GYNECOLOGY
Emergency cerclage: Does the surgical technique matter?
We read with great interest the work of Roman et al that was published in your Journal. It seems that twin pregnancies that are most at risk of preterm delivery, either…
Lithopedion: an unexpected finding
Case notes A 47-year-old woman came to a surgical mission in Haiti in 2016 desiring surgical management of heavy menstrual periods. She reported having had 5 pregnancies and deliveries. She…
Quantity and quality in medicine: lessons from the humble Pap
It has been almost 75 years since Drs George N. Papanicolaou and Andrew A. Marchetti published in the pages of the American Journal of Obstetrics and Gynecology their seminal paper…
Detection and successful treatment of emergent anti-SSA–mediated fetal atrioventricular block
Background Fetal complete atrioventricular block occurs between 18 and 26 weeks in 2–4% of anti-SSA-positive pregnancies, but disease burden is considerable: Eighteen percent die in utero or before the age…
Impact on family and parental stress of prenatal vs postnatal repair of myelomeningocele
Introduction Spina bifida is referred to as one of the most severe congenital malformations compatible with life. The incidence of spina bifida is estimated at 3.5 per 10,000 live births per…
Risk of preterm birth by subtype among Medi-Cal participants with mental illness
Background Previous studies have demonstrated an association between mental illness and preterm birth (before 37 weeks). However, these investigations have not simultaneously considered gestation of preterm birth, the indication (eg,…
Is maternal disclosure of HIV serostatus associated with a reduced risk of postpartum depression?
Background Patients with chronic diseases that include HIV infection are at increased risk of experiencing postpartum depression. In addition, social isolation has been associated with depression among women with HIV….
Implementation of universal screening for depression during pregnancy: feasibility and impact on obstetric care
Materials and Methods Study setting The current study was conducted at Massachusetts General Hospital, Boston, MA, which is a tertiary-care academic medical center. The depression screening program was implemented within the 2 largest…
Indications for primary cesarean delivery relative to body mass index
Background Obesity is a known risk factor for cesarean delivery. Limited data are available regarding the reasons for the increased rate of primary cesarean in obese women. It is important…
