The financial performance of labor and delivery units
Hospitals and health care systems are already seeing the effect of health care reform with declining dollars. Hospital services, which had narrow financial margins in the past, will have further…
GYNECOLOGY
Ethical aspects of paternal preconception lifestyle modification
This Clinical Opinion points to a potential conflict between the scarcity of evidence on paternal preconception risk factors for adverse pregnancy outcomes and the view that preconception care should be…
Mutation analysis of papillary tubal hyperplasia associated with ovarian atypical proliferative serous tumor and low-grade serous carcinoma
We present a patient with ovarian atypical proliferative serous tumor and low-grade serous carcinoma, related to KRAS mutation. Bilateral fallopian tubes had papillary tubal hyperplasia, providing additional evidence that it…
MRI and ultrasound fusion imaging for prenatal diagnosis
Objective A combination of magnetic resonance imaging (MRI) images with real time high-resolution ultrasound known as fusion imaging may improve prenatal examination. This study was undertaken to evaluate the feasibility…
Differences in cortical development assessed by fetal MRI in late-onset intrauterine growth restriction
Objective The objective of the study was to evaluate cortical development parameters by magnetic resonance imaging (MRI) in late-onset intrauterine growth–restricted (IUGR) fetuses and normally grown fetuses. Study Design A…
Elevated mercury levels in pregnant woman linked to skin cream from Mexico
Mercury exposure during pregnancy can have serious health effects for a developing fetus including impacting the child’s neurologic and cognitive development. Through biomonitoring in a low-income Latina population in California,…
Discussion: ‘Adherence to hormonal contraception among women veterans,’ by Borrero et al
In the roundtable that follows, clinicians discuss a study published in this issue of the Journal in light of its methodology, relevance to practice, and implications for future research. Article discussed:…
Maternal metformin treatment decreases fetal inflammation in a rat model of obesity and metabolic syndrome
Objective Obesity and metabolic syndrome are associated with systemic inflammation and increased perinatal morbidity. Metformin improves metabolic and inflammatory biomarkers in nonpregnant adults. Using in vivo and in vitro models, we examined…
A foot path to diagnosis
Case notes A routine anatomical survey performed at 21 weeks’ gestation in a 34 year old multiparous Asian woman revealed a female fetus with thickening of the dorsal aspect of…
