenta accreta, increta, and percreta: A team-based approach starts with prevention (Part 1)
Here's how early U/S or MRI diagnosis may help save your patient from bleeding to death at delivery.
Proteinuria in pregnancy: What does it mean?
Renal disease and preeclampsia are your two biggest concerns. An expert nephrologist outlines the steps involved in differential diagnosis and management.
Which chemopreventive agents for postmenopausal early breast cancer?
Postmenopausal women taking adjuvant aromatase inhibitors (AIs) for early breast cancer are statistically at significantly greater risk for grade 3 and 4 cardiovascular events than women receiving tamoxifen.
Fooled twice by an acute abdomen
Advanced tubal pregnancy,a rare complication misinterpreted twice on ultrasound imaging and discovered at hysterectomy, is described.