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Office-based hysteroscopy: getting started now
September 15th 2006What's holding you back? Cost? Worries about managing pain or complications? An expert debunks common excuses for not doing more office-based procedures and explains why you need both U/S and diagnostic hysteroscopy-and the rewards you can reap from taking your practice in this direction.
ECG analysis: the next generation in electronic fetal monitoring?
September 15th 2006As fetal electrocardiograph analysis comes of age, there's a growing body of research to suggest it can serve as a valuable adjunct to traditional EFM. Here's an expert review on the technology and the data supporting it.
Still searching for the Holy Grail
September 15th 2006For over 25 years, obstetricians have been searching for the definitive tool that will ultimately improve perinatal outcomes and lower the cesarean section rate. Unfortunately, while there have been several promising technologies, none has significantly reduced the rate of cerebral palsy due to intrapartum fetal hypoxia. The search nevertheless continues and no one is suggesting we give up on this important goal. With that in mind, in this issue of Contemporary OB/GYN, Dr. Lawrence Devoe discusses fetal ECG waveform analysis as an adjuvant to electronic fetal monitoring. Preliminary data from randomized clinical trials using the STAN system suggest that this technology may reduce operative delivery rates, neonatal metabolic acidosis, and hypoxic-ischemic encephalopathy.
