Are Midwives the Solution?
INTRODUCTION Print Section Listen When my midwife entered the room during our first visit, she was not at all what I had been expecting. I think I imagined a friendly…
Understanding the Motives for the Natural Birth Movement and Why the Medical Community Needs to Embrace It
REMEMBERING SOPHIA Print Section Listen That summer was in the year of the seventeen year cicada. First, we saw only their shells haunting the trees and bushes and occasionally the…
Vulvar and Vaginal Hematoma
INTRODUCTION Print Section Listen KEY QUESTIONS How does the location of an obstetric hematoma affect management? Can adequate examination be performed bedside, or is examination under anesthesia in the operating…
Pudendal Nerve Blocks
INTRODUCTION Print Section Listen KEY QUESTIONS When should one consider a pudendal block as opposed to, or as an adjunct to, alternative pain or anesthetic options? What considerations should be…
Manual Rotation of the Occiput Posterior or Occiput Transverse Fetus in Labor
INTRODUCTION Print Section Listen KEY QUESTIONS What are the maternal and neonatal risks related to the occiput posterior (OP) or occiput transverse (OT) position in labor? What are the indications…
Episiotomy and Perineal Laceration Repair
INTRODUCTION Print Section Listen KEY QUESTIONS What are the indications for performing an episiotomy? What are the relative advantages and disadvantages of the various types of episiotomies? What steps can…
Obstetric Ultrasound
INTRODUCTION Print Section Listen KEY QUESTIONS How can ultrasound be used to assess fetal growth and well-being? How can ultrasound be used to evaluate preterm labor? How can ultrasound be…
Breech Delivery
INTRODUCTION Print Section Listen KEY QUESTIONS What clinical or other information is important to know when considering a vaginal breech delivery (VBD)? At what point should a cesarean section (C-section)…
Hypogastric Artery Ligation
INTRODUCTION Print Section Listen KEY QUESTIONS What are the indications for hypogastric artery ligation (HAL)? How effective is HAL in controlling a pelvic hemorrhage? What are the key operative steps…
Management of Acute, Abnormal Uterine Bleeding
INTRODUCTION AND BACKGROUND Print Section Listen KEY QUESTIONS What classification system is used to describe the differential diagnosis of abnormal uterine bleeding (AUB) in women of reproductive age? What criteria…
