Results of a new study conducted in The Netherlands found that children born post-term are at increased risk for behavioral and emotional problems, particularly attention-deficit hyperactivity disorder (ADHD). More »
A study that examined trends in timing of non-medically necessary elective delivery and NICU utilization indicates that the older the gestational age of the infant, the less the NICU is utilized. More »
A 32-year-old female, with previous history for ectopic pregnancy, presents to the ER with a positive pregnancy test, and right side pelvic pain. An ultrasound of the pelvis was ordered by the ER physician. More »
The pharmacokinetic profile of AG200-15, a low-dose estrogen (EE) and levonorgestrel (LNG) contraceptive patch is equivalent whether applied to the abdomen, buttock, or upper torso according to an open-label, three-period randomized crossover study. Exposure is well within reported ranges for low-dose, combined oral contraceptives. More »
Providers underestimate the intensity of patients’ pain during IUD insertion, and often misidentify the moment at which maximum pain occurs, according to a randomized trial of 200 women. Midlevel providers are slightly better at estimating pain intensity. More »
Women with chronic kidney disease no longer need to avoid pregnancy, according to the experts. But their situation is so new that it's difficult to give them informed counseling. More »
To review the etiology and incidence of and associative factors in the formation of adhesions following gynaecological surgery. To review evidence for the use of available means of adhesion prevention following gynaecological surgery.|Women undergoing pelvic surgery are at risk of developing abdominal and/or pelvic adhesive disease postoperatively. Surgical technique and commercial adhesion prevention systems may decrease the risk of postoperative adhesion formation.|The outcomes measured are the incidence of postoperative adhesions, complications related to the formation of adhesions, and further intervention relative to adhesive disease.|Medline, EMBASE, and The Cochrane Library were searched for articles published in English from 1990 to March 2009, using appropriate controlled vocabulary and key words. Results were restricted to systematic reviews, randomized control trials/controlled clinical trials, cohort studies, and meta-analyses specifically addressing postoperative adhesions
The optimal technique for performing caesarean section with respect to minimising postoperative adhesions has not been determined.|To evaluate adhesion formation for three common caesarean section techniques in women undergoing repeat caesarean section surgeries.|A database was constructed from Medline, EMBASE, Cochrane Library, National Science Digital Library, China Biological Medicine Database and through contact with experts in this field from January 1990 to May 2010.|Studies were included if they examined adhesion formation in repeat caesarean sections as a primary objective, delineated a clear study design, specified an adhesion scoring system, and had sufficient patient exclusion criteria.|We abstracted data regarding adhesion formation. The Mantel-Haenszel random-effects model was employed for all analyses using odds ratio or inverse variance, along with 95% CI.|Thirty-three qualified studies including 4423 women were analysed. There were 406 adhesions among 571 women and 238
To review the etiology and incidence of and associative factors in the formation of adhesions following gynaecological surgery. To review evidence for the use of available means of adhesion prevention following gynaecological surgery.|Women undergoing pelvic surgery are at risk of developing abdominal and/or pelvic adhesive disease postoperatively. Surgical technique and commercial adhesion prevention systems may decrease the risk of postoperative adhesion formation.|The outcomes measured are the incidence of postoperative adhesions, complications related to the formation of adhesions, and further intervention relative to adhesive disease.|Medline, EMBASE, and The Cochrane Library were searched for articles published in English from 1990 to March 2009, using appropriate controlled vocabulary and key words. Results were restricted to systematic reviews, randomized control trials/controlled clinical trials, cohort studies, and meta-analyses specifically addressing postoperative adhesions
To investigate the role of hyaluronic acid-based fluid agents in the prevention of adhesions after fertility-preserving gynecological surgery.|Meta-analysis.|The authors searched the Cochrane Menstrual Disorders and Subfertility Group Specialized Register of Controlled Trials, The Cochrane Central Register of Controlled Trials, MEDLINE, and EMBASE for randomized controlled trials of hyaluronic acid fluid agents compared with no treatment or placebo.|Women undergoing fertility-preserving gynecological surgery.|Hyaluronic acid fluid agents.|[1] Prevalence and change in adhesion severity at second-look laparoscopy and [2] live birth rate.|Four studies were included in the meta-analysis. The use of hyaluronic acid agents was associated with a decrease in the prevalence of adhesions at second-look laparoscopy (odds ratio, 0.31; 95% confidence interval, 0.19 to 0.51) and a lesser chance of deterioration of preexisting adhesions (odds ratio, 0.28; 95% confidence interval, 0.12 to 0.66).
