News
25 years in service to you, our readers
- Author:
- Robert L. Barbieri, MD
It is all about your professional development and your patients’ health and well being
News
A stitch in time: The B-Lynch, Hayman, and Pereira uterine compression sutures
- Author:
- Robert L. Barbieri, MD
All three of these uterine compression sutures are effective at treating postpartum hemorrhage caused by uterine atony—remember to use them
News
Your age-based guide to comprehensive well-woman care
- Author:
- Robert L. Barbieri, MD
Primary care interventions vary with the age of the patient, but there are similarities, too. A look at recommendations for four age intervals: 13...
News
Let’s increase our use of implants and DMPA and improve contraceptive effectiveness in this country
- Author:
- Robert L. Barbieri, MD
We do not use long-acting reversible contraceptives in the United States at the rate they are used in Europe, and we have a high unplanned...
News
Let’s increase our use of IUDs and improve contraceptive effectiveness in this country
- Author:
- Robert L. Barbieri, MD
The unintended pregnancy rate is too high in the United States, and the use of long-acting reversible contraceptives is too low. Expanding the...
News
Routine use of oxytocin at birth: just the right amount to prevent postpartum hemorrhage
- Author:
- Robert L. Barbieri, MD
Administering the appropriate amount of oxytocin maximizes its benefits and minimizes its side effects. Regrettably, too little, too much or none...
News
Be active, not passive, with how you screen for type 2 diabetes
- Author:
- Robert L. Barbieri, MD
We can do a better job of uncovering the likely significant number of our patients whose diabetes has gone undiagnosed, at their peril
News
Clomiphene failure? Try adding dexamethasone to your clomiphene infertility regimen
- Author:
- Robert L. Barbieri, MD
Clomiphene-resistant women often ovulate, and then become pregnant, when treated with a combination of clomiphene and dexamethasone
News
Stop performing median episiotomy!
- Author:
- Robert L. Barbieri, MD
Start using a mediolateral incision when episiotomy is indicated
News
Act fast when confronted by a coagulopathy postpartum
- Author:
- Robert L. Barbieri, MD
Don’t waste valuable time waiting for coagulation studies to return from the lab—use your clinical judgment and start transfusing clotting factors...
News
Have you tried a progestin for your patient’s pelvic pain?
- Author:
- Robert L. Barbieri, MD
Progestins are highly effective for pelvic pain caused by endometriosis that’s refractory to other treatments
News
Difficult fetal extraction at cesarean delivery: What should you do?
- Author:
- Robert L. Barbieri, MD
Next time you face this hazardous scenario, try reverse breech extraction
News
How to repair bladder injury at the time of cesarean delivery
- Author:
- Robert L. Barbieri, MD
You’re well-trained to take primary responsibility for repair of most of these urinary tract injuries.
News
Insomnia is a troubling and under-treated problem
- Author:
- Robert L. Barbieri, MD
Consider gabapentin or eszopiclone to help wakeful women get some sleep at last
News
Medicare and Medicaid are on the brink of insolvency, and you’re not just a bystander
- Author:
- Robert L. Barbieri, MD
The federal government might resuscitate these two popular benefit programs by siphoning revenue from private medical practices