Misguided guidelines for managing labor
In a recent review we expressed concerns about new guidelines for the assessment and management of labor recommended jointly by the American Congress of Obstetricians and Gynecologists (ACOG) and the…
Use of Monsel solution to treat obstetrical hemorrhage: a review and comparison to other topical hemostatic agents
Peripartum hemorrhage accounts for 8% of maternal deaths in the United States, and nearly 27% worldwide. A growing need exists for tactics to spare morbidity given a rise of abnormal…
US health care system: we can do better
In this review, South Atlantic Association of Obstetricians and Gynecologists President N. Donald Diebel examines a brief history of health care in the United States and shares his thoughts about…
Contraception and mental health: a commentary on the evidence and principles for practice
Among the most prevalent and disabling chronic diseases affecting reproductive-aged women worldwide, depression and anxiety can contribute to adverse reproductive health outcomes, including an increased risk of unintended pregnancy and…
Health care justice and its implications for current policy of a mandatory waiting period for elective tubal sterilization
Tubal sterilization during the immediate postpartum period is 1 of the most common forms of contraception in the United States. This time of the procedure has the advantage of 1-time…
A critical assessment of morcellation and its impact on gynecologic surgery and the limitations of the existing literature
Uterine sarcomas are rare uterine malignancies that are difficult to diagnose preoperatively. Because of cases of disseminated sarcoma after laparoscopic hysterectomy, the role of power morcellators in gynecologic surgery has…
Society for Maternal-Fetal Medicine (SMFM) Clinical Guideline #8: The fetus at risk for anemia–diagnosis and management
What is the definition of fetal anemia? Fetal anemia can be defined using either hemoglobin or hematocrit values. A hemoglobin value that is more than 2 SD below the mean…
#36: Prenatal aneuploidy screening using cell-free DNA
Recent advances in technology have created exciting opportunities to expand and improve genetic testing options that are available to women during pregnancy. However, the novelty and complexity of these technologies,…
Neoadjuvant chemotherapy vs primary debulking surgery for advanced ovarian cancer. What is the debate regarding the ideal treatment: approach? age? or cost?
See related article, page 763 In this month’s American Journal of Obstetrics & Gynecology , Rowland et al found that, compared with primary debulking, neoadjuvant chemotherapy produced a cost savings in…
New kinds of injustice for women?
See related article, page 736 Moaddab and colleagues describe in this issue of the Journal the ethical parameters of a long-standing government requirement for obtaining a sterilization operation. Women who…
