Contemporary perspectives on vaginal pH and lactobacilli
Ever since the pH of the vagina was found to be much more acidic than blood and interstitial fluids, a belief going back more than a century has persisted that…
GYNECOLOGY
Obstetrician-gynecologists’ views on contraception and natural family planning: a national survey
Objective The objective of the study was to characterize beliefs about contraception among obstetrician-gynecologists. Study Design National mailed survey of 1800 US obstetrician-gynecologists. Criterion variables were whether physicians have a…
Adverse childhood experiences and repeat induced abortion
Objective The objective of the study was to characterize the backgrounds of women who have repeat abortions. Study Design In a cross-sectional study of 259 women (mean age, 35.2 ±…
Obesity and pregnancy: clinical management of the obese gravida
In recent years, the prevalence of obesity in the United States has risen dramatically, especially among women of reproductive age. Research that has specifically evaluated pregnancy outcomes among obese parturients…
Care for women with prior preterm birth
Iams and Berghella’s recent article in the August 2010 issue on the care of women with prior preterm birth was comprehensive and helpful. They comment on the association of preterm…
Endoscopic treatment of a transmigrated intrauterine device to colonic wall: a case report
We report an asymptomatic 23-year-old female patient who was diagnosed to have a transmigrated intrauterine device (IUD) during a routine gynecological examination. After the IUD had been located within the…
Informed consent cannot be obtained for use of vaginal mesh
I was interested to read the Clinical Opinion “Use of vaginal mesh in the face of recent FDA warnings and litigation.” The authors stress the importance of documenting informed consent,…
A Grimm situation
Case notes A 17-year-old primigravida at the end of her first trimester was referred for evaluation of a well-defined, firm, mobile mass in the epigastric region. She had a recent…
Coping with changes in health care
It is not our imagination that 2010 was a tsunami in health care. I do not pretend to have answers to the health care question and what will happen, but…
One small step and one giant leap for noninvasive prenatal screening: an editorial
It is likely that, soon after amniocentesis became accepted widely for the prenatal diagnosis of fetal chromosome and certain structural abnormalities, clinicians and researchers took interest in developing technologies that…
