Evidence-based obstetrics and gynecology: still a marathon to run
We read with great interest the article by Brandt et al on the 100 most frequently cited papers in obstetrics and gynecology journals during the last 50 years. Surprisingly, only…
How does provider bias impact pregnancy and abortion disparities?
The October 2010 article, Recommendations for intrauterine contraception: a randomized trial of the effects of patients’ race/ethnicity and socioeconomic status (SES) gives great insight to potential provider biases with respect…
Transcervical Foley catheter should be used in preference to intravaginal prostaglandins for induction of labor with an unfavorable cervix
We have read with interest the review by Vaknin et al of randomized controlled trials (RCTs) comparing the transcervical balloon catheter with vaginal prostaglandins in your November issue. Since the…
Reflections and potential clinical implication for the article “Separated from birth: an initial examination suggested Asherman’s syndrome”
I want to congratulate Drs Oakes and Fisseha for their elegant presentation. The authors presented an incidental case (with excellent pictures) of an attenuated (dehiscence) uterine scar in a nonpregnant…
Skin closure at cesarean section
I read with interest the article by Basha et al. Their manuscript has significant implication for patient care and clinical practice; however, absence of the following details questions the validity…
Placement of a cervical cerclage in combination with an intrauterine balloon catheter to arrest postpartum hemorrhage
Placement of a cervical cerclage postpartum allows retention of a uterine tamponade balloon in women with a dilated cervix. This novel indication for a cervical cerclage may be a useful…
Tuberculous peritonitis presenting as an acute abdomen: a case report
Female genital tuberculosis is relatively rare and difficult to diagnose. Often it is mistaken for ovarian malignancy. We report a case of a young immigrant woman with acute abdominal pain….
Duplicity: Sonography suggested a twin gestation was dichorionic–and monochorionic
Case notes A dichorionic twin pregnancy was diagnosed in a 26-year-old woman after first- and second-trimester ultrasounds identified a twin peak sign. However, at 23 weeks’ gestation, sonographic findings consistent…
Of parachutes and patient care: a call to action
Obstetric caregivers are plagued with lawsuits alleging negligence for suboptimal outcomes. Some of those claims are unjustified, but many have merit. We are obligated to create systems designed to minimize…
Bloody tests
Antenatal management of women who suffered a prior adverse pregnancy outcome or who have an inherited thrombophilia is not currently guided by a high level of scientific evidence (no well-conducted…