Pelvic adhesion can form as a result of inflammation, endometriosis or surgical trauma. During pelvic surgery, strategies to reduce pelvic adhesion formation may include placing synthetic barrier agents such as oxidised regenerated cellulose, polytetrafluoroethylene or Fibrin sheets between the pelvic structures.|To assess the effect of physical barriers used during pelvic surgery in women of reproductive age on pregnancy rates, pelvic pain, or postoperative adhesion reformation.|We searched the Cochrane Menstrual Disorders and Subfertility Group Trials Register (searched September 2007) which is based on regular searches of MEDLINE, EMBASE, CINAHL, PsycINFO and CENTRAL, plus handsearching of 20 relevant journals and conference proceedings, and searches of several key grey literature sources. In addition, companies were contacted for unpublished trials.|Any randomised controlled trials (RCTs) comparing the use of physical barriers versus no treatment or other physical barriers in the
(i.e. large submucous fibroids uterine adhesions apparent uni or bilateral proximal ... Valaoras & Lewis Obstetrics and Gynecology Winston-Salem North Carolina United ...
thereby excluding anatomical abnormalities intrauterine adhesions and cervical incompetence; ... Depts. Gynecology and Obstetrics and 3rd Dept of Internal Medicine ... János Rigó Prof. Gynecology and Obstetrics Dept Semmelweis University Budapest Hungary ...
uterine stent to prevent intrauterine adhesion (IUA) ... In order to prevent adhesion reformation after surgery most gynecologists ... Department of Obstetrics and Gynecology Shin-Kong Wu-Ho-Su Memerial Hospital ...
A laparoscopy that demonstrated pelvic adhesions or stage I or II ... Chair Department of Obstetrics and Gynecology Dartmouth-Hitchcock Medical Center Dartmouth ...
SOGC CLINICAL PRACTICE GUIDELINE Adhesion Prevention in Gynaecological Surgery Abstracts Objectives: To review the etiology and incidence of and associative factors in the formation of adhesions following gynaecological surgery. ... To review evidence
Outcomes: Implementation of this guideline should optimize the decision-making process of women and their health-care providers in proceeding with further investigation or therapy for uterine leiomyomas, having considered the ... For the symptomatic
SOGC Clinical Practice Guideline Ovulation Induction in Polycystic Ovary Syndrome Abstract Objective: To review current non-pharmacologic and pharmacologic options for ovulation induction in women with polycystic ovary syndrome ( PCOS). ... Weight loss,
title: OB-GYN-LMessages: Re: Million Med March State by State Information and request for ... Dr Eberhard Lisse: "Re: Million Med March State by State Information and request for" Previous message: ...
title: OB-GYN-LMessages: Re: factor V ... 32nd annual international meeting of the Czech Ultrasound Society in Obstetrics and Gynecology by Czech Society for Ultrasound in Obstetrics and Gynecology ...
title: OB-GYN-LMessages: Re: GYN: Business question modifier 22. ... 32nd annual international meeting of the Czech Ultrasound Society in Obstetrics and Gynecology by Czech Society for Ultrasound in Obstetrics and Gynecology ...
Physician Performance Goals Are Great, But Balance Is More Realistic Jennifer Frank, MD, May 15, 2012 Performance measurements for physicians are well-intentioned and get me to rethink how I practice. But in the end I won't make the goals, so I'll have to go with balance over perfection.
Designing the Perfect Business Card for Your Medical Practice C. Noel Henley, MD, May 11, 2012 Does your business card say anything substantive about the valuable work you do in your practice? Here’s how to re-design your next business card for maximum impact and engagement.
Registered Nurses an Ideal Fit for Primary Care Practices Audrey "Christie" McLaughlin, RN, May 10, 2012 Here are four good reasons to hire a registered nurse for your primary care practice …maybe even instead of a medical assistant.
The Five Biggest Medical Practice Marketing Mistakes James Doulgeris, May 10, 2012 There are best practices to marketing your practice, but often, success is more about knowing what not to do. Here are the five most common pitfalls …and how to avoid them.
Can You Practice Medicine and Manage Your Practice? Rosemarie Nelson, May 9, 2012 Whether you practice alone, or in a group, if you're trying to see patients in this pay-for-volume environment and also run the business of your practice, you may be missing out on important opportunities.
A 32-year-old female, with previous history for ectopic pregnancy, presents to the ER with a positive pregnancy test, and right side pelvic pain. An ultrasound of the pelvis was ordered by the ER physician. 
