News
Hormone therapy for menopausal vasomotor symptoms
Given our available (better) options for treating hot flashes, can we reduce our use of medroxyprogesterone acetate?
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Does your obstetric unit have a protocol for treating amniotic fluid embolism?
Although rare, the potential for fatality with amniotic fluid embolism is high, and developing and practicing a written, multidisciplinary...
News
Q: Following cesarean delivery, what is the optimal oxytocin infusion duration to prevent postpartum bleeding?
A: High-reliability cesarean delivery requires a postoperative oxytocin infusion of 4 to 8 hours to reduce the risks of uterine atony and...
Video
Options for reducing the use of open power morcellation of uterine tumors
The most promising alternative to open power morcellation is morcellation in a bag, described here
Video
Benefits and pitfalls of open power morcellation of uterine fibroids
The current practice of open power morcellation is being scrutinized by those within and outside of the ObGyn community. We need to re-examine our...
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Ovarian teratoma (dermoid cyst) and encephalitis: A link to keep on your radar
Can resection of an ovarian teratoma reverse this patient’s disabling brain disease?
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21st Century norms for assessing the progress of labor
We are in a new era. Our patients, and their labors, have changed on a global scale. To optimally manage labor you need to use these new norms in...
News
Osteoporosis treatment and breast cancer prevention: Two goals, one treatment?
For postmenopausal women with newly diagnosed osteoporosis, assessing the risk of breast cancer prior to prescribing a bone medicine could...
News
Should you start prescribing lorcaserin or orlistat to your overweight or obese patients?
This question needs to be asked. As a specialty, we must do more to help our patients achieve and maintain a healthy weight.
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Develop and use a checklist for 3rd- and 4th-degree perineal lacerations
Does your labor unit have such a list? Here, key components to get you started.
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Successful treatment of chronic vaginitis
Arm yourself with these best options for tackling insistent infection
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When estrogen isn't an option, here is how I treat menopausal symptoms
Your patient's oncologist forbade the use of estrogen or progestins for her insomnia, hot flashes, and dry vagina. What effective treatment can...
News
You are the second responder to a shoulder dystocia emergency. What do you do first?
Hint: Prioritize a rotational maneuver and delivery of the posterior arm and consider adding manipulation of the posterior axilla to your response...
News
Mother-, baby-, and family- centered cesarean delivery: It is possible
The clinical processes at cesarean delivery can be refocused to enhance early maternal–infant bonding and improve the mother’s experience of the...
News
The natural history of obstetric brachial plexus injury
Ten percent to 30% of these injuries persist for years following birth. Can we reduce the incidence? Can we reduce our risk of litigation?