Obstetrics

Vaginal microbes were at least partially transferred to infants after cesarean delivery in a pilot study. The long-term health consequences of the transfer remain to be discovered.  

This case is written by Dr. Kyla Caners. She is a PGY5 Emergency Medicine resident at McMaster University and is also one of the Editors-in-Chief here at EMSimCases. Why it Matters Ectopic pregnancy is a can't miss diagnosis in Emergency Medicine. This case highlights just how sick patients with ruptured ectopic pregnancies can be. Some important…  

This review concerns anti-cancer drug treatment for women with GTN that does not respond to first-line treatment or that re-occurs. GTN is the name given to a type of cancer that arises from placental tissue following pregnancy, most frequently a molar pregnancy. Molar pregnancies are benign abnormal growths of placental tissue inside the womb. Most are cured by evacuation (D&C) of the womb, however, in up to 20% of cases they become malignant. GTN is usually very responsive to anti-cancer drugs (chemotherapy), however, these drugs can be toxic, therefore the aim of treatment is to achieve a cure with the least side effects. To help doctors select the most appropriate treatment for women with GTN, the disease is classified as low- or high-risk according to specific risk factors.  

Recurrent miscarriage has been defined as two, three, or more consecutive spontaneous miscarriages in early pregnancy, and affects a small number (1% to 3%) of women of reproductive age. Many pregnant women may not recognise a miscarriage until they experience uterine bleeding and cramping after the 10th week of pregnancy. There are risks of repeat miscarriages after the first pregnancy loss and the chance of having a successful pregnancy varies. Some recurrent miscarriages have underlying causes, including both maternal and fetal factors; specific treatments targeting these causes are effective. However, the underlying causes may not be identified and most recurrent miscarriage are unexplained. There is no universal recommendation for the treatment of unexplained recurrent miscarriage. Chinese herbal medicines have been widely used in Asian countries for centuries and have become a popular alternative therapy in Western countries in recent years. Many clinical studies have reported that Chinese herbal medicines can improve pregnancy and live birth rates by preventing miscarriage and promoting the continuation of pregnancy.  

Ovarian cancer is a horrible disease.  It is often asymptomatic until late in its course and then causes a lot of suffering.  This is a disease with an ext  

The risk of accruing another paid claim increased with each previous claim and within surgical subspecialties and obstetrics-gynecology.  

The administration of certain corticosteroids to women at risk of preterm birth causes a considerable reduction in the risks of complications of prematurity such as respiratory distress syndrome, intraventricular haemorrhage and perinatal death. Corticosteroid therapy should be incorporated into comprehensive maternal health care services and official guidelines for maternity care.  

Quantitative cervicovaginal fetal fibronectin as early as 18 weeks' gestation predicts preterm birth in asymptomatic high-risk women, according to a prospective cohort study.  

OSCE revision in obstetrics and gynecology 2015. Prepared by Dr Manal Behery, Professor of OB&Gyne.  

The effect of the funding crisis on hospital services, and on obstetrics in particular, is in the spotlight in Italy, after a series of deaths during labour has resulted in government inspectors declaring major deficiencies in three hospitals.  

The effect of the funding crisis on hospital services, and on obstetrics in particular, is in the spotlight in Italy, after a series of deaths during labour has resulted in government inspectors declaring major deficiencies in three hospitals.  

This case of Ewing's sarcoma of the cervix, initially misdiagnosed as small cell carcinoma, highlights the diagnostic challenges due to their overlapping clinical and histopathological features.  

A study suggests that eating potatoes before pregnancy may increase the risk of gestational diabetes; substituting vegetables, legumes, or whole grains for potatoes may reduce this risk.  

In pregnant women with suspected preeclampsia, a low ratio of specific angiogenic factors predicted the short-term absence of the hypertensive condition in a prospective study.  

Use of the oral antifungal drug fluconazole during pregnancy was associated with an increased risk of miscarriage in an analysis of 1.4 million pregnancies in Denmark published in JAMA.1  

Daily intravaginal DHEA suppositories give relief to postmenopausal women for whom sex is painful, but who cannot or do not want to use estrogen treatments.  

Oral fluconazole, sometimes prescribed for vaginal candidiasis in pregnancy when a topical azole fails, was associated in a large study with a significantly increased risk for spontaneous abortions.  

Already hounded by numerous lawsuits over adverse events, manufacturers have 30 months to prove the safety and effectiveness of these devices for transvaginal repair of pelvic organ prolapse.  

New research supports current guidelines on prevention of perinatal group B streptococcal disease (GBS) that recommend diagnostic evaluation and empirical antibiotic therapy for well-appearing infants born to mothers with chorioamnionitis.  

New guidelines from the American College of Obstetrics and Gynecology emphasize the need for exercise during pregnancy and the post-postpartum period to prevent or correct maternal weight issues.