The management of pregnancy and delivery of a woman on opiate-substitution therapy with buprenorphine requires a coordinated team approach by social services, addiction medicine, obstetrics, and pediatrics. Her obstetrical care…
The objective of this study was to evaluate the impact of an interdisciplinary team-training program in obstetric emergencies on identifying unsupportive institutional policies and systems-based practices. We implemented a qualitative…
In the 3 large, well-done randomized placebo-controlled trials, antenatal magnesium sulfate (MgSO 4 ) reduced the risk of cerebral palsy among children who survived early preterm birth. Crowther and colleagues…
Infants born at <34 weeks are at increased risk for cerebral palsy (CP). This risk increases inversely according to gestational age at delivery: approximately 10% at <28 weeks, 6% at…
THE ISSUE: Cerebral palsy is infrequent, but causes devastating neurologic consequences in preterm infants. Three recent randomized trials and several metaanalyses have evaluated the role of antenatal magnesium sulfate for…
Case notes In February 2011, a 67-year-old multiparous woman with a 2-month history of postmenopausal bleeding was admitted to a local hospital, where a cervical biopsy was performed. Histopathologic examination…
Pelvic abscesses occurring after gynecologic pelvic surgery are uncommon. We describe the case of a woman who, after undergoing such a procedure, was found to have pelvic abscesses infected with…
A rare case of prelabor uterine rupture in a primigravida was reported. A woman with a history of uterine perforation during hysteroscopy became pregnant after donor oocyte in vitro fertilization….
I read, with interest, the article titled, “Use of the Learning Curve-Cumulative Summation test for quantitative and individualized assessment of competency of a surgical procedure in obstetrics and gynecology: fetoscopic…
The article by Cleary et al entitled “Methadone and perinatal outcomes: a retrospective cohort study” published in the American Journal of Obstetrics and Gynecology in February 2011 provides retrospective cohort…
