Obstetrics

New research in The FASEB Journal suggests that body clock genes are switched off in the lining of the womb to allow an embryo to implant and that regulation of this process is...  

Patient experience data presented at International Society for the Study of Women's Sexual Health Annual MeetingNewly released patient satisfaction survey results from...  

Operative birth is associated with persisting pain during or after sexual intercourse, known as dyspareunia, suggests a new study published in BJOG: An International Journal of Obstetrics and...  

As cesarean section rates continue to climb in the United States, researchers are looking to understand the factors that might contribute.  

Pre-eclampsia is a disease that affects 5 to 8 percent of pregnancies in America.  

Reducing cesarean section rates, even by a small percentage, would lead to large savings by reducing need for inpatient bedsResearchers at Columbia University's Mailman...  

: A new study finds that fetal alcohol syndrome is underdiagnosed in children 7 to 9 years old, highlighting the need to train clinicians in spotting the syndrome's physical and behavioral features.  

This observational study found that exposure to high levels of in utero glucose in early pregnancy was associated with a greater risk for autism syndrome disorder.  

However, the pay gap between the groups is small. Overall, the number who would choose obstetrics-gynecology if they could do it all again dropped from 53% to 40% during the last 4 years.  

A large, population-based study has shown fewer adverse outcomes with cesarean delivery vs either cesarean delivery during labor or vaginal delivery for breech presentation.  

 

 

Introduction to pelvic ultrasound for the evaluation of ectopic pregnancy by Bret Nelson, MD, RDMS, FACEP. Department of Emergency Medicine, Mount Sinai Scho...  

Guest post by Greg Press   The second perimortem C-section of my career happened last week. The  

Stream Active and passive smoking and risk of spontaneous abortion, stillbirth and tubal ectopic pregnancy by BMJ talk medicine from desktop or your mobile device  

Deliveries in the ED are obviously a rare event, and dystocias are a rarity inside of this rarity (representing about 0.6% to 1.4% of deliveries), but they still happen, and you need to know what to do if you end up with the catcher's mitt.  

A healthy 23 year old woman presents 37 weeks pregnant seizing. She has no history of seizures, drugs, trauma, illness, etc.  You are addressing the A, B, Cs and the nurses asks “what med do you want to stop the seizure”?  

Gestational diabetes mellitus (GDM) is high blood glucose (hyperglycaemia) first occurring or first recognised during pregnancy. Between 1% and 14% of pregnant women develop GDM, with some at a higher risk than others (for example, women who are overweight or obese, older, of particular ethnicities, have had GDM previously, or have a family history of type II diabetes). GDM can cause significant health problems for mothers and babies. The babies may grow very large and, as a result, be injured at birth, or cause injury to mothers during birth. Women with GDM have an increased risk of having an induced birth, of their babies being born by caesarean section, and of having a preterm birth (before 37 weeks of pregnancy). Additionally, there can be long-term health problems for mothers and babies, including an increased risk of type II diabetes. Some diets (for example, those with low fibre and high glycaemic load) and physical inactivity, are potentially modifiable risk factors for GDM. There is evidence that lifestyle interventions in the general population (promoting diet and exercise changes) can prevent type II diabetes, and it has been suggested that these interventions may help prevent GDM in pregnancy.  

Are cervical ripening agents effective for dilating the cervix before operative hysteroscopy and do they reduce the risk of complications during the surgery?