obstetrics and gynecology

The best of times or the worst of times? A tale of two surveysOb/gyns' fear of being sued may be disproportionate to the frequency of malpractice claims.
Recurrent pregnancy lossEvidence on which to base management of RPL is limited, challenging ob/gyns with patients facing this stressful diagnosis.
Legally Speaking: Infant death from fetal hydropsWhen a jury sees a diagnosis of HIE, it is very difficult to show them that no hypoxia occurred in labor, even in the face of normal cord blood gases.
Legally Speaking: Weak link in chain of command leads to $23 million settlementIn malpractice cases allegations of a failure to follow the chain-of-command policy often are made retrospectively, knowing the bad outcome and claiming that nurses had a responsibility to obtain additional medical care that would have prevented the patient’s injury.
The ob/gyn hospitalistA look at the evidence shows that a program using ob/gyn hospitalists makes sense for many facilities and may improve outcomes.
Home birth: The obstetrician's ethical response
Home birth: The obstetrician's ethical responseThe professional responsibility model of obstetric ethics provides a powerful antidote to maternal rights-based reductionism.
Simulation builds skillsTraining on the devices is available, even beyond residency.
SMFM Consult: Patient counseling following periviable premature rupture of the membranes
SMFM Consult: Patient counseling following periviable premature rupture of the membranesUnderstanding the usual clinical course of periviable PROM helps physicians guide families who are making difficult decisions.
Whither the annual bimanual pelvic examination?The ACP’s Clinical Guideline advising against pelvic examinations for the detection of pathological conditions in asymptomatic, nonpregnant, adult women is unfounded, ill timed, and ill considered.
AHA issues stroke guidelines for womenFor the first time, guidelines have been developed for preventing stroke in women.