Expert Commentary
Expert Commentary
Does minimally invasive hysterectomy cost more than the abdominal approach?
Expert Commentary
Does electronic fetal heart rate monitoring reduce the risk of neonatal death?
IT’S UNCLEAR. Although the authors of this retrospective analysis claim to have found evidence that electronic fetal heart rate monitoring lowers...
Clinical Review
Vulvar pain syndromes: Making the correct diagnosis
Many cases of generalized vulvodynia and localized vulvodynia (vestibulodynia) are mistakenly attributed to yeast infection, pudendal neuralgia,...
Expert Commentary
Remove the black-box warning for depot medroxyprogesterone acetate!
Guidance about DMPA in the black box isn’t evidence-based, and the warning deprives women of long-term use of this safe and effective...
Expert Commentary
How should you evaluate a patient who has a cytologic diagnosis of atypical glandular cells (AGC)?
CONSIDER COMPREHENSIVE ASSESSMENT that includes pelvic examination, colposcopy, endocervical curettage, cervical biopsy, ultrasonography (US), and...
Expert Commentary
Does the use of multiple maneuvers in the management of shoulder dystocia increase the risk of neonatal injury?
YES, In this retrospective investigation, the risk of neonatal injury increased with the number of maneuvers employed to resolve shoulder...
Expert Commentary
Can a novel risk-scoring system for ovarian cancer predict who is most likely to develop disease?
YES, BUT THE MODEL NEEDS TO BE VALIDATED in other populations and data sets before it can be set to clinical use.
Expert Commentary
Is expectant management superior to elective induction of labor in nulliparous women who have an unfavorable cervix?
NO. THE STRATEGIES HAVE COMPARABLE OUTCOMES, according to this retrospective cohort study. The primary outcome of cesarean delivery was not...
Expert Commentary
“Does cancer cause menorrhagia?” A lament on the decline of the art of medicine
Clinical pathways in which decision trees are dichotomous have become the mainstay of clinical practice. What’s wrong with this picture?