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The American College of Obstetricians and Gynecologists brings its Annual Clinical Meeting back to San Francisco's Moscone Convention Center for 2005. The City by the Bay has long been one of ACOGs's most popular venues, said president Vivian Dickerson, MD, in her official welcome message on the College's Web site. The 2005 clinical meeting is no exception.

Delivering an extremely low birthweight (ELBW) infant (

An expert examines the evidence for the effectiveness of a wide array of drugs and surgical approaches used to treat, and overtreat, heavy menstrual bleeding.

If your patient is planning a trip to a foreign country, this practical advice can help her make the visit both safe and enjoyable.

Some women appear to have a gradual, yet premature, decline in ovarian function that is distinct from ovarian failure. In the author's experience, there is hope for successful pregnancy in these cases, with quick and correct diagnosis and the right treatment.

We can do a better job of screening and testing sexually active teens and young adults for STIs. Keeping up with the latest evidence can help you decide when to test, whom to test, and which of a wide array of office- and lab-based tests to choose.

Delivering an extremely low birthweight (ELBW) infant (

My first two editorials on venous thromboembolism (VTE) suggested ways to reduce risk in women taking estrogen-containing hormones and undergoing gynecologic surgery, respectively. This editorial explores strategies for avoiding it in pregnancy.

Each year CPT introduces new codes and makes revisions to existingcodes to better reflect current medical practices. CPT 2005 is nodifferent. This month, we'll look at changes in coding for vaginalcolpopexy. The 2005 CPT codes reflect the expansion and improvementof surgical techniques in the area of female reconstructive surgery

In vitro fertilization (IVF) ignited a revolution in infertility treatment.

Although there have been no clinical trials to conclusively establish a cause-and-effect relationship between ovulation induction with clomiphene citrate or gonadotropins and cancer, evidence derived from prospective and cohort studies suggests the following:

A fetus is more likely to have chromosomal instability, expressed as an increase in structural chromosomal abnormalities and chromosomal lesions, when a woman smokes 10 or more cigarettes a day for at least 10 years and continues to smoke during pregnancy. And that danger is not influenced by maternal age.

Women with BRCA1 and BRCA2 mutations are not only at greater risk for invasive breast cancer (IBC); the latest research suggests these mutations also increase the threat of ductal carcinoma in situ (DCIS), according to a case-control study conducted in Connecticut.

Despite knowing for years that giving antibiotics prior to surgery reduces the risk of infection, antimicrobial prophylaxis is administered properly only about half the time.

The risks of neonatal convulsions and neonatal withdrawal syndrome seem to increase when a pregnant women uses selective serotonin reuptake inhibitors (SSRIs), with paroxetine being the worst offender, according to cases reported by 72 countries to the World Health Organization's Collaborating Centre for International Drug Monitoring in Uppsala, Sweden.

Pregnant asthmatics who use inhaled steroids don't increase their risk of pregnancy-induced hypertension or preeclampsia, according to a recent nested case-control study from Canada.

Adjuvant treatment with cyclophosphamide, methotrexate, and fluorouracil (CMF) in women with operable breast cancer at risk of relapse halves that threat and reduces the risk of death with minimal long-term sequelae.

Pregnant asthmatics who use inhaled steroids don't increase their risk of pregnancy-induced hypertension or preeclampsia, according to a recent nested case-control study from Canada.

In a simulator study comparing McRoberts', anterior Rubin's, and posterior Rubin's maneuvers for initial management of shoulder dystocia, researchers from Johns Hopkins found that anterior Rubin's maneuver required the least traction for delivery and produced the least amount of brachial plexus tension.

The airline industry didn't wait for validation before they employed simulation in their credentialing program, and surgeons shouldn't either.

Abdominal sacral colpopexy is still the "gold standard" for this complicated problem. But early results with two minimally invasive procedures show promise for safely managing prolapse.

The emergence of magnetic resonance as a viable imaging tool for evaluating the breast presents new diagnostic possibilities for ob/gyns. But before you can use it wisely, you have to understand certain key clinical parameters, recognize the technical factors that affect the quality of breast MR images, and be familiar with current indications for the procedure.

Along with existing surgical simulators, like pelvic trainers and animal and cadaver labs, virtual reality training lets ob/gyns practice increasingly complex surgical techniques in a safe environment, without harming the patient.

Menopause is not simply the result of ovarian failure or depletion; evidently it's also the result of a hypothalamic-pituitary insensitivity to estrogen during the perimenopausal period, according to a multiethnic, observational, cohort study.

An expert shares ways to avoid misdiagnosing vulvovaginal infections by becoming better acquainted with the microscopy of vaginal secretions, routinely using both pH paper and the amine test, and prudently employing vaginal yeast and Trichomonas cultures.