Article
Long-acting reversible contraceptives and acne in adolescents
How should you manage acne in an adolescent seeking progestin-based long-acting reversible contraception (LARC)?Examining the impact of...
Article
Management of wound complications following obstetric anal sphincter injury (OASIS)
The 3 steps described here—demonstrating the modern approach to managing an infected wound dehiscence following a severe perineal injury—can put...
Article
Do you utilize vasopressin in your difficult cesarean delivery surgeries?
Gynecologists often use vasopressin to reduce surgical blood loss. Far fewer obstetricians use the same drug during difficult cesarean delivery...
Article
Have you measured lactate in your sick obstetrics and gynecology patients during the past year?
Measuring lactate can facilitate the rapid identification of the sickest obstetrics and gynecology patientsLactate measurement is widely used in...
Article
In which clinical situations can the use of the 52-mg levonorgestrel-releasing IUD (Mirena) and the TCu380A copper-IUD (ParaGard) be extended?
For women older than 35 years, the 52-mg levonorgestrel-intrauterine device (LNG-IUD) may be effective for up to 7 years and the TCu380A copper-...
Article
Protecting the newborn brain—the final frontier in obstetric and neonatal care
For newborns with encephalopathy, therapeutic hypothermia can improve brain function and long-term developmental outcomes. For ObGyns, being a...
Article
Stop using rectal misoprostol for the treatment of postpartum hemorrhage caused by uterine atony
For women who experience a postpartum hemorrhage, and already have received oxytocin as part of routine obstetric care, prioritize the use of...
Article
Start offering aspirin to pregnant women at high risk for preeclampsia
Aspirin 81 mg daily, initiated at 12 weeks of pregnancy, modestly reduces preeclampsia risk for women with multifetal gestation, chronic...
Article
Intractable shoulder dystocia: A posterior axilla maneuver may save the day
My preferred posterior axilla maneuver is the Menticoglou maneuver. Here, a look at your options and steps to delivery.
News
Can we solve the problem of inadequate contraception for women at high risk for adverse pregnancy outcomes?
There’s a nationwide gap in contraceptive services—many reproductive-aged women with serious medical problems are not receiving adequate...
Article
Should you adopt the practice of vaginal cleansing with povidone-iodine prior to cesarean delivery?
Among women with ruptured membranes or spontaneous labor, precesarean vaginal cleansing with povidone-iodine may reduce the risk of endometritis...
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Should newborns at 22 or 23 weeks’ gestational age be aggressively resuscitated?
At 22 weeks 0 days of gestation, pediatricians and parents should be cautious about choosing to aggressively resuscitate a newborn because...
Article
Can we reduce the use of abdominal hysterectomy and increase the use of vaginal and laparoscopic approaches?
Too many hysterectomies are performed using a laparotomy incision. Increasing the use of vaginal and laparoscopic hysterectomy will improve...
News
Does hormone therapy reduce mortality in recently menopausal women?
Yes. For postmenopausal women aged 50 to 59 years, hormone therapy reduces the risk of death.
News
Reducing maternal mortality in the United States—Let’s get organized!
With teamwork, we can impact women and their families on a national scale