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This is the first in a bimonthly series aimed at educating physicians on the pertinent aspects of litigation.

Even before Bethesda 2001 terminology recommended substantial changes in how labs should report Pap results--including specimen adequacy--many clinicians were confused about which patients to follow-up with repeat Pap tests. This article explains and clarifies the latest Pap test adequacy guidelines.

By helping Hispanic patients interact effectively with the health-care system, ob/gyns can increase the amount of prenatal care these women receive and decrease their high rates of preterm delivery and pregnancy-related maternal mortality.

This report updates the 2001 recommendations by the Advisory committee on Immunization Practices (ACIP) regarding the use of influenza vaccine and antiviral agents.

Multiple births related to infertility treatment have increased dramatically in recent years and are associated with significant personal, economic, and social costs.

No. The costs to the couple and to society are too high.

Ob/gyn patients undergo ultrasounds for a number of reasons. Because of the small variety of closely related U/S codes, successful billing for more than one U/S depends on the diagnosis and documentation.

Yes. Given the limitations of technology and our health-care system, twins are acceptable, if not desirable.

These guidelines for the treatment of patients who have sexually transmitted diseases (STDs) were developed by the Centers for Disease Control and Prevention.

While a single course of antenatal corticosteroids improves neonatal outcomes among infants born prematurely, the efficacy and safety of repetitive courses of ACS (including rescue dosing) is less clear. In the absence of adequate data to support a policy of repetitive dosing of ACS, such therapy should only be used as part of well-designed clinical trials.

HRT now??

Screening for inborn errors of metabolism prevents mental retardation and death. Identifying women at risk for PKU and providing prenatal education about screening for a variety of disorders are important prerequisites.

Which small-for-gestational age fetuses are at an increased risk for irreversible perinatal complications and death? Having emphasised the importance of early diagnosis of FGR in Part I, the authors now focus on antepartum surveillance and assess the evidence for various management strategies.

Although CPT 2002 introduced specific new codes for fine-needle aspiration (FNA), those codes didn't clear up much of the confusion about how they apply.

Clinical meeting ACOG

Ultrasound clinics for June

Acquired and inherited thrombophilias can be related to repeat miscarriage. Knowing which mutations to look for and who and when to screen are key, although treatment remains controversial.

New cervical disease guidelines

Some women on postmenopausal HRT have increased breast density. But what impact does this have on breast cancer risk and mammographic screening? An expert examines the evidence and provides clinical recommendations.

Some women on postmenopausal HRT have increased breast density. But what impact does this have on breast cancer risk and mammographic screening? An expert examines the evidence and provides clinical recommendations.

Last month, April, 2002, I reviewed the malpractice crisis US ob/gyns are facing. What steps can be taken to address the current situation and how do we craft a long-term strategy to create a fair and impartial method of adjudicating malpractice claims?